NPLEX II Minor Surgery Practice Test

These questions are part of the practice quiz. Start practicing

• How long should the iodoform gauze be left in place after an I&D?
• Which skin cancer is the most common?
• In a severe allergic reaction during minor surgery, the typical intramuscular epinephrine dose is which of the following?
• These structures are considered 'high risk' areas to perform minor surgery on:
• Before performing electrocautery or hyfrecation, which precaution should you address?
• Remodeling phase involves ongoing collagen remodeling and increasing tensile strength. This is most true of which phase?
• Which factor is NOT a primary consideration when selecting a local anesthetic?
• Which statement best describes the duration of the remodeling phase?
• Which description best characterizes pityriasis alba?
• Cryotherapy precautions include risk of tissue necrosis in patients with which impairment?
• Before performing any minor office surgery, which is essential to obtain?
• Which lesion commonly presents with a stuck-on appearance and is more common in older adults?
• Wounds that are too contaminated to close initially but may be closed after 3-4 days post-treatment use which healing approach?
• Which of the following is NOT a listed potential treatment for a ganglion cyst?
• What should you do if edema occurs after nail surgery?
• Is tinea versicolor contagious?
• Indications for non-absorbable deep suturing of non-skin tissues include which of the following?
• What is the risk associated with 10 cm congenital nevi?
• Which nutrient supplementation is noted as a potential therapy for seborrheic dermatitis in deficient individuals?
• This is the most dangerous of all the malignant skin tumors.
• Which synthetic absorbable suture has the longest half-life (about 4 weeks) and is used for bowel and urinary tract closures?
• Why should suture tension be avoided in wound closure?
• Which of the following is listed as an indication for hyfrecation?
• Which synthetic absorbable suture has the shortest half-life (about 1-2 weeks) and is used for subcuticular closures?
• Erysipelas is usually caused by which organism?
• Which melanoma subtype is the most aggressive and tends to skip the radial growth phase?
• What type of suture should we use for an I&D?
• Pilar cyst is also known as what?
• For nail surgery, should you use a fenestrated drape, and what are the key steps?
• Which symptom cluster is most indicative of a vasovagal reaction during local anesthesia administration, requiring Trendelenburg position, oxygen, and IV fluids?
• Which processes characterize the first phase of wound healing?
• How should adherent dressings be removed and when should they be avoided?
• To minimize recurrence after sebaceous cyst removal, what is the recommended surgical approach?
• Which degradation mechanism results in lesser tissue reaction?
• How do chigger bites typically present?
• Impetigo diagnosis is made by which of the following?
• Toothed Adson's forceps are used for which purpose?
• On what day(s) does the second phase of wound healing occur?
• Epinephrine added to injections in the nose, toes, fingers, penis, or earlobes can lead to which complication?
• Which lesion is listed as an indication for hyfrecation when small?
• Incubation period for verruca vulgaris is generally
• Wet-to-dry dressings for necrotic wounds should be changed at what interval?
• On what day(s) does the first phase of wound healing occur?
• Which melanoma subtype is the most common overall?
• To achieve vasoconstriction and prolong duration, what is the recommended epinephrine dose and concentration?
• When performing a punch biopsy, how much normal tissue should be included around the lesion?
• Which of the following describes central nervous system signs of local anesthetic systemic toxicity?
• A dome-shaped lesion that grows rapidly and is capped with keratin is most consistent with which diagnosis?
• If a patient has fever and infection of a suture wound, which management is recommended?
• Amide local anesthetics are primarily metabolized in which organ?
• In psoriasis, what sign appears when scale is removed, revealing tiny bleeding points?
• How long do you leave sutures in place for the arms?
• Tinea versicolor is caused by overgrowth of which organism?
• Which statement correctly differentiates basal cell carcinoma from squamous cell carcinoma?
• Complications of hyfrecation (electrosurgical ablation)?
• Which sequence describes the nail removal technique during nail surgery?
• Which statement best describes a sebaceous cyst?
• Cryotherapy precautions include a high level of which blood protein that clumps in the cold?
• What is the primary purpose of dressing a sutured wound?
• Which nutrient is known to promote wound healing?
• What is the typical size range for a punch biopsy instrument used for full-thickness skin biopsy?
• Candidiasis treatment includes which of the following?
• What is the process called when electricity destroys deep tissue by making contact?
• What is a potential adverse effect of amide-type local anesthetics used in minor surgery?
• A red and scaly papule with an umbilicated center on sun-exposed skin is most consistent with which malignancy?
• Cyanoacrylate tissue adhesive has contraindications; which condition is a contraindication?
• Which lesion is a benign vascular growth that bleeds easily?
• Which is a contraindication to incision and drainage of a hand abscess?
• Nylon sutures are favored for continuous sutures because they are which?
• Which of the following is a cardiovascular systemic sign of local anesthetic toxicity?
• One milliliter of a 1% local anesthetic solution contains how many milligrams?
• Which option lists a cryotherapy agent described in the material?
• Which term describes using sparks to destroy superficial tissue without contact?
• Iris scissors were originally designed for ophthalmic tissue dissection but are used for which purpose?
• Elliptical excisions should ideally be made with a #____ blade, initially cutting ____ to the skin.
• Systemic reactions to epinephrine during local anesthesia are primarily due to which mechanism?
• Verruca vulgaris is caused by infection with which virus family?
• Which suture technique threads the needle through cutaneous layers in a zigzag fashion for cosmetic results but is technically challenging?
• For wounds with high infection risk or established infection (such as bites or punctures), which wound closure method is used?
• Which local anesthetic typically has the longest duration of action among common agents?
• Which of the following is NOT listed as a cryotherapy option in the material?
• Impetigo is characterized by which clinical feature?
• Which signs are characteristic of the inflammatory phase in wound healing?
• Vitiligo is associated with an increased risk of which disorders?
• Cotton sutures are characterized by which properties?
• Metzenbaum scissors are primarily used for which purpose?
• Discoid lupus erythematosus is associated with deposition of which immunoglobulins in the skin?
• What are the main pharmacologic properties to consider when choosing a local anesthetic?
• Which statement about the herald patch in pityriasis rosea is correct?
• How long do you apply phenol to the nail base, and what should you do afterwards?
• Which suture technique is used on thick skin (like the palms and soles) and is excellent for everting tissue edges?
• Which factor can interfere with wound closure?
• What should you do before you perform wound closure?
• If infection is present around the base of a toenail (paronychia), what is the recommended management prior to nail removal?
• A benign skin growth with prominent vascularity describes which lesion?
• Which sun-related factor is a known risk factor for melanoma when occurring in youth?
• Which lesions are considered inflammatory in acne vulgaris?
• Which description best fits lichen planus?
• Which local anesthetics are amide-type and metabolized in the liver?
• What type of procedure is an I&D?
• During minor surgery, the recommended treatment for a mild allergic reaction is which medication?
• What angle does the running suture typically travel across the lesion?
• What does a felon refer to?
• How long do you leave sutures in place for the face?
• A major nerve block is defined as involving how many nerves in the area?
• Which suture material is described as strong and slippery, potentially leading to knot slippage?
• Which of the following is listed as an indication for hyfrecation?
• Which of the following is an indication for hyfrecation?
• Chromic gut is best described as which type of suture?
• #15 blade is typically used for which purpose?
• If liquid nitrogen spills onto the skin during cryotherapy, what action helps prevent a burn?
• For wounds with necrotic debris, which dressing is typically recommended, and when should it be removed?
• Which lesion is described as a pedunculated, highly vascular growth that often bleeds with minor trauma?
• Which stitch is best for everting skin edges and precise approximation of wound edges with little tension?
• Which statement best describes the half-buried mattress stitch?
• In acne, which lesion is classified as non-inflammatory?
• Bupivacaine with epinephrine is primarily used for which procedure?
• Which statement best describes the Koebner phenomenon?
• Metzenbaum scissors are used for?
• Esters are metabolized in which location?
• Tungsten carbide tipped needle holders have which advantage over standard blunt-nosed needle holders?
• When performing a skin graft, which layers of skin are required?
• Before performing a minor surgical procedure, which laboratory tests are commonly used to assess bleeding risk?
• Isotretinoin is known to carry which major safety risk that requires monitoring?
• Which statement best describes the recommended approach for applying cryotherapy to small facial lesions?
• Which stitch is placed in the dermis and is not visible, working best in minimal tension clean linear wounds?
• A CBC in a patient considering lipoma removal reveals which contraindication?
• Mayo scissors are used for which purpose?
• Which of the following is a potential treatment for a ganglion cyst?
• In a severe allergic reaction during minor surgery, which combination of therapies should be used?
• Which pathogens have been linked to pityriasis rosea?
• What is a common adverse effect of topical corticosteroids?
• In a vertical mattress suture, far-bite spacing is typically what range of millimeters?
• The phase characterized by fluid and cytokine buildup with erythema and edema, followed by necrotic tissue removal and fibroblast bridging is the which wound healing phase?
• 15 mL of 1% lidocaine contains how many milligrams of lidocaine?
• Hydrocortisone is pharmacologically identical to cortisol.
• Which therapy targets abnormal keratinization in acne treatment?
• Which anesthetic corresponds to a 1% solution with max dose 5-7 mg/kg and onset of 2-5 minutes, duration 60-180 minutes?
• Which lesion is a contraindication for shave biopsy?
• Niacinamide is a topical form of which vitamin, and what is a typical concentration for acne use?
• Which serologic test is used to rule out secondary syphilis when evaluating pityriasis rosea?
• Which phase is associated with angiogenesis and granulation tissue formation?
• Which material has high tensile strength and is used for orthopedic and abdominal wall closures?
• If a patient experiences angioedema, rash, hypotension, and urticaria after treatment, which intervention is appropriate?
• Actinic keratoses can give rise to which malignancy?
• Before isotretinoin therapy, which statement is true?
• Which mechanism describes absorption of synthetic sutures?
• What is the key purpose of informed consent in minor office surgery?
• During electrocautery or hyfrecation, which disinfectant is unsafe to use due to its flammability?
• Which description best fits seborrheic keratosis?
• Which anesthetic corresponds to a 0.25% solution with max dose 2-2.5 mg/kg and duration 240-480 minutes?
• Seborrheic dermatitis in infants is commonly referred to as what?
• Lymphangitis presents as which of the following signs?
• Toothless Adson's forceps are used for what purpose?
• Which type of hemangioma should not be surgically cut due to its vascular nature?
• By what day range does the third (proliferative) phase of wound healing begin?
• What is the suture technique of choice for a 2 cm linear, clean laceration less than two hours old on the shoulder?
• People who have higher usage of corticosteroids have a higher risk of what?
• Lichen simplex (neurodermatitis) is typically described as:
• Which anesthetic has the slowest onset?
• How long do you leave sutures in place for the back?
• For adults experiencing anaphylaxis, the recommended initial fluid resuscitation is 0.9% isotonic saline at what volume in the first minutes?
• Mayo scissors are designed for blunt dissection and are inserted with tips closed; what is a key feature?
• In a vertical mattress suture, near-bite spacing is typically what range of millimeters?
• Nylon is classified as which type of suture?
• Which complication of cryotherapy is typically transient?
• During which phase do fibroblasts deposit collagen and wound contraction occurs via myofibroblasts?
• Which of the following is an indication for hyfrecation related to vascular lesions?
• Which scissors should be used to cut sutures?
• Should you use alcohol prior to hyfrecation?
• Which melanoma subtype is most commonly seen in darker-skinned individuals and tends to appear on the palms, soles, or nail beds?
• Which statement best describes erythema multiforme?
• Which statement about EMLA cream is true?
• Pityriasis rosea most commonly affects which age group?
• Which describes a potential complication of chemical cautery?
• Which lesion is a rapidly enlarging, dome-shaped lesion with a keratin-filled crater?
• #10 blade is best suited for which purpose?
• Morbilliform drug eruption typically presents with trunk and proximal extremities rash.
• Which of the following is an example of a natural absorbable suture?
• Silk suture is commonly used for which purpose?
• Cyanoacrylate tissue adhesive is especially useful for which type of wound closure?
• Tretinoin/retin-A is a topical retinoid used for acne; a notable side effect is rebound inflammation.
• Which anesthetic has the longest duration among those listed, given a 0.25% concentration?
• Which naturopathic interventions are suggested for hypertrophic scarring and keloid prevention?
• A yellow-brown crust lesion on sun-exposed skin is most consistent with which condition?
• The process described by disruption of blood vessels, extravasation of blood constituents, initiation of coagulation, and formation of a fibrin clot is called what?
• Which description correctly differentiates lichen planus from lichen simplex, focusing on planus?
• Nikolsky's sign is defined as blister spreading with pressure.
• Delaying closure to allow infection control is known as which wound healing concept?
• In electrocautery, which statement correctly pairs electrode type with current density and temperature?
• Procaine belongs to which class of local anesthetics?
• Guttate psoriasis is classically triggered by streptococcal infection. Which option best describes this trigger?
• Which instrument can be curved or straight, may be used to remove scalpel blades, hold tourniquets, and clamp vessels, and may have locking teeth?
• Which suture pattern is U-shaped and used for loose skin to prevent invagination and eliminate dead space without burial?
• When should sutures on the trunk, legs, feet, or scalp be removed?
• For large-area cryotherapy, what is the recommended technique?
• Why are esters not used more frequently for local anesthesia?
• Which term is another name for a sun spot?
• Cryotherapy precautions include which condition that clumps together in the cold?
• What is a potential complication of electrocautery?
• For wounds on the trunk, legs, feet, or scalp, which suture size is commonly used?
• Which conditions comprise the differential diagnosis for pityriasis alba?
• Calcipotriene is a vitamin D3 analog indicated for which condition?
• Which pigmentary change may occur in darker skin after cryotherapy?
• Guttate psoriasis is classically triggered by which infection?
• Lentigo maligna melanoma typically occurs in elderly individuals on sun-exposed areas of the face.
• An 8-year-old boy presents with a 1 cm dirty, jagged wound less than ten hours old in freely movable tissue. Which is the most appropriate response?
• This stitch is easy and most versatile but can cause 'railroad track' scarring.
• In nail base procedures, is topical antibiotic applied to the nail base after nail removal?
• Which feature is a hallmark of psoriasis when scales are removed?
• Which of the following is an example of a hydrocolloid dressing according to the material?
• What is a key precaution when considering excision of a hemangioma?
• Fibroblasts form collagen to strengthen the wound, and myofibroblasts migrate into the wound to contract the edges. This occurs in which phase?
• Hemostats are best described as which type of forceps?
• After applying cyanoacrylate tissue adhesive, how long should the wound edges be kept dry?
• Which blade size is commonly used for an incision and drainage procedure?
• Which are considered chemical cautery agents?
• Dressings on sutured wounds should be removed after how many hours and exchanged?
• Which statement accurately describes cyanoacrylate tissue adhesive regarding setting time and strength?
• Which condition is suggested by fusiform swelling of a finger, pain on extension, and tenderness along the tendon sheath?
• Which condition is a serious drug reaction with fever and mucosal involvement, requiring emergent referral?
• Which anesthetic corresponds to a 1% solution with a max dose of 7-10 mg/kg?
• What effect does chromic salt have on chromic surgical gut?
• Which is a possible complication of cryotherapy?
• To produce an elliptical specimen when performing a punch biopsy, where should traction be applied?
• What is important to keep in mind when performing electrocautery?
• What is the best initial management of a toxic reaction to a local anesthetic?
• Which of the following is a common complication of excisions and biopsies?
• #11 blade is most commonly used for which function?
• How many days in advance should a patient discontinue aspirin prior to minor office surgery?
• When would you use a curette in dermatologic procedures?
• What is the mechanism underlying cardiovascular toxicity of local anesthetics?
• Triamcinolone and betamethasone are longer-acting and more potent than hydrocortisone.
• Which lesion is considered precancerous and may progress to squamous cell carcinoma if untreated?
• In minor surgical practice, which type of wound should generally not be sutured?
• Which local anesthetic is the longest-acting when used without epinephrine for long-duration surgeries?
• Inhaled corticosteroids are primarily used to treat which condition?
• For an anaphylaxis-like reaction after a procedure, which intervention is appropriate?
• What is the maximum time to use the cutting electrode for incision with electrocautery (hyfrecation)?
• Which instrument is used to obtain a full-thickness punch biopsy typically 2-8 mm in diameter (mostly 4 mm)?
• How long do you leave sutures in place for the legs and feet?
• By what day range is the fourth (remodeling) phase of wound healing beginning?
• Verruca vulgaris transmission occurs primarily through which route?
• What is the primary purpose of performing a punch biopsy?
• In a three-layer dressing for heavy drainage wounds, which layer is designed to absorb exudates?
• Which anesthetic corresponds to a 1% solution with max dose 4-5 mg/kg and onset 2-5 minutes, duration 50-120 minutes?
• How long do you leave sutures in place for the hand?
• Which of the following is a 'high risk' area for minor surgery on the body?
• Which of the following is an example of a natural nonabsorbable suture?
• Keratocanthoma is also known as which term?
• Discoid lupus erythematosus is more common in which gender?
• After performing a 2 mm punch biopsy, what is the next step regarding wound closure?
• Which cosmetic complication after skin excision may require revision suturing?
• Erysipelas is best described as which of the following?
• New collagen forms scar tissue that can attain up to 90% of original tissue strength by week 6. This describes which wound healing phase?
• Allergic reactions to ester local anesthetics are caused by breakdown into which compound?
• How long do you leave sutures in place for the fingers?
• A wound with skin edges sutured shortly after injury and low infection risk is closed by which wound closure type?
• Which statement is accurate about the first-phase wound healing processes?
• A small, polygonal pink rash is characteristic of which condition?
• Discoid lupus erythematosus is commonly triggered by which factor?
• Iris scissors were originally designed for ophthalmic tissue dissection but are used for which purpose?
• Which lesion is described as having a stuck-on appearance?
• How long do you leave sutures in place for the chest?
• Which stitch is used for triangular flaps?
• Which condition is characterized by intraepidermal blisters and a positive Nikolsky sign?
• During an incision and drainage procedure, what is commonly done with irrigation and packing?
• Seborrheic dermatitis is associated with overgrowth of which organism?
• Which dressing is appropriate for a heavily draining wound?
• Which tissue layer is the subcuticular running stitch placed in?
• Which safety requirement is needed before starting isotretinoin therapy?
• If a wound was heavily contaminated and is now clean after several days, what type of wound closure is indicated?
• In electrosurgery, which element is responsible for destroying tissue and coagulating blood vessels?
• After suturing, if dog ears form at the scar line, what is the recommended management?
• Which statement about silk and polyester sutures is true?
• In preoperative assessment, which item helps evaluate bleeding risk beyond laboratory tests?
• To calculate the maximum lidocaine dose with epinephrine for a patient when using a 1% solution, which formula is correct?
• Which suture material has the highest likelihood of tissue reaction?
• Granuloma annulare is most appropriately treated with which therapy?
• Which statement about three-layer dressings for heavy exudate wounds is NOT described?
• Which condition is treated with urea paste dissolution and antifungal oral medications?
• Which pattern do pityriasis rosea lesions follow?
• What is the maximum recommended dose of bupivacaine when used without epinephrine?
• How long do you leave sutures in place for the scalp?