CH11 AST Sutures and Needles
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| 1. An intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called a(n) | incision
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| 2. Which class of surgical wounds has the highest rate of infection? | IV
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| 3.The final wound classification is assigned when | the procedure is finished
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| 4. A wound expected to heal by first intention is a(n) | clean wound
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| 5. Which of the following involves irrigation to wash out contaminants and removal of devitalized tissue? | debridement
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| 6. Pain, heat, redness, swelling, and loss of function are classic local signs of __ | inflammation
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| 7. Healing where the wound is left open and allowed to heal from the inner layer to the outside surface is __ | second intention
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| 8. Which phase of wound healing begins within minutes of injury? | lag
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| 9. In which phase of healing does a wound undergo a slow, sustained increase in tissue tensile strength? | maturation
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| 10. In the proliferation phase, which of the following forms into fibers that give the wound approximately 25% to 30% of its original tensile strength? | collagen
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| 11. Raised, thickened scar due to excessive | keloid
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| 12. A physical factor influencing wound healing | gender
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| 13. The partial or total separation of a layer or layers of tissue after closure is called a(n) | dehiscence
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| 14. An abnormal attachment of two surfaces or structures that are normally separate is called a(n) | adhesion
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| 15. A tract between two epithelium-lined surfaces that is open at both ends is called a | fistula
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| 16. Which of the following is used on a wound that has been primarily closed and from which little or no drainage is expected? | one-layer dressing
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| 17. Occlusive adherent polyurethane, liquid collodion, and aerosol adhesive sprays are examples of __ | one-layer dressings
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| 18. Which dressing layer is considered the absorbent layer? | intermediate
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| 19. Which contact layer of a dressing draws fluids from the wound surface and allows for the passage of air? | nonocclusive
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| 20. Elastic bandages, Montgomery straps and tape are examples of __ | outer layers
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| 21. The suture diameter is referred to as the ___ | gauge
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| 22. Plain gut, chromic gut, PDS II, and Monocryl are examples of | monofilament absorbable sutures
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| 23. Surgical silk is a | multifilament nonabsorbable suture
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| 24. Which of the following is commonly used for tendon repair and bone repair? | Monocryl
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| 25. Which of the following sutures is absorbable? | Dexon
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| 26. One of the most important pieces of information the STSR should learn to look for on a box of sutures is the | suture size and material
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| 27. Precut ties that are removed as single strands from the package and placed into the open hand of the surgeon for use as ligatures are | free
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| 28. A fast-healing, thin membrane lining the abdominal cavity is called | peritoneum
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| 29. The area of tough connective tissue just beneath the skin and just above the subcutaneous layer is called | subcuticular
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| 30. A primary suture line consisting of a single strand of suture placed as a series of stitches is called | continuous
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| 31. Large-gauged, interrupted, nonabsorbable sutures placed lateral to a primary suture line for wound reinforcement are called | retention
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| 32. Sutures placed into an anatomical structure to retract to the side are called __ sutures. | traction
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| 33. Pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called __ | bolsters
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| 34. For the most part, which of the following have replaced umbilical tape as isolation and retraction devices for vessels, nerves, or ducts? | vessel loops
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| 35. A stapler used to insert two straight, evenly spaced, side-by-side rows of staples into tissue is a(n) stapler. | linear
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| 36. A stapler commonly used during resection and reanastomosis of the distal colon or rectum is a(n) stapler. | intraluminal circular
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| 37. An absorbable mesh that provides temporary support during healing is __ | polyglactin 910
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| 38. Which mesh application may result in discomfort for the patient? | stainless steel
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| 39. Eye, point, body, and shape are characteristics of ___ | needles
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| 40. The suture is attached to the needle at the __ | eye
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| 41. Needles manufactured with suture strands inserted into one end are ___ needles. | swaged
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| 42. The needle used for tough tissue that is difficult to penetrate is called | cutting
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| 43. Needles used to penetrate tissue for the delivery of endoscopes into body cavities or joint spaces are needles. | trocar point
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| 44. A needle that can penetrate tissue without cutting it is a(n) needle. | tapered-point
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| 45. Which of the following determines the shape of the needle body? | point
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| 46. Chromic gut is used primarily in which of the following body structures? | urinary tracts
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| 47. Maxon suture thread is ___ | monofilament
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| 48. Pronova suture thread is ___ | nonabsorbable
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| 49. Pronova suture is commonly used in which type of surgery? | ophthalmic
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| 50. Ethibond is commonly used on which type of tissue? | tendon
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| 51. Another name given to "rapid-release" needles is ___ | control-release
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| 52. Ties loaded onto a curved clamp to facilitate placement of the tie around a vessel deep in the surgical wound is referred to as a ___ | tie on a passer
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| 53. For routine surgeries, suture packages should remain unopened on the sterile field. Needle packages with multiple needles should be opened and counted for which purpose? | avoid interoperative count
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| 54. Endoscopic sutures are tied using which of the following? | knot pusher
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| 55. Which needle type is a cutting needle? | CP
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| 56. Which needle type is a taper needle? | MO
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| 57. Which suture absorbs the fastest? | chromic gut
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| 58. Which suture is a monofilament? | Maxon
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| 59. Which suture thread has the smallest diameter? | 7-0
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| 60. Which suture thread has the smallest diameter? | 0
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| 61. Which suture thread has the largest diameter? | #1
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| 62. According to the text, which suture size is most commonly used for closure of orthopedic wounds and abdominal fascia? | #1
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| 63. According to the text, which suture size is typically used for aortic anastomosis? | 4-0
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| 64. According to the text, which suture size is used for smaller blood vessels? | 7-0
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| 65. Vessel loops are used to | retract nerves
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| 66. Which type of suture should be used to close an infected wound? | monofilament
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| 67. CPX | h. cutting point x-tra large
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| 68. FSL | for skin large
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| 69. CV | cardiovascular
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| 70. CTX | circle taper x-tra large
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| 71. CT | circle taper
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| 72. TP | taper point
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| 73. RB | renal bypass
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| 74. TF | tetralogy of Fallot
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| 75. PS C | plastic surgery
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| 76. FS L | for skin
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| 77. OS | orthopedic surgery
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| 78. UR | urology
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| 79. KS | Keith strait
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| 80. S | spatula
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| 81. CP | cutting point
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| 82. M | Mayo
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