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Intro to ST
Study exam 11
| Question | Answer |
|---|---|
| Which suture is MOST inert in tissue? | stainless steel |
| Which needle has the cutting edge on the outside curvature of the needle body? | reverse |
| Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury? | inflammatory |
| What is the chemical name of Gore-Tex suture? | polytetrafluoroethylene |
| Which absorbable suture provides for the MOST extended wound support? | PDS Plus |
| Elective surgery patients may be asked to discontinue use of which medication to prevent drug-therapy-induced platelet dysfunctions? | aspirin |
| Which type of suture is often used to create a vascular anastomosis? | synthetic, nonabsorbable, monofilament with double-armed taper needles |
| Another name for a suture ligature is a: | stick tie |
| T or F:Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis. | False |
| What is the term for the blood products donated by another person? | homologous |
| Which blood type is considered the universal recipient? | AB |
| T or F:Sutures with memory, such as chromic, plain, nylon, or other monofilaments, should be stretched tightly to remove any kinks in the strand before being handed to the surgeon. | False |
| What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure? | traction |
| Some multifilament sutures are coated to: | provide smooth passage through tissue |
| What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end? | swaged |
| Which of the following statements is TRUE regarding natural absorbable sutures? | They are packaged wet. |
| Which layer of the abdominal wall must be approximated securely, even if the other layers are not? | fascia |
| Which of the following is NOT correct about the structure/design of suture needles? | They range from 1/2 circle curvature to 5/8 circle curvature. |
| To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have: | high-tensile strength and small diameter |
| Primary union wound healing occurs: | side to side |
| What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis? | skin closure tapes |
| What is the term that describes the measure of how much a suture strand can be stretched before breaking? | tensile strength |
| Inflammation can BEST be described as: | a normal protective response to tissue injury |
| Which historic figure in medicine is credited with creating principles of proper tissue handling and suturing? | Halsted |
| T or F:The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed. | True |
| What is the term for tissue that is easily torn or shredded? | friable |
| Which tissue layer of the abdominal wall provides the greatest strength and support of the wound? | fascia |
| What is the term for removal of foreign material or contaminated debris from a wound? | debridement |
| Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction? | plain surgical gut |
| Which of the following wounds would be assigned a Class I? | inguinal hernia repair with no breaks in technique |
| Which of the following is NOT a method of achieving hemostasis? | apportional |
| Evisceration of an abdominal wound is: | protrusion of viscera through all tissue layers |
| What is the primary reason bolsters are used with retention sutures? | to prevent sutures from cutting into the skin |
| Which postoperative wound complication would require immediate surgical treatment? | evisceration |
| Which of the following is a genetic clotting deficiency? | hemophilia |
| Which of the following is an example of acceptable and safe intraoperative autotransfusion blood collection? | blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm |
| The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is: | interrupted |
| Ligatures are use to: | occlude the lumen of a blood vessel |
| Ethicon sutures may be available with a designation of “plus” for some sutures, which means they: | are impregnated with an antibacterial coating |
| Which type of suture ties has an attached needle? | suture ligature |
| All of the following are techniques for eliminating dead space in a wound EXCEPT: | electrical nerve stimulation |
| T or F:Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field. | False |
| T or F:Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so that the wound can heal from side to side. | True |
| What is the chemical name for Dermabond™ or Indermil™? | cyanoacrylate |
| Which type of suture needle is used on friable tissue such as liver or kidney? | blunt |
| By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal? | third intention |
| Which internal stapling device fires a circular double row of staples to reanastomose the colon? | intraluminal stapler |
| Natural absorbable sutures are broken down in the body by: | enzymatic digestion |
| Which suturing technique would be used to close the stump of the appendix in an open appendectomy? | purse-string |
| A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by: | following |
| Which type of synthetic mesh is absorbable? | polyglactin 910 |
| Which of the following types of vessel loops are NOT available for use? | green colored for bile ducts |
| T or F:Two members of the surgical team must perform the checks of identification information: patient armband, blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient. | True |
| What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals? | keloid |
| Which suture technique involves making a knot in the suture outside of the body and then pushing it inside through a cannula? | extracorporeal method |
| A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a: | subcuticular suture |
| Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions? | first intention |
| A wound that is not sutured and that gradually fills in by granulation heals by which intention? | second |
| Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures? | polypropylene |
| Small, white, mature surface scar seen in differentiation phase of healing | Cicatrix |
| Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture line | Capillarity |
| Process of breaking down synthetic polymer chains by water from tissues | Hydrolysis |
| Traumatic cut or tearing of skin or soft tissues | Laceration |
| Intentional cut through intact tissue for purposes of exposing underlying tissues | Incision |
| Traumatic injury from friction forces causing scraping of epidermal layer | Abrasion |
| Closed traumatic wound; also called a bruise | Contusion |
| Abnormal connection between two epithelial surfaces, open at both ends | Fistula |
| Abnormal tract between two epithelial surfaces, open at one end only | Laceration |
| Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrix | In-growth mesh |
| Which statement is CORRECT regarding monofilament sutures? | They may be used in infected wounds. |
| Kitners, Cottonoids, and laps are surgical: | sponges |
| Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength? | collagen |
| A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to: | immunosuppressed status |
| If tissue is approximated too tightly, it can result in: | ischemia |
| Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy? | Veress |
| In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture. | more |
| Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy? | Class II |
| T or F:Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter. | False |
| Which organization specifies diameter ranges for sutures? | U.S. Pharmacopeia (USP) |
| Which type of needle is preferred for suturing of skin? | cutting |
| Tissue trauma is minimized by using which type of suture-needle combination? | suture permanently swaged on an eyeless needle |
| Which suture gauge would be MOST appropriate for ophthalmic surgery? | 8-0 |
| Which of the following surgical needles is a solid bore (not hollow) type of needle? | Keith |
| T or F:A surgeon’s choice of suture to be used is based on the surgeon’s training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention. | True |
| Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years? | surgical silk |
| What kind of wound is a sacral decubitus ulcer? | chronic |
| How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple? | evert the edges outward |
| Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed? | mesentery |
Created by:
lazm1211