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Exam (elaborations)

Internal Medicine & Surgery Final Exam Q&A Guide (2025/2026 Edition) – Clinical Review with Instruments, Procedures, Post-Op Complications, and High-Yield Rationales for Medical & Nursing Students

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Internal Medicine & Surgery Final Exam Q&A Guide (2025/2026 Edition) – Clinical Review with Instruments, Procedures, Post-Op Complications, and High-Yield Rationales for Medical & Nursing Students

Institution
IM Surgery
Course
IM Surgery











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Institution
IM Surgery
Course
IM Surgery

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Uploaded on
July 3, 2025
Number of pages
32
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

Subjects

  • im surgery

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IM Surgery questions and answers 2025/2026
latest update
FALSE - answerTrue or False

It is okay to help out by grabbing/ touch blue things in pre/ post op



stay still until directed where to go - answerwhat should you do once you are sterile?



"I'm not sure, but I will look it up" - answerwhat to say if you don't know the answer to a question in the
OR



FALSE - answerTrue/ False

You may grab something off of the mayo stand if the surgeon is the one who asks for it



true - answertrue/ false

if you break sterility, you should say something right away



supine position - answerposition



prone position - answerposition



lithotomy position - answerposition



Jackknife position - answerposition



trendelenburg postion - answerposition



Reverse Trandelenburg Position - answerposition



to remove dirt, debris, transient microorganisms from hands, nails, forearms, elbows

,minimize colonized microbial counts

inhibit rapid regrowth of microorganisms - answerPurpose of scrubbing for sterility



first scrub stroke style

first scrub timed style

secondary scrub - answerthree scrub styles



timed scrub - answerscrub for sterility where a timer is started, front and back of one hand are scrubbed
for two minutes, then both sides of the arm are washed for one minute, which is then repeated on the
other side, total timer should be 5 minutes plus 1 minute for every time you touch something except the
brush



stroke scrub - answerscrub for sterility with 10 strokes per side, repeated on each hand



secondary scrub - answerscrub for sterility that can be done if you have already done a primary scrub



Betadine

Betadine scrub

Chlorahexadine (Hibiclens) - answersurgical site prep choices



Betadine - answersurgical site prep that scans brown color, desiccates skin, and is best for OPEN
WOUNDS



Betadine scrub - answersurgical site prep that is mixed with hydrogen peroxide

and used on DIRTY WOUNDS



Chlorahexadine (Hibiclens) - answersurgical site prep site that stains orange color, has a small chance of
local skin reaction, is for use on CLEAN SURFACES ONLY

used if butadiene or iodine allergy

,laparotomy - answeryou should always prep for what if you are working on the abdomen?



start at center, work circumferentially outward - answerdirection of application for betadine prep



scrub intended incision site back and forth for one minute, then pain surrounding skin in circumferential
fashion - answerdirection of application for chlorhexadine



hands

forearms up to elbows

nipples to waist - answerwhat part of you is sterile?



edge of the bed up

anything blue

light handles/ covers - answerwhat part of OR table is sterile?



false - answertrue/ false:

an infected wound with an anticipated procedure always requires sterile technique, not clean technique



destructive methods of surgery - answerexamples of this include cautery, chemical, cryoablation and
curettage



destructive methods of surgery - answermethod of surgery reserved for low invasive cancerous lesions,
precancerous lesions, elderly patients, difficult to operate anatomy, coagulopathic patients or benign
lesions



4-6 weeks - answerwhen to reevaluate after cryotherapy



trichloroacetic acid - answeragent used for chemical ablation



cautery ablation - answerthis procedure shines in treating pedunculated lesions like skin tags

, via secondary intention - answerhow does tissue heal after cautery ablation?



curettage - answerthis procedural technique reserves the ability for palpable detection of residual lesion
due to a decreased inflammatory reaction



non dissolving (nylon, ethanol, etc.) - answerwhat kind of sutures should you use when closing a punch
biopsy?



along the langers lines - answerwhere should an excision be made for the best cosmesis?



langers lines - answername of these lines?



3-4 times, with a 30 degree angle of the arch - answerlength of an ellipse lesion should be how much
bigger than the width?



gentle handling of tissue

meticulous hemostasis

preservation of blood supply

strict aseptic technique

minimum tension on tissues

accurate tissue apposition

obliteration of dead space - answerhalsted's principles for closure



Incision and drainage - answertreatment for infected lesions



non-inflamed lesions - answerexcision of cystic skin masses should be limited to what?



significantly weakened - answeraffect on anesthesia with a pH less than 6.4
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