問題一覧
1
(2) Efficient surgery depends on
Adequate access / Adequate visibility
2
(3) Proper wound healing depends on
Patient's ability to resist infection / Presence of essential nutrients for use as building materials / Ability to carry out reparative cellular processes
3
Wound healing that has no loss of tissue, tissues are placed back in the original position, minimal scar tissue occurs, healing is more rapid, less risk of infection
Primary Intention
4
Wound healing that has gap exist between two wound edges, tissue loss prevent reapproximation, more scar formation, slower healing, high risk of infection
Secondary intention
5
General utility blade for practically all minor oral surgery procedure
Blade #15
6
Blade designed specially for incision performed distal to posterior teeth
Blade #12
7
Blade that is best for stab incision such as incision and drainage
Blade #11
8
Blade used for extra-oral skin incision
Blade #10
9
Grasp that allows greater control of the blade for fine incision
Pen grasp
10
Grasp that allows greater force during incisions
Palm grasp
11
Flap design that has half moon incision design, tendency to cross bony defect
Semilunar Flap
12
Flap designed that has single horizontal incision and usually used for periodontal surgery and open extraction
Horizontal Flap
13
Flap designed that has one vertical and one horizontal incision and is adequate exposere for variety of minor oral surgery procedure
Triangular flap
14
Frap designed that has two vertical and one horizontal incision and appears maximal access and visibility for procedures requiring wide exposure
Trapezoidal Flap
15
Flap design similar to trapezoidal Modified Trapezoidal Flap Also known as
Leubke-ochsenbein
16
Flap designed has singular incision, not a true flap, limited surgical exposure and often use for an access incision for creating a space between bone and underlying mucosw for bone augmentation
Vertical Tunneling Flap
17
Falp designed usually employed as a transpositional flap, intented for covering defects or abnormal opening and commonly used in repair of oro-antral fistula
Pedicle flap
18
(3) Properties of periosteum
Highly vascular / Osteogenetic properties / Connective tissue
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Should rest on bone and not impinge on soft tissue
Retractors
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(3) Wound healing complication
Dehiscence / Tearing / Tissue necrosis
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Separation of flap margins Failed of wound closure
Dehiscence
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(4) Cause of dehiscence
Poor flap design planning / Flap undertension / Lacerated margins / Scar contraction
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(3) Dehiscence expose underlying bone
Pain / Bone loss / Incread Scarring
24
(3) Prevention of dehiscence
Approximately edges of flap over healty bone / Gentle handling of flap design / Avoidance of flap tension
25
Death of tissue due to deprivation of blood supply
Tissue necrosis
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(3) Uncontrolled bleeding lead to
Loss of blood / Poor visibility / Hematoma formation
27
Hemotocrit for female
36-48%
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Hemotocrit for male
41-50%
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Hemoglobin for male
13.5-17.5 g/dl
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Hemoglobin for female
12-15.5 g/dl
31
Usually indicated when anemia outweight risk of transfusion
Blood transfusion
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Escape of blood into tissue spaces
Hematoma
33
Any area that remains devoid of tissue after closure of the wound
Dead space
34
Drains that continually removes blood until bleeding stops
Suction Drain
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Drain that allows any passive bleeding to drain to the surface
Non-suction drains
36
Removal of damage tissue or foreign objects from a wound
Debridement
37
Removal of microorganisms or horizontal substances from a wound
Decontamination
38
Dislodges bacteria and other foreign matter out of the wound by forcing large volumes of fluid under pressure
Irrigation
39
Occurs after surgery as a result of tissue injury
Edema control
40
Accumulation of fluid in the interstitial space because of transudation from damaged vessels and lymphatic obstruction by fibrin
Edema control
41
(4) Risk associated with unnecessary blood transfusion
Infection / Allergic Reaction / Hemolytic Reaction / Non-hemolytic Reaction
42
(2) Use of absorbable hemostatic packs
Gel foam / Surgicel