Chapter 11

Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength? 

A wound that is not sutured and that gradually fills in by granulation heals by which intention? 

All of the following are techniques for eliminating dead space in a wound EXCEPT: 

Which postoperative wound complication would require immediate surgical treatment? 

Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury? 

What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals? 

Which type of suture needle is used on friable tissue such as liver or kidney? 

Which tissue layer of the abdominal wall provides the greatest strength and support of the wound? 

Which historic figure in medicine is credited with creating principles of proper tissue handling and suturing? 

Tissue trauma is minimized by using which type of suture-needle combination? 

 Another name for a suture ligature is a: 

Which type of needle is preferred for suturing of skin? 

What is the term for removal of foreign material or contaminated debris from a wound? 

Evisceration of an abdominal wound is:

Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions? 

 If tissue is approximated too tightly, it can result in: 

Primary union wound healing occurs: 

 Inflammation can BEST be described as:

Which of the following wounds would be assigned a Class I? 

What kind of wound is a sacral decubitus ulcer? 

Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy? 

A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to: 

What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end? 

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? 

Some multifilament sutures are coated to: 

Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction? 

Ethicon sutures may be available with a designation of “plus” for some sutures, which means they: 

Which organization specifies diameter ranges for sutures? 

What is the chemical name of Gore-Tex suture? 

Which suture is MOST inert in tissue? 

What is the primary reason bolsters are used with retention sutures? 

Ligatures are use to:

What is the term that describes the measure of how much a suture strand can be stretched before breaking? 

Which of the following is NOT correct about the structure/design of suture needles? 

How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple? 

Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed? 

Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy? 

Which needle has the cutting edge on the outside curvature of the needle body? 

Which suture gauge would be MOST appropriate for ophthalmic surgery? 

A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a: 

Which of the following surgical needles is a solid bore (not hollow) type of needle? 

Which type of suture ties has an attached needle? 

The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is: 

Which of the following statements is TRUE regarding natural absorbable sutures? 

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: 

Which statement is Correct regarding monofilament sutures?

Which absorbable suture provides for the MOST extended wound support? 

 Which suturing technique would be used to close the stump of the appendix in an open appendectomy? 

Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures? 

Which type of suture is often used to create a vascular anastomosis?

Which type of synthetic mesh is absorbable? 

Which internal stapling device fires a circular double row of staples to reanastomose the colon? 

What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis? 

Which of the following types of vessel loops are NOT available for use? 

What is the chemical name for Dermabond(TM) or Indermil(TM)? 

What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure? 

Which suture technique involves making a knot in the suture outside of the body and then pushing it inside through a cannula? 

Which layer of the abdominal wall must be approximated securely, even if the other layers are not? 

 In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture. 

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have: 

What is the term for tissue that is easily torn or shredded? 

By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal? 

Natural absorbable sutures are broken down in the body by: 

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. 

 Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter. 

The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed. 

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. 

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. 

 Small, white, mature surface scar seen in differentiation phase of healing 

Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture line

Process of breaking down synthetic polymer chains by water from tissues 

Traumatic cut or tearing of skin or soft tissues 

Intentional cut through intact tissue for purposes of exposing underlying tissues 

Traumatic injury from friction forces causing scraping of epidermal layer 

Closed traumatic wound; also called a bruise 

Abnormal connection between two epithelial surfaces, open at both ends 

Abnormal tract between two epithelial surfaces, open at one end only 

Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrix 

Which of the following is an example of acceptable and safe intraoperative autotransfusion blood collection? 

What is the term for the blood products donated by another person? 

Which of the following is NOT a method of achieving hemostasis? 

Which of the following is a genetic clotting deficiency? 

Which blood type is considered the universal recipient? 

 Elective surgery patients may be asked to discontinue use of which medication to prevent drug-therapy-induced platelet dysfunctions? 

Kitners, Cottonoids, and laps are surgical: 

Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field. 

Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis. 

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.