CCA Adhesives & Retention Systems 2

Question 1

What is the recommended skin preparation sequence BEFORE applying medical-grade adhesive for a facial prosthesis?

Accepted Answer

Cleanse with soap and water, rinse thoroughly, then degrease with isopropyl alcohol

Answer

Cleansing removes particulate debris while subsequent degreasing with isopropyl alcohol removes oils and residual skin care products, creating a clean surface for optimal adhesive bonding.

Question 2

A patient reports that their facial prosthesis repeatedly detaches within 2–3 hours of application despite using adequate adhesive volume. The MOST likely cause is:

Accepted Answer

Insufficient degreasing of the skin prior to adhesive application

Answer

Residual skin oils or cosmetic products left on the skin surface prevent effective adhesive contact, causing early bond failure even when the adhesive is applied correctly and in adequate quantity.

Question 3

How should a patient with radiation-damaged peri-orbital skin be counseled regarding adhesive retention for an orbital prosthesis?

Accepted Answer

Use the gentlest compatible adhesive with careful daily monitoring for skin breakdown

Answer

Radiation-damaged skin is fragile and susceptible to breakdown, so the gentlest appropriate adhesive with vigilant daily skin inspection is the recommended approach to balance retention needs with tissue protection.

Question 4

What is the recommended frequency for removing and reapplying an adhesive-retained facial prosthesis to maintain skin health?

Accepted Answer

Daily, or as clinically directed

Answer

Daily removal allows thorough cleansing of both the prosthesis and the skin, inspection for early signs of irritation, and complete removal of adhesive residue to prevent cumulative skin damage.

Question 5

When fitting a patient for an adhesive-retained nasal prosthesis, which competency is MOST essential to verify before discharge?

Accepted Answer

The patient can independently apply and remove the prosthesis and perform daily skin care

Answer

Patient independence in application, removal, and skin care is the critical outcome of prosthetic rehabilitation — it ensures safety, hygiene, and long-term success without dependence on clinical visits.

(CCA) Certified Clinical Anaplastologist Practice Test

(CCA) Certified Clinical Anaplastologist Practice Test

CCA Adhesives & Retention Systems 2