ch 11

Question 1

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

Answer 1

class 2

Question 2

A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way and tight during a continuous running closure is by

Answer 2

following

Question 3

Evisceration of an abdominal wound is:

Answer 3

protusion of viscera through all tissue layers

Question 4

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

Answer 4

electrical nerve stimulation

Question 5

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

Answer 5

green color for bile ducts

Question 6

Which statement is CORRECT regarding monofilament sutures?

Answer 6

They may be used in infected wounds

Question 7

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

Answer 7

polypropylene (Prolene)

Question 8

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

Answer 8

purse-string

Question 9

Another name for a suture ligature with a needle attached is a:

Answer 9

stick tie

Question 10

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

Answer 10

inguinal hernia repair with no breaks in technique

Question 11

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

Answer 11

blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm

Question 12

What kind of wound is a sacral decubitus ulcer?

Answer 12

chronic

Question 13

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

Answer 13

second

Question 14

Which type of synthetic suture is absorbable?

Answer 14

polyglactin 910 (vicryl)

Question 15

Primary union wound healing occurs:

Answer 15

side to side

Question 16

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

Answer 16

event the edges outward

Question 17

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

Answer 17

fascia

Question 18

Which postoperative wound complication would require immediate ( emergent) surgical treatment?

Answer 18

evisceration

Question 19

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

Answer 19

immunosuppressed status

Question 20

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?

Answer 20

surgical silk

Question 21

What is the chemical name of Vicryl suture?

Answer 21

polyglactin 910

Question 22

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

Answer 22

subcuticular suture

Question 23

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

Answer 23

tensile strength

Question 24

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

Answer 24

more

Question 25

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

Answer 25

are impregnated with an antibacterial coating

Question 26

Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen to create pneumoperitoneum for laparoscopy

Answer 26

veress

Question 27

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

Answer 27

cyanoacrylate

Question 28

Which suture gauge would be MOST appropriate for ophthalmic surgery?

Answer 28

10-0

Question 29

Which type of suture ligature ties has an attached needle?

Answer 29

stick tie

Question 30

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

Answer 30

first intention

Question 31

Which suture is MOST inert in tissue?

Answer 31

prolene

Question 32

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

Answer 32

skin closure tapes (steri-strips)

Question 33

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

Answer 33

keloid

Question 34

Which blood type is considered the universal donor?

Answer 34

O

Question 35

Which blood type is considered the universal receiver?

Answer 35

AB

Question 36

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

Answer 36

debridement

Question 37

What is the primary reason bolsters, or rolled umbilical tape are used with retention sutures?

Answer 37

to prevent sutures from cutting into the skin

Question 38

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

Answer 38

blunt

Question 39

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

Answer 39

reverse

Question 40

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

Answer 40

intraluminal stapler (EEA)

Question 41

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

Answer 41

apportional

Question 42

Ligatures are use to:

Answer 42

occlude the lumen of blood vessels

Question 43

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

Answer 43

homologous

Question 44

Which type of suture is often used to create a vascular anastomosis? (critical thinking)

Answer 44

synthetic, nonabsorbable, monofilament with double-armed taper needles

Question 45

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

Answer 45

traction

Question 46

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

Answer 46

swaged

Question 47

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

Answer 47

suture permanently swaged on an eyeless needle

Question 48

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

Answer 48

interrupted

Question 49

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

Answer 49

fascia

Question 50

Which type of needle is preferred for suturing of skin?

Answer 50

cutting

Question 51

By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured closed after a few days to resolve the infection?

Answer 51

third intention