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NR 509 MID-TERM STUDY QUESTIONS & ANSWERS
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NR 509 MID-TERM STUDY QUESTIONS & ANSWERS
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OREGON BOARDEXAM - MINOR
SURGERY
minor surgery - Answers -use of electrical or other methods for surgical repair of the
human body or to remove by surgical means non-malignant tumors
surgery - Answers -branch of medicine that treats diseases, injuries, and deformities by
manual or operative methods
laceration - Answers -the act of tearing, a torn ragged/mangled wound
superficial - Answers -near the surface
abrasion - Answers -wearing away of a substance or structure through some unusual or
abnormal mechanical process
benign - Answers -not malignant, not recurrent, favorable for recovery
lesion - Answers -any pathological or traumatic discontinuity of tissue or loss of function
of a part
foreign body - Answers -any material lodged in human tissue that is foreign
excise - Answers -to cut off
incise - Answers -to cut into
ligate - Answers -to tie off
sound - Answers -to probe deep with a blunt instrument
,debride - Answers -Clean away damaged or necrotic tissue
-tome- - Answers -to cut
-ectomy- - Answers -to remove
antiseptic - Answers -substance that will inhibit the growth and development of
microorganisms without necessarily destroying them
local anesthetic - Answers -agent whose primary affect is to bring about a temporary
loss of localized sensory nerve function
T/F minor surgery DCs leave less scars than plastic surgeons - Answers -False - there
is almost 100% certainty of a scar with a DC minor surgeon
T/F a minor surgery physician needs to have a sterile room dedicated to minor surgery
procedures - Answers -true
age range for best candidates of minor surgery - Answers -15-65
why are those under 15 not well suited for minor surgery in a DC office? - Answers -
hard to control during procedure
do not follow instructions, especially for post-op care
active/higher risk of post-op site trauma
why are those over 65 not well suited for minor surgery in a DC office? - Answers -poor
general health
living alone
memory issues
general hygiene compromised
prescribed medications that may conflict w/procedure
ectomorph - Answers -tall and skinny
mesomorph - Answers -medium framed and average weight
endomorph - Answers -Round and heavy body type
why is an ectomorph a good candidate for minor surgery in a DC office? - Answers -
highly active individuals who are typically healthy and heal quickly without complication
why is a mesomorph a good candidate for minor surgery in a DC office? - Answers -
usually active/healthy individuals who heal quickly
, why is an endomorph a not so good candidate for minor surgery in a DC office? -
Answers -typically lethargic or sedentary individuals with elevated blood pressure
leading to slower healing times and higher risk for complications
if a patient is taking medications and you want to perform a minor surgery procedure on
them, what should you inquire about before operating? - Answers -ask what the
medication is used for, side effects, how long they've been taking it, any past
medications they've had adverse reactions to
why would we want to ask a patient about NSAID use before minor surgery
procedures? - Answers -increased use of aspirin/NSAIDs will directly impact due to the
thinning of the blood = increased bleeding times, longer clotting times
why would we want to ask a patient about over the counter medication use before a
minor surgery procedure? - Answers -diuretics lower blood pressure
why do we want to check for systemic diseases in patients before performing minor
surgery? - Answers -they are at higher risk for complications!
EX:
diabetes = prolonged healing times, more prone to infection/complications
hemophilia = high risk due to lack of clotting factors
cancer = more prone to infection/complications
anemia = low blood pressure
heart problems, stroke victims, thrombophlebitis = on blood thinners, prone to infection
asthmatics/respiratory disorders = high risk due to decreased oxygen uptake and
acidosis
nervous disorders = number one risk for complication is anxiety
advantages to chiropractic office minor surgery - Answers -1. cost to patient
2. practicality
disadvantages to chiropractic office minor surgery - Answers -1. complications
2. preoperative diagnosis must be extremely accurate
3. physician availability
4. post-operative scarring
5. cost to physician
number one complication to minor surgery - Answers -anxiety
T/F a minor surgery DC can perform a procedure on a patient Friday afternoon and then
leave on vacation for the weekend. - Answers -False - if the patient suffers a
complication, the DC MUST be available. if they are not this indicates abandonment =
malpractice
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