Chapter 30: Plastic and Reconstructive Surgery MULTIPLE CHOICE 1. Skin grafts that consist of the epidermis and a portion of the papillary dermis are called ________ grafts. A. pedicle B. split-thickness C. full-thickness D. composite ANS: B A graft that contains epidermis and papillary dermis, which is a highly bioactive portion of the dermis, is a split-thickness graft. PTS: 1 DIF: 2 REF: p. 743 2. ____________are grafts that were harvested from donors and preserved by the tissue bank until needed. A. Allografts B. Autografts C. Composite grafts D. Xenografts ANS: A Allografts, also called homografts, are harvested from donors and preserved by the tissue bank until needed. Skin, bone, and cartilage are commonly used allografts. PTS: 1 DIF: 2 REF: p. 742 3. A rhytidectomy is typically known as a __________. A. scar revision C. face lift B. breast enhancement D. nose job ANS: C A rhytidectomy is typically known as a face lift. PTS: 1 DIF: 2 REF: p. 749 4. Protecting underlying tissues and organs, excreting organic waste, and storing of nutrients are functions of ________________. A. adipose tissue B. scar formation C. mammary system D. the integumentary system ANS: D The skin, or integumentary system, performs a number of vital functions: 1. It protects underlying tissues and organs. 2. It excretes organic waste and stores nutrients. 3. It excretes water and dissipates heat as a means of thermoregulation. 4. Its sensory organs transmit touch, pressure, pain, and temperature, which alert the body to possible injury. PTS: 1 DIF: 2 REF: p. 738 5. Third-degree burns develop _________, which is devitalized, nonelastic tissue adhering to the wound site. A. bilobate B. eschar C. plicate D. imbricate This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ ANS: B Third-degree burns develop eschar, which is devitalized, nonelastic tissue adhering to the wound site. PTS: 1 DIF: 2 REF: p. 745 6. A surgical technique in which a plane of tissue is created or an existing tissue plane is lifted, such as skin from the fascia, is called _______________. A. stent C. undermine B. plicate D. debridement ANS: C A surgical technique in which a plane of tissue is created or an existing tissue plane is lifted, such as skin from the fascia, is called undermine. PTS: 1 DIF: 2 REF: p. 744 7. The most superficial layer of the epidermis is called the stratum _________. A. corneum C. spinosum B. granulosum D. germinativum ANS: A The stratum corneum is the most superficial layer of the epidermis. PTS: 1 DIF: 2 REF: p. 738 8. A graft derived from live tissue—human or animal—is called a(n) __________________. A. autograft C. biological graft B. allograft D. synthetic graft ANS: C A graft derived from live tissue—human or animal—is called a biological graft. PTS: 1 DIF: 2 REF: p. 742 9. During a lower lid blepharoplasty, the initial incision is made in the ________. A. canthi of the eye C. supraciliary region B. cornea of the eye D. subciliary region ANS: D The surgeon makes the incision in the subciliary region, 2 mm to 3 mm below the lower lash line. PTS: 1 DIF: 2 REF: p. 748 10. Mentoplasty is the augmentation of the _________. A. cheeks C. chin B. forehead D. lips ANS: C Mentoplasty is the augmentation of the chin. PTS: 1 DIF: 2 REF: p. 754 11. When performing an otoplasty, the incision is made in the _______ area. This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ A. lower jaw B. temporal C. postauricular D. preauricular ANS: C During an otoplasty, the incision is made in the postauricular area. PTS: 1 DIF: 2 REF: p. 754 12. In laser resurfacing, wet towels are placed around the surgical site to ________. A. reduce the risk of thermal damage to other tissue B. reduce the risk of igniting the alcohol prep C. protect the patient from possible retinal damage D. protect the surgical technologist from the heat of the laser ANS: A In laser resurfacing, wet towels are placed around the surgical site to reduce the risk of thermal damage to other tissue. PTS: 1 DIF: 2 REF: p. 751 13. A rhytidectomy is performed to rejuvenate ________ of the aging face. A. the upper third C. only the jowl B. the middle D. the lower third ANS: D A rhytidectomy is performed to rejuvenate the lower third of the aging face. PTS: 1 DIF: 2 REF: p. 749 14. When performing a breast augmentation with an implant, the surgeon creates a pocket under the __________________ to receive the implant. C. pectoralis minor D. pectoralis major A. trapezius B. rectus ANS: D When performing a breast augmentation with an implant, the surgeon creates a pocket under the pectoralis major to receive the implant. PTS: 1 DIF: 2 REF: p. 755 15. The procedure performed to remove excess skin and adipose tissue from the abdominal wall is called a _________. A. rhytidectomy B. panniculectomy C. blepharoplasty D. mentoplasty ANS: B Panniculectomy (abdominoplasty) is performed for cosmetic reduction of abdominal fat. PTS: 1 DIF: 2 REF: p. 757 16. A malar augmentation is a procedure used to enlarge the __________. A. lips C. cheeks B. eyebrows D. chin This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ ANS: C A malar augmentation is a procedure used to enlarge the cheeks. PTS: 1 DIF: 2 REF: p. 754 17. During cheek augmentation, the incision is ________. A. intraoral C. in the subcuticular space B. intranasal D. in the supratarsal crease ANS: A During cheek augmentation, the incision is intraoral. PTS: 1 DIF: 2 REF: p. 754 18. During removal of a superficial lesion, the skin edges are retracted with a(n) _______________________. A. Army-Navy retractor B. Beckman self-retaining retractor C. double- or single-prong skin hook D. Gelpi self-retaining retractor ANS: C During removal of a superficial lesion, the skin edges are retracted with a double- or single-prong skin hook. PTS: 1 DIF: 2 REF: p. 744 19. Grafts that are raised from the donor site but are not severed free are called ________ grafts. A. pedicle C. split-thickness B. free D. progressive ANS: A Grafts that are raised from the donor site but are not severed free are called pedicle grafts. PTS: 1 DIF: 2 REF: p. 746 20. Augmentation is a surgical procedure in which the _____ of a structure is _____. A. shape, changed B. size, enlarged ANS: B Augmentation is a surgical procedure in which the size of a structure is enlarged. PTS: 1 DIF: 2 REF: p. 754 21. During an open brow lift, a ________ is used to elevate the periosteum off of the cranium to the level of the superior orbital rims. A. rigid cannula B. periosteal elevator ANS: B During an open brow lift, a periosteal elevator is used to elevate the periosteum off of the cranium to the level of the superior orbital rims. PTS: 1 DIF: 2 REF: p. 748 22. ________ flaps are raised from the tissues that are in the immediate area of the defect. A. Advancement B. Pedicle This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ ANS: A Advancement flaps are raised from the tissues that are in the immediate area of the defect. PTS: 1 DIF: 2 REF: p. 746 23. Panniculectomy is performed to remove excess skin and adipose tissue from the _________. A. arms B. abdomen ANS: B Panniculectomy (abdominoplasty) is performed for cosmetic reduction of abdominal fat. PTS: 1 DIF: 2 REF: p. 757 24. Plastic and reconstructive surgery is surgery performed to _______________. A. restore form and function that has been lost B. improve appearance but not function ANS: A Plastic and reconstructive surgery is surgery performed to restore form and function that has been lost. PTS: 1 DIF: 2 REF: p. 738 25. Full-thickness skin graft (FTSG) is composed of the epidermis and ____________. A. a portion of the papillary dermis B. dermis ANS: B A FTSG contains both dermis and epidermis. PTS: 1 DIF: 2 REF: p. 743 26. The epidermis is the ____________ layer of the skin. A. deepest B. outer ANS: B The epidermis is the outer layer of the skin. The primary tissue cells of the epidermis are the keratinocytes. PTS: 1 DIF: 2 REF: p. 738 27. Aesthetic surgery, also called____________, is performed to improve the appearance but does not always address function. A. cosmetic surgery B. basic ANS: A Aesthetic surgery, also called cosmetic surgery, is performed to improve the appearance but does not always address function. PTS: 1 DIF: 2 REF: p. 738 28. A dermatome is used to harvest a large _____-thickness graft. A. full B. split ANS: B A dermatome is used to harvest a large split-thickness graft. This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ PTS: 1 DIF: 2 REF: p. 741 29. Debridement is the process of removing ____________ tissue. A. damaged or infected B. excess or unwanted ANS: A Debridement is the process of removing damaged or infected tissue. PTS: 1 DIF: 2 REF: p. 743 30. Sharp dissection is performed with _______ or fine Metzenbaum scissors and toothed tissue forceps. A. tenotomy B. Mayo ANS: A Sharp dissection is performed with tenotomy or fine Metzenbaum scissors and toothed tissue forceps. PTS: 1 DIF: 2 REF: p. 739 MATCHING Choose from the terms listed and match them with their most correct description. You will use the same answer more than once. A. Liposuction D. Dermatome B. Laser E. Brow lift C. Mesher 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Used to take autograft skin Used to resurface the face Includes a cannula for the endoscope to be passed through Rigid cannulas that are connected to a large-bore suction tubing Used to increase the surface area of grafted skin by puncturing holes into the skin graft Wet towels are needed to surround the surgical field. The corneal, pretrichial, or direct approach may be used. Used to aerate a skin graft Aspiration of adipose tissue Mechanical and drum are two types of these. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: D B E A C B E C A D PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: 1 1 1 1 1 1 1 1 1 1 DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: 3 3 3 3 3 3 3 3 3 3 REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ p. 741 p. 742 p. 748 p. 757 p. 741 p. 751 p. 748 p. 741 p. 757 p. 741 Choose from the specialty procedures and match them with their most correct description. You will use the same answer more than once. A. Mammoplasty C. Rhytidectomy B. Panniculectomy D. Skin graft 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Performed to change the size of the breast Performed to rejuvenate an aging face Used to create a new nipple Performed to reconstruct the breast without the use of implants A stent dressing is used Performed to excise the excess abdominal wall skin Usually performed after significant weight loss Requires the use of a tissue expander under certain conditions Type of autograft Performed to treat macromastia 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: ANS: A C D A D B B A D A PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: PTS: 1 1 1 1 1 1 1 1 1 1 DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: DIF: 3 3 3 3 3 3 3 3 3 3 REF: REF: REF: REF: REF: REF: REF: REF: REF: REF: This study source was downloaded by 100000843877291 from CourseHero.com on 11-18-2023 14:30:38 GMT -06:00 https://www.coursehero.com/file/55406066/c30rtf/ Powered by TCPDF (www.tcpdf.org) pp. 754-755 p. 749 p. 757 pp. 754-755 p. 746 p. 757 p. 757 pp. 754-755 p. 742 pp. 754-755
