This action might not be possible to undo. Are you sure you want to continue?
patients of Afro-Carribean origin with dark complexion b. wound infection c. steroid therapy d. secondary wound closure e. use of local bupivacaine answera.T b.T c.F d.F e.F The type of wound closure be it primary or secondary has no effect on keloid formation. The use of steroid decreases the incidence of keloid formation. Use of local bupivacaine does not affect keloid formation. 2. The following statements are true of wound infections: a. Staphylococcus aureus is the most common organism to infect the surgical wound b. MRSA wound infection is usually the result of wound contamination by hospital staff c. anaerobic organisms exert their lethal effects by producing endo- and exotoxins d. with opportunistic organisms, they are the result of a patient's reduced immune defence e. necrotizing fasciitis is commoner in carrier of MRSA answera.T b.T c.T d.T e.F Staphylococcus aureus is a common organism on the skin and commonly infects wound. MRSA wound infection is usually caused by wound contamination through hospital staff who may be carriers of the organism. Anaerobic organisms exert their lethal effects by producing endo- and exotoxins. Infection with opportunistic organisms is a result of the patient's reduced immune defence. The development of necrotizing fasciitis is not associated with MRSA. 3. Wound healing by secondary intention takes place: a. when the wound does not break apart b. when the wound edges are brought together c. when there is irreparable skin loss d. much more slowly than healing by first intention e. when the wound becomes infected
T For dry heat at 1600 C.T c.T It is caused by mixture of Staphylococci and Streptococci including anaerobic and microaerophilic cocci.T b. is an obligatory anaerobe e. conservative excision of the necrotic fascia and skin and muscle should be carried out within 24 hours d. It is an obligatory anaerobe and is motile. The skin initially appears normal. there is a severe infective process. is non-motile answera. therefore antibiotic therapy and hyperbaric oxygen do limit the spread of infection.T c. the duration needs to be more than 120 minutes. A characteristic feature of the spores is a terminal spore. causes gas gangrene b.T e.T b. for example in a sutured wound. healing is also by secondary intention. antibiotic therapy and hyperbaric oxygen do not limit the spread b. 1600 C dry heat for 30 minutes d.F d.T c. gamma irradiation c.F b.F b.F Clostridium tetani causes tetanus. and it produces a very powerful exotoxin which is neurotoxic. high doses benzylpenicillin (4 mega units) given intravenously are indicated answera. 5.answera. and when there is irreparable skin loss.T e. the healing is by primary intention. it is not common after minor trauma e. Healing in this way is much slower compared with healing by first intention 4. ethylene oxide b. 6.T Wound healing by secondary intention takes place when the wound breaks apart. has a terminal spore d.T e. but the skin initially appears normal c. Clostridium tetani: a.T d. If the edges are opposed. Options for sterilization include: a. low temperature steam of 730 C for 20 minutes e. When the wound becomes infected and is laid open .F e.F d.F d. high temperature steam of 1340 C for 3 minutes answera.F c. produces an exotoxin c. True statements concerning necrotizing fasciitis are correct: a. Bold and wide surgical excision of the necrotic fascia . when the wound edges are not brought together.
T Staphylococcus aureus that is not sensitive to methicillin is termed MRSA (methacillin resistant Staphylococcus aureus) 9. Are distinguishable from hypertrophic scars in that keloid extends beyond the original scar It is caused by excessive deposition of collagen Not prevented by pressure dressing Commoner in sternum and deltoid regions. inhibits the uptake of sodium into nerve cell membranes b. skin and muscle should be carried out immediately without delay. toxicity should be suspected if the patient develops slurred speech d. 1% solution contains 1 g of lignocaine in 100 ml fluid answera.F d. followed by drowsiness and slurred speech which leads to convulsions and then coma. clindamycin e.T b. are distinguished from hypertrophic scars by their extent. are caused by the excess deposition of fibrin in the wound d. may be prevented by pressure dressing answera.Keloid scars: a.v. 8. flucloxacillin d.T e. b.. Lignocaine: a. Lignocaine toxicity should be suspected if the patient complains of tingling around the mouth.T c. are common on the deltoid region e. This condition is very common with i. vancomycin b. Staphylococcus aureus is sensitive to: a. The maximum safe dose for a 70 kg man is 150g. extends beyond the original incisional scar c.T e.T Lignocaine blocks the uptake of sodium into nerves. 10. A 1% solution contains 100mg per 10ml (1g per 100ml).T c. methicillin answera.T e. High doses of benzylpenicillin intravenously are indicated. is an alkaline solution e. drug abuse.T d. 7.T d.T c. Local anaesthetic injections are less painful if: .T b.F The tendency to keloid formation is genetically pre-de termined. has a local vasodilatory effect c.T b. cefuroxime c.
a thinner needle is used.F b. they are given rapidly d. the pH is neutralized prior to administration e.F d. b.T e. the anaesthetic is cooled.T Reduction of pain can be achieved by: warning the patient before your inject the anaesthetic use the thinnest needle possible neutralize the pH warming the anaesthetic More MCQs . they are combined with adrenaline c.a. answera.F c.