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STT123
CH11 AST Sutures and Needles
| Question | Answer |
|---|---|
| 1. An intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called a(n) | incision |
| 2. Which class of surgical wounds has the highest rate of infection? | IV |
| 3.The final wound classification is assigned when | the procedure is finished |
| 4. A wound expected to heal by first intention is a(n) | clean wound |
| 5. Which of the following involves irrigation to wash out contaminants and removal of devitalized tissue? | debridement |
| 6. Pain, heat, redness, swelling, and loss of function are classic local signs of __ | inflammation |
| 7. Healing where the wound is left open and allowed to heal from the inner layer to the outside surface is __ | second intention |
| 8. Which phase of wound healing begins within minutes of injury? | lag |
| 9. In which phase of healing does a wound undergo a slow, sustained increase in tissue tensile strength? | maturation |
| 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 |
| 11. Raised, thickened scar due to excessive | keloid |
| 12. A physical factor influencing wound healing | gender |
| 13. The partial or total separation of a layer or layers of tissue after closure is called a(n) | dehiscence |
| 14. An abnormal attachment of two surfaces or structures that are normally separate is called a(n) | adhesion |
| 15. A tract between two epithelium-lined surfaces that is open at both ends is called a | fistula |
| 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 |
| 17. Occlusive adherent polyurethane, liquid collodion, and aerosol adhesive sprays are examples of __ | one-layer dressings |
| 18. Which dressing layer is considered the absorbent layer? | intermediate |
| 19. Which contact layer of a dressing draws fluids from the wound surface and allows for the passage of air? | nonocclusive |
| 20. Elastic bandages, Montgomery straps and tape are examples of __ | outer layers |
| 21. The suture diameter is referred to as the ___ | gauge |
| 22. Plain gut, chromic gut, PDS II, and Monocryl are examples of | monofilament absorbable sutures |
| 23. Surgical silk is a | multifilament nonabsorbable suture |
| 24. Which of the following is commonly used for tendon repair and bone repair? | Monocryl |
| 25. Which of the following sutures is absorbable? | Dexon |
| 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 |
| 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 |
| 28. A fast-healing, thin membrane lining the abdominal cavity is called | peritoneum |
| 29. The area of tough connective tissue just beneath the skin and just above the subcutaneous layer is called | subcuticular |
| 30. A primary suture line consisting of a single strand of suture placed as a series of stitches is called | continuous |
| 31. Large-gauged, interrupted, nonabsorbable sutures placed lateral to a primary suture line for wound reinforcement are called | retention |
| 32. Sutures placed into an anatomical structure to retract to the side are called __ sutures. | traction |
| 33. Pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called __ | bolsters |
| 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 |
| 35. A stapler used to insert two straight, evenly spaced, side-by-side rows of staples into tissue is a(n) stapler. | linear |
| 36. A stapler commonly used during resection and reanastomosis of the distal colon or rectum is a(n) stapler. | intraluminal circular |
| 37. An absorbable mesh that provides temporary support during healing is __ | polyglactin 910 |
| 38. Which mesh application may result in discomfort for the patient? | stainless steel |
| 39. Eye, point, body, and shape are characteristics of ___ | needles |
| 40. The suture is attached to the needle at the __ | eye |
| 41. Needles manufactured with suture strands inserted into one end are ___ needles. | swaged |
| 42. The needle used for tough tissue that is difficult to penetrate is called | cutting |
| 43. Needles used to penetrate tissue for the delivery of endoscopes into body cavities or joint spaces are needles. | trocar point |
| 44. A needle that can penetrate tissue without cutting it is a(n) needle. | tapered-point |
| 45. Which of the following determines the shape of the needle body? | point |
| 46. Chromic gut is used primarily in which of the following body structures? | urinary tracts |
| 47. Maxon suture thread is ___ | monofilament |
| 48. Pronova suture thread is ___ | nonabsorbable |
| 49. Pronova suture is commonly used in which type of surgery? | ophthalmic |
| 50. Ethibond is commonly used on which type of tissue? | tendon |
| 51. Another name given to "rapid-release" needles is ___ | control-release |
| 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 |
| 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 |
| 54. Endoscopic sutures are tied using which of the following? | knot pusher |
| 55. Which needle type is a cutting needle? | CP |
| 56. Which needle type is a taper needle? | MO |
| 57. Which suture absorbs the fastest? | chromic gut |
| 58. Which suture is a monofilament? | Maxon |
| 59. Which suture thread has the smallest diameter? | 7-0 |
| 60. Which suture thread has the smallest diameter? | 0 |
| 61. Which suture thread has the largest diameter? | #1 |
| 62. According to the text, which suture size is most commonly used for closure of orthopedic wounds and abdominal fascia? | #1 |
| 63. According to the text, which suture size is typically used for aortic anastomosis? | 4-0 |
| 64. According to the text, which suture size is used for smaller blood vessels? | 7-0 |
| 65. Vessel loops are used to | retract nerves |
| 66. Which type of suture should be used to close an infected wound? | monofilament |
| 67. CPX | h. cutting point x-tra large |
| 68. FSL | for skin large |
| 69. CV | cardiovascular |
| 70. CTX | circle taper x-tra large |
| 71. CT | circle taper |
| 72. TP | taper point |
| 73. RB | renal bypass |
| 74. TF | tetralogy of Fallot |
| 75. PS C | plastic surgery |
| 76. FS L | for skin |
| 77. OS | orthopedic surgery |
| 78. UR | urology |
| 79. KS | Keith strait |
| 80. S | spatula |
| 81. CP | cutting point |
| 82. M | Mayo |
Created by:
boborii
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