academicrockclimber-
Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength?collagen
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A wound that is not sutured and that gradually fills in by granulation heals by which intention?second
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All of the following are techniques for eliminating dead space in a wound EXCEPT:a. careful approximation of tissues ****b. electrical nerve stimulation**** c. placement of wound drain d. pressure dressings
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Which postoperative wound complication would require immediate surgical treatment?evisceration
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Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury?inflammatory
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What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals?keloid
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Which type of suture needle is used on friable tissue such as liver or kidney?blunt
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Which tissue layer of the abdominal wall provides the greatest strength and support of the wound?fascia
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Which historic figure in medicine is credited with creating principles of proper tissue handling and suturing?Halsted
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Tissue trauma is minimized by using which type of suture-needle combination?suture permanently swaged on an eyeless needle
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Another name for a suture ligature is a:stick tie
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Which type of needle is preferred for suturing of skin?cutting
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What is the term for removal of foreign material or contaminated debris from a wound?debridement
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Evisceration of an abdominal wound is:protrusion of viscera through all tissue layers
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Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions?first intention
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If tissue is approximated too tightly, it can result in:ischemia
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Primary union wound healing occurs:side to side
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Inflammation can BEST be described as:a normal protective response to tissue injury
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Which of the following wounds would be assigned a Class I?inguinal hernia repair with no breaks in technique
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What kind of wound is a sacral decubitus ulcer?chronic
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Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy?Class II
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A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:immunosuppressed status
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What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end?swaged
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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
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Some multifilament sutures are coated to:provide smooth passage through tissue
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Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction?plain surgical gut
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Ethicon sutures may be available with a designation of “plus” for some sutures, which means they:are impregnated with an antibacterial coating
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Which organization specifies diameter ranges for sutures?U.S. Pharmacopeia (USP)
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What is the chemical name of Gore-Tex suture?polytetrafluoroethylene
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Which suture is MOST inert in tissue?stainless steel
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What is the primary reason bolsters are used with retention sutures?to prevent sutures from cutting into the skin
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Ligatures are use to:occlude the lumen of a blood vessel
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What is the term that describes the measure of how much a suture strand can be stretched before breaking?tensile strength
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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.
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How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple?evert the edges outward
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Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed?mesentery
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Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy?Veress
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Which needle has the cutting edge on the outside curvature of the needle body?reverse
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Which suture gauge would be MOST appropriate for ophthalmic surgery?8-0
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A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a:subcuticular suture
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Which of the following surgical needles is a solid bore (not hollow) type of needle?Keith
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Which type of suture ties has an attached needle?suture ligature
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The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is:interrupted
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Which of the following statements is TRUE regarding natural absorbable sutures?They are packaged wet.
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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
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Which statement is Correct regarding monofilament sutures?They may be used in infected wounds.
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Which absorbable suture provides for the MOST extended wound support?PDS Plus
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Which suturing technique would be used to close the stump of the appendix in an open appendectomy?purse-string
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Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures?polypropylene
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Which type of suture is often used to create a vascular anastomosis?synthetic, nonabsorbable, monofilament with double-armed taper needles
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Which type of synthetic mesh is absorbable?polyglactin 910
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Which internal stapling device fires a circular double row of staples to reanastomose the colon?intraluminal stapler
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What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?skin closure tapes
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Which of the following types of vessel loops are NOT available for use?green colored for bile ducts
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What is the chemical name for Dermabond(TM) or Indermil(TM)?cyanoacrylate
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What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?traction
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Which suture technique involves making a knot in the suture outside of the body and then pushing it inside through a cannula?extracorporeal method
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Which layer of the abdominal wall must be approximated securely, even if the other layers are not?fascia
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In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture.more
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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
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What is the term for tissue that is easily torn or shredded?friable
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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
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Natural absorbable sutures are broken down in the body by:enzymatic digestion
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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
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Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter.False
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The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed.True
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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
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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
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Small, white, mature surface scar seen in differentiation phase of healingCicatrix
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Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture lineCapillarity
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Process of breaking down synthetic polymer chains by water from tissuesHydrolysis
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Traumatic cut or tearing of skin or soft tissuesLaceration
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Intentional cut through intact tissue for purposes of exposing underlying tissuesIncision
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Traumatic injury from friction forces causing scraping of epidermal layerAbrasion
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Closed traumatic wound; also called a bruiseContusion
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Abnormal connection between two epithelial surfaces, open at both endsFistula
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Abnormal tract between two epithelial surfaces, open at one end onlyLaceration
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Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrixIn-growth mesh
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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
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What is the term for the blood products donated by another person?homologous
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Which of the following is NOT a method of achieving hemostasis?apportional
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Which of the following is a genetic clotting deficiency?hemophilia
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Which blood type is considered the universal recipient?AB
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Elective surgery patients may be asked to discontinue use of which medication to prevent drug-therapy-induced platelet dysfunctions?aspirin
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Kitners, Cottonoids, and laps are surgical:sponges
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Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field.False
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Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis.False
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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
