TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 36: Surgical Office Procedures Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient has actinic keratosis and the provider elects to use cryosurgery to remove the
lesions. How will the provider administer this procedure? a. Applying one or two freeze-thaw cycles to each lesion b. Applying two or more freeze-thaw cycles to each lesion c. Applying until the freeze spreads laterally 1 mm from the lesion edges d. Applying until the freeze spreads laterally 4 mm from the lesion edges ANS: A
For actinic keratosis, one to two freeze-thaw cycles are usually enough. Two or more freeze-thaw cycles are generally required for thicker, seborrheic keratosis lesions. The freeze should spread laterally 3 to 4 mm from the edge of the lesions. 2. A provider is preparing to administer electrocautery to a patient who has several seborrheic
keratoses. The patient tells the provider that he has a pacemaker. Which action is correct? a. Administer the electrocautery per the usual protocol. b. Apply electrocautery in short burst at low voltage. c. Refer the patient to a dermatologist for removal. d. Suggest another method for removal of the lesions. ANS: B
Patients with pacemakers or implantable cardioverter-defibrillators may receive electrocautery URlower SINvoltage GTB.Cand OMshorter bursts are taken. It is not if appropriate precautions, suchNas necessary to suggest another method or to refer to a dermatologist. 3. Which type of office surgical procedure warrants sterile technique? a. Curettage b. Punch biopsy c. Scissor excision d. Shave biopsy ANS: B
Punch biopsy requires sterile technique. The other procedures require cleaning with alcohol and clean technique with universal precautions.
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