Quiz – Microsurgery (Basic Quiz)

Authors: Magnus Balslev Avnstorp, MD,

Results

#1. What year marks the beginning of microsurgery, where the first microvascular anastomosis using an operating microscope was reported by Suarez and Jacbosen?

1900

1900

1920

1920

1940

1940

1960

1960

1980

1980

#2. What is important when preparing a patient for microsurgery?

Optimizing the comorbid patient for long surgery

Optimizing the comorbid patient for long surgery

Pre- and postoperative anti-coagulation

Pre- and postoperative anti-coagulation

Locating perforators pre-operatively by CAT scan and/or Ultrasound dopppler

Locating perforators pre-operatively by CAT scan and/or Ultrasound dopppler

Cessation of smoking 6 week prior to surgery

Cessation of smoking 6 week prior to surgery

All of the above

All of the above

#3. What is NOT true about microsurgery?

Microsurgery means operating using a microscope

Microsurgery means operating using a microscope

Everybody can easily perform a vessel anastomosis

Everybody can easily perform a vessel anastomosis

Standard sutures for vessel anastomosis are nylon 8-0 or 9-0

Standard sutures for vessel anastomosis are nylon 8-0 or 9-0

Anticoagulation is important for flap survival

Anticoagulation is important for flap survival

Microsurgery is used when performing the anastomosis of a free flap

Microsurgery is used when performing the anastomosis of a free flap

#4. What microsurgical instrument is this?

Vessel dilatator

Vessel dilatator

Adventitia scissors

Adventitia scissors

Acland vessel clamp

Acland vessel clamp

V-dissector

V-dissector

Vessel retractor

Vessel retractor

#5. What microsurgical instrument is this?

Mayo forceps

Mayo forceps

Jevelers angled forceps

Jevelers angled forceps

Vesssel dilatator

Vesssel dilatator

Jevelers needle driver

Jevelers needle driver

Jevelers forceps - straight

Jevelers forceps - straight

#6. What is the correct definition of an angiosome?

A three dimensional territory from bone to skin, supplied by named arteries

A three dimensional territory from bone to skin, supplied by named arteries

A two dimensional territory on the skin

A two dimensional territory on the skin

A named vessel supplying an extremity

A named vessel supplying an extremity

A venous capillary system with flow from a named extremity

A venous capillary system with flow from a named extremity

A choke vessel system

A choke vessel system

#7. What is a perforator flap?

Tissue on a vascular pedicle perforating through the subcutaneous fat

Tissue on a vascular pedicle perforating through the subcutaneous fat

Tissue on a vascular pedicle perforating

Tissue on a vascular pedicle perforating

Tissue on a vascular pedicle, arising from the deep vascular system, perforating through/between the muscle or fascia

Tissue on a vascular pedicle, arising from the deep vascular system, perforating through/between the muscle or fascia

Tissue on a cut off vascular pedicle, moved from one area on the body to a recipient place for vessel anastomosis

Tissue on a cut off vascular pedicle, moved from one area on the body to a recipient place for vessel anastomosis

e. Tissue supplied with blood from not named random vessels

e. Tissue supplied with blood from not named random vessels

#8. What is INCORRECT of the following, regarding microsurgery?

An indication for microsurgery is the need to cover exposed vital joint surface with a free flap

An indication for microsurgery is the need to cover exposed vital joint surface with a free flap

An indication is to restore anatomical shape (such as a whole breast)

An indication is to restore anatomical shape (such as a whole breast)

A contraindication is current alcohol abuse

A contraindication is current alcohol abuse

An indication is to restore function (such as mimical musles in the face)

An indication is to restore function (such as mimical musles in the face)

A contraindication is well-redulated diabetes

A contraindication is well-redulated diabetes

#9. Which device may be used for microsurgical post-operative observation?

Ultra sound doppler

Ultra sound doppler

Microdyalysis

Microdyalysis

Pulse oximetry

Pulse oximetry

Implantable venous flow coupler

Implantable venous flow coupler

All of the above

All of the above

#10. What is correct when observing and describing a microsurgical flap post-operatively?

A flap with pink skin color and a capillary refill of 2-3 seconds is consistent with good perfusion

A flap with pink skin color and a capillary refill of 2-3 seconds is consistent with good perfusion

A flap with blue-ish color and rapid refill implies venous congestion

A flap with blue-ish color and rapid refill implies venous congestion

Capillary response is used for monitoring

Capillary response is used for monitoring

A flap with pale color and lack of capillary refill implies an arterial disturbance

A flap with pale color and lack of capillary refill implies an arterial disturbance

All of the above

All of the above

Finish