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SUR 132
Final Prep
| Question | Answer |
|---|---|
| A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a: | subcuticular suture |
| 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 |
| A wound that is not sutured and that gradually fills in by granulation heals by which intention? | second |
| Another name for a suture ligature is a: | stick tie |
| 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 |
| Elective surgery patients may be asked to discontinue use of which medication to prevent drug-therapy-induced platelet dysfunctions? | aspirin |
| Evisceration of an abdominal wound is: | protrusion of viscera through all tissue layers |
| How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple? | evert the edges outward |
| If tissue is approximated too tightly, it can result in: | ischemia |
| In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture. | more |
| Inflammation can BEST be described as: | a normal protective response to tissue injury |
| Kitners, Cottonoids, and laps are surgical: | sponges |
| Ligatures are use to: | occlude the lumen of a blood vessel |
| Natural absorbable sutures are broken down in the body by: | enzymatic digestion |
| Primary union wound healing occurs: | side to side |
| Some multifilament sutures are coated to: | provide smooth passage through tissue |
| The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is: | interrupted |
| The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed. | True |
| Tissue trauma is minimized by using which type of suture-needle combination? | suture permanently swaged on an eyeless needle |
| 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 |
| What is the primary reason bolsters are used with retention sutures? | to prevent sutures from cutting into the skin |
| What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end? | swaged |
| What is the term for removal of foreign material or contaminated debris from a wound? | debridement |
| What is the term for the blood products donated by another person? | homologous |
| What is the term for tissue that is easily torn or shredded? | friable |
| What is the term that describes the measure of how much a suture strand can be stretched before breaking? | tensile strength |
| What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis? | skin closure tapes |
| What kind of wound is a sacral decubitus ulcer? | chronic |
| What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure? | traction |
| Which absorbable suture provides for the MOST extended wound support? | PDS Plus |
| Which internal stapling device fires a circular double row of staples to reanastomose the colon? | intraluminal stapler |
| Which layer of the abdominal wall must be approximated securely, even if the other layers are not? | fascia |
| Which needle has the cutting edge on the outside curvature of the needle body? | reverse |
| Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength? | collagen |
| Which of the following is NOT a method of achieving hemostasis? | apportional |
| 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 |
| Which of the following is a genetic clotting deficiency? | hemophilia |
| 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 |
| 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 |
| Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures? | polypropylene |
| Which of the following statements is TRUE regarding natural absorbable sutures? | They are packaged wet. |
| Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed? | mesentery |
| Which of the following wounds would be assigned a Class I? | inguinal hernia repair with no breaks in technique |
| Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury? | inflammatory |
| Which statement is CORRECT regarding monofilament sutures? | They may be used in infected wounds. |
| Which suture gauge would be MOST appropriate for ophthalmic surgery? | 8-0 |
| Which suture is MOST inert in tissue? | stainless steel |
| Which suturing technique would be used to close the stump of the appendix in an open appendectomy? | purse-string |
| Which tissue layer of the abdominal wall provides the greatest strength and support of the wound? | fascia |
| Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions? | First intention |
| Which type of needle is preferred for suturing of skin? | cutting |
| Which type of suture is often used to create a vascular anastomosis? | synthetic, nonabsorbable, monofilament with double-armed taper needles |
| A patient is brought into the Emergency Room (ER) with the following injuries: large bruise on the thigh, irregular cut on forehead, and skin scraped off the arm. The wounds would be described as: | contused thigh wound, laceration of forehead, abrasion of arm |
| You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to: | clean up the wound, pack the wound to keep wound edges apart, and bring patient back to OR later for delayed closure |
| Control of bleeding is called: | hemostasis |
| Based on the potential for infection, which one of the following described wounds would be classified as a class I? | Inguinal hernia repair without break in technique |
| A collection of fluid in tissue would result in all of the following except | hemostasis |
| When fibrous bands of scar tissue bind organs together, the condition is | adhesions |
| Which characteristic of surgical overhead lights allows the surgeon to differentiate between the colors of arterial and venous blood or subtle color changes in tissues? | b. lightbulbs that approximate sunlight |
| For which special patient population group would the help of a counselor or social worker who could communicate the current state of mind or mood of the patient to the OR staff be of benefit to all parties involved? | d. substance abuse |
| What term is used for the smoke that is generated by use of a laser or electrosurgical unit pencil on tissue? | plume |
| Physical forces of deceleration, acceleration, compression, and shearing are factors in which type of injuries? | blunt |
| What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one? | turnover |
| Which of the following activities would present no risk of contracting HIV from an infected individual? | c. conversation in close proximity |
| During a surgical procedure on a pregnant patient, the surgical technologist in the scrub role may be asked to palpate what area to detect possible contractions? | c. gravid uterus |
| Which piece of OR furniture is usually the MOST proximal to the operative site? | a. Mayo stand |
| What is the name of the system attached to all anesthesia machines to remove waste anesthesia gases? | scavenger |
| The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the: | b. patient return electrode |
| All of the following national agencies have regulations or protocols for health care workers who may be exposed to infectious diseases in their work environment EXCEPT: | NFPA |
| Where are surgical instrument "booms" mounted in an operating room? | ceiling |
| What distance from the impact site of a laser beam on tissue should the smoke evacuator be positioned to capture 98% of the plume? | d. 1 cm |
| Which of the following is commonly used as a tissue fixative and preservative for surgical specimens sent to pathology? | formalin |
| Surgical site infections (SSIs) are the most common postoperative complication in patients with diabetes due to the increased perfusion of affected tissues. | False |
| For which type of transmission-based disease would health care workers need to be fitted for an N-95 respirator mask? | airborne |
| Which of the following is the mnemonic used to remember the steps for operating a fire extinguisher? | PASS |
| Infectious, blood-saturated and dripping, regulated medical waste should be contained and discarded in red bags with a biohazard symbol. | TRUE |
| Why would surface-mounted sliding doors be preferred over swinging doors in an operating room? | b. reduces air turbulence |
| Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk? | OSHA |
| Which of the following is the mnemonic used to remember the steps to take in the event of a surgical fire? | RACE |
| The term golden hour refers to reduction of morbidity and mortality of which type of patient population? | a. trauma victims |
| The Wilson frame is used for positioning a patient in which of the following surgical positions? | prone |
| Morbid obesity refers to patients whose body weight is greater than how many pounds over their ideal weight? | 100 |
| High- or low-velocity projectiles are factors in which type of injuries? | penetrating |
| All of the following are ways to reduce personnel radiological exposure EXCEPT: | amplification |
| A patient undergoing bariatric surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from what type of tissue? | d. adipose fat |
| In what way can the surgical technologist who is setting up his or her back table and Mayo stand reduce an 18-month-old patient's anxiety prior to induction of anesthesia? | a.Perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction. |
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