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71 Cards in this Set
- Front
- Back
giant hairy nevus
% malignancy |
0 - 10%
(also called a congenital melanocytic nevus) |
|
prominent nasolabial folds
injectable |
hyaluronic acid (restylane)
fat, collagen |
|
most common skin lesion in fitpatrick type VI
|
dermatosis papulosa nigra
|
|
spitz nevus
rx |
excision with narrow margins
|
|
avm
rx |
selective embolization and surgical excision
|
|
botox related ptosis
which muscle |
levator
|
|
cartilage graft to nose
best to prevent warping |
symmetrical design
(test answer) |
|
removal of yellow tatoo
wave length of laser |
532 nm
|
|
two months post wounding
process of maturation |
type III collagen laid down early and replaced with type I until normal 4:1 ratio established
|
|
infectious folliculitis
most com organism |
staph aureus
|
|
best method of monitoring a buried free flap
|
implantable dopler
|
|
best method of monitoring an exposed free flap
|
clinical observation
|
|
mild wound infection post breast implant
|
antibiotics
(not necess to remove implant in mild infection) |
|
enlarging hemangiomas in 18 month old
Rx |
corticosteroid
|
|
ischial pressure ulcer
best flap |
v-y hamstring advancement flap
|
|
anesthetic agent that helps prevent nausea
|
propofol
|
|
best evidenced based study
|
multicenter, radonmized, controlled study
level I |
|
a mass in the axilla that becomes tender at time of menses is ?
Rx = ? |
breast tissue
excision |
|
what is advantage of cultured epithelial grafts
|
no donor site
large amount can be obtained |
|
disadvantage of cultured epithelia grafts
|
expense
lack elasticity (no dermis) slow basement membrane formation = blisters delay = n2 - 3 weeks |
|
disadvantage of adherent perichondrium on a cartilage graft
|
warping of the graft
|
|
antibiotic for use with leech therapy
organism |
cipro
aeromonas hydrophilia |
|
how long to treat patient when leech Rx has been used
|
till all wounds are healed
|
|
Alloplastic material that releases heat
|
methylmethacrylate
|
|
Sturge-Weber = what vascular anomaly
|
capillary malformation (port wine stain)
+ipsilateral ocular or leptomeningeal vascular anomalies |
|
EMLA cream is ?
minimun time for best result |
prilocaine-lidocaine
60 minutes |
|
which phase of wound healing has the most greatest rate of collagen production
|
fibroblastic
|
|
Rx of a rapidly increasing bright red skin lesion on an infant
|
Dx = hemangioma
Rx = observation |
|
Rx of rapidly increasing hemangioma threatening an orifice or obstructing vision
|
coriticosteriods
|
|
Xeroderma pigmentosum
|
presents as child
acute sun sensativity pigmented lesions early development cut. malignancies |
|
Neviud Basal Syndrome
|
presents birth through childhood
sun sensative cutaneous malignancies dental cysts PALMAR PITS |
|
Basex syndrome
|
BCC face,
no palmar pits skin abnormalities |
|
Erythroplasia of Queyrat
|
SCC insitu penis
|
|
which vitamin reverses wound healing consequences of corticosteriods
|
vitimin A
|
|
Rx for sudden onset of extreme pain immedialtely after tissue expansion
|
remove some fluid
|
|
best route to provide nutrition to burn victims
|
enteral, even with n/g tube if necessary
|
|
what technique adresses anterior and posterior trunkal excessive tissue in the massive wgt loss patient
|
circumferential lower body lift (belt lipectomy, hemi-body lift)
|
|
Best selection for reconstruction of floor of mouth resection post radiation Rx
|
free flap, usually radial forearm
|
|
marginal mandible resection = definition
|
resection of inner cortex only, mandible structurally intact
|
|
harvest of both internal mammary arteries threatens which flap
|
rectus
|
|
maximus angle recommended between primary and seconday flap of bilobe flap
|
100 degrees
|
|
adriamycin
|
doxorubicin hcl
highly cytotoxic |
|
agent commonly used for thrombolysis post microvasculat occlusion
|
TPA (tissue plasminogen activator)
|
|
use of papain-urea ointment in full thickeness escar
|
none
not usuful in full thickness wounds |
|
with ring avulsion injuries what can be done to optimize the possibililty of replantation
|
resect all abnormal vessels and vein graft
|
|
wound failure SIX YEARS post radiation for breast cander is ?
|
radionecrosis (can be osteoradionec)
recurrent CA usually within 5 yrs |
|
Rx of acute onset pain swelling erythema groin with diabetes, and sepsis
|
debriedement
|
|
predispostion ot Fournier disease
|
diabetes, obesity, alcoholism. AIDS, smoking, leukemia
|
|
Giant harry nevi result in what life threatenting condition
|
leptomeningeal involvement presents before 2 years age
melanoma 4 - 8 % lifetime risk |
|
where do the motor nerves enter the rectus muscles
|
from lateral edge
(therefore, "turn over" flap denervates the muscle) |
|
advantage of tricloracetic acid peel over pehnol peel
|
less pigment change
|
|
Mathes/nahai flap class
|
I single dom ped
II 1 dom and 1 minor III 2 com IV multiple ped V 1 dom. mult minor |
|
1st 24 hour post op low grade temp.
|
most common cause = pulmonary
Rx pulmonary toilet, incen spir etc. |
|
Parkland formula
|
4 cc/%burn/kg
1/2 given in 1st 8 hours POST BURN (not admission) |
|
dose hyperbaric O2 improve survival in abdomenal wall necrotizing fasciitis
|
yes
|
|
may you legally enter a note in the patients outpatient record after the date of the visit
|
yes, as long as the date of the entry is correct.
|
|
one "advanatage" of Mohs
|
indistinct margins of the lesion
|
|
only filler used for contour defects in AIDs
|
Sculptra (poly-l-lactic acid)
|
|
where is Sculptra injected
|
subcutaneousy cheek
submusclular orbit |
|
how ofter sculptra is injected
|
multiple times over 4 - 6 weeks
|
|
how long does sculptra last
|
over two years ???????test answer on this inservice
|
|
Apligraf
def. use theory on value |
dermal-epidermal matrix
used for diabetic foot ulcers apply repeatly up to 5 grafts dermal fibroblasts secredt growth factors |
|
after snake bite with no information on immunization status
1st rx |
tetanus toxoid
|
|
general indicaiton for antivenum for snake bites
|
progressive vinum injury, worsening loval injury or systemic sx
|
|
necrotizing fasciitis
organism |
staph aureus and Group A hemolytic strept.
|
|
dehiscence of abdomenal incision post body lift 6 weeks post op
eitol? |
seroma
|
|
cicritricial upper lid ectropion
Rx post attempted stsg |
stsg
|
|
malignant hyperthermia
Sx and signs |
temp elev., tachycardia, decrease O2, hypercarbia, difficult ventilation
|
|
Rx hyperthermia
|
cooling, dantrolene, stop inhalation agents, O2
|
|
drainage from naval in infant
etiol? |
urachal sinus
urachal cyst usually Asx |
|
is it necessary to inform patients of rare, nonserious potential complictions
|
no
|