Quiz Module 5 - Total Definer Master Class

Module 5 - Quiz

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What is the primary purpose of using titanium plates in rib osteosynthesis? Сhoose all that apply.

To reduce the need for postoperative corsets

To provide structural stability to the ribcage

To enhance the cosmetic appearance of the chest

To avoid the use of general anesthesia

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Which imaging technique is essential for preoperative planning in rib osteosynthesis?

MRI

X-ray

Ultrasound

CT scan

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Which of the following patients would be considered eligible for rib osteosynthesis based on the eligibility criteria?

Patients with a BMI greater than 30 and no other health issues

Patients over 45 years old with no other health issues

Patients with compromised bone density

Patients with a BMI less than 30

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What measures are taken to ensure the sterility of titanium plates used in rib osteosynthesis? Choose all that apply.

Reusing plates after sterilization

Special sterilization process

Manipulating plates on a sterile accessory table

Using titanium plates only once per patient

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Which complications may arise as a result of osteosynthesis, and how are they managed? Choose all that apply.

Pneumothorax, which is managed by inserting a chest tube

Hematoma, which is managed by surgical debridement

Pseudoarthrosis, which is managed by revision surgery

Scarring, which is managed by applying silicone sheet

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What postoperative care measures are recommended to enhance recovery after rib osteosynthesis? Choose all that apply.

Encouragement of massages and non-invasive procedures

Use of postoperative corsets

Hyperbaric Oxygen Therapy (HBOT) sessions

Avoiding strenuous activities for a few months

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What is the main advantage of High-Definition Lipoplasty (HDL) over traditional liposuction?

It is cheaper and faster

It uses VASER technology for greater precision and less tissue trauma

It requires no anesthesia

It does not require postoperative care

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Which patients are considered ideal candidates for HDL?

Individuals with generalized obesity

Individuals with localized fat deposits and good skin elasticity

Patients with mild to moderate scoliosis

Individuals who have undergone recent major surgeries

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What is the purpose of the WASP technique in rib remodeling?

To improve the structural integrity of the ribcage.

To enhance muscle definition in the arms

To enhance the overall body silhouette by altering rib structure

To achieve a more defined waistline through monocortical rib fractures

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What are some key preoperative evaluations necessary for HDL and rib remodeling? Choose all that apply.

High-resolution chest CT scan with 3D reconstruction

Patient self-assessment

MRI and bone density tests

Collaboration with an anesthesiologist for risk assessment

Comprehensive lab tests

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Which postoperative care measures are essential after HDL and rib remodeling? Choose all that apply.

Using compression garments immediately

Avoiding all physical activity

Pain management, hydration, and avoiding strenuous activities

Applying heat packs to reduce swelling

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What are common complications of HDL, and how can they be managed? Choose all that apply.

Seroma, managed conservatively or with drainage if necessary

Burns, treated based on depth and severity

Weight gain, treated by further liposuction

Infection, managed with oral or IV antibiotics depending on severity

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Which factors are typically assessed during the preoperative planning for rib remodeling surgery? Choose all that apply.

Cardiopulmonary function

Bone density and structure

Blood glucose levels

Mental readiness

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Hormone therapy in transgender patients can affect anesthesia management. Which effects should be considered? Choose all that apply.

Increased risk of venous thromboembolic events

Enhanced skin elasticity

Altered scarring

Increased protein binding

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In the scenario where a patient exhibits persistent pain beyond the normal healing period after rib remodeling surgery, what should be the next step?

Increase the dosage of pain medication

Schedule an immediate follow-up appointment to evaluate for nerve damage

Advise the patient to rest and wait for the pain to subside

Suggest the use of compression garments

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Which of the following techniques is employed to minimize soft tissue trauma during rib remodeling surgery? Choose all that apply.

High-pressure irrigation

Use of large retractors

Gentle handling of tissues

Subperiosteal dissection

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After rib surgeries, it is crucial to reduce the risk of deep vein thrombosis (DVT) and promote lung expansion. What recommendation should you give the patient?

Start early mobilization as soon as possible

Follow a high-protein diet to aid recovery

Stay in bed and rest for several days

Use strong pain medications regularly

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A patient on estrogen therapy is undergoing rib remodeling surgery. Which perioperative measure is particularly important for this patient?

Avoiding any regional anesthesia techniques

Implementing antithrombotic measures

Increasing the dose of local anesthetics

Scheduling more frequent follow-up visits

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During the procedure of transforming false to floating ribs, what tool is used to perform chondral disarticulation?

16-gauge needle

18-gauge needle

Scalpel

Bone saw

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In which clinical scenarios is anterior ribcage osteosynthesis indicated? Choose all that apply.

Trauma with severe rib fractures or flail chest

Congenital or acquired deformities of the anterior chest wall

Post-tumor resection or extensive surgeries destabilizing the thoracic cage

Mild muscle strains

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What patients are indicated for anterior ribcage modification surgery?

Patients with a BMI greater than 30 kg/m²

Patients with an over-projection of the anterior chondral portion of ribs 6, 7, and 8

Patients with uncompromised bone mineral density and pre-existing osteoarticular pathologies

Patients classified as ASA III or IV

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What postoperative care measures are essential for successful recovery after anterior ribcage modification? Choose all that apply.

Avoiding physical activity for 6 months

Wearing a chest binder or compression garment for 12 weeks

Regular follow-up visits at 24-48 hours, 1 week, 1 month, and every 3 to 6 months

Using NSAIDs for pain management

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What complications can arise from anterior ribcage modification surgery and how are they managed? Choose all that apply.

Pneumothorax, which requires early diagnosis and management

Displaced fractures, requiring early treatment through bone grafting

Diabetes, managed with insulin

Pseudoarthrosis and abnormal consolidation, managed by close monitoring

24 / 40

During the procedure, what steps are involved in rib fixation? Choose all that apply.

Using a piezotome for greenstick monocortical fracture, and placing a titanium plate

Administering local anesthesia, making an incision, and using bone cement

Making an incision, retracting soft tissues, elevating periosteum, and placing the plate

Performing laparoscopic surgery to fix the ribs

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Which surgical maneuver is used for fracturing the rib during rib resection surgery?

Aladdin Maneuver

Double Grip Maneuver

Kelly Clasp

Adson Alignment

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What role does muscle memory concept play in rib resection surgeries? Choose all that apply.

It contributes to stabilizing the ribcage and limiting deformations during the remodeling process

It leads to increased postoperative pain and discomfort

It enhances the speed of bone healing after surgery

It prevents the soft tissues from returning to their habitual positions after costal resection

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What role does the Doyen retractor play in rib resection surgery?

It is used to cut through the rib

It separates the periosteum from the rib

It stabilizes the patient during surgery

It closes the surgical incision

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Which muscle must be separated during rib resection to access the ribs?

Pectoralis major

Trapezius

Latissimus dorsi

Biceps brachii

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Which statement is true about the surgical approach for rib resection without the Doyen separator?

It involves a lateral decubitus position for better rib access

It requires a large incision along the vertebral column

This method is typically used when accessing the ribs laterally to the iliocostalis muscle

It incorporates a 2.5-cm incision at the posterior axillary line

30 / 40

What is the primary purpose of employing the Double Brow Maneuver during rib resection with the Doyen separator?

To facilitate large incisions

To apply constant pressure using mosquito forceps

To stabilize the patient in the lateral decubitus position

To enhance precise deperiostization of the rib

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