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Surg tech 👩‍⚕️ > ch 11 > Flashcards

ch 11 Flashcards

1
Q

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

A

class 2

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2
Q

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

A

following

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3
Q

Evisceration of an abdominal wound is:

A

protusion of viscera through all tissue layers

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4
Q

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

A

electrical nerve stimulation

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5
Q

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

A

green color for bile ducts

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6
Q

Which statement is CORRECT regarding monofilament sutures?

A

They may be used in infected wounds

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7
Q

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

A

polypropylene (Prolene)

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8
Q

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

A

purse-string

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9
Q

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

A

stick tie

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10
Q

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

A

inguinal hernia repair with no breaks in technique

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11
Q

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

A

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

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12
Q

What kind of wound is a sacral decubitus ulcer?

A

chronic

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13
Q

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

A

second

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14
Q

Which type of synthetic suture is absorbable?

A

polyglactin 910 (vicryl)

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15
Q

Primary union wound healing occurs:

A

side to side

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16
Q

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

A

event the edges outward

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17
Q

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

A

fascia

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18
Q

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

A

evisceration

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19
Q

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

A

immunosuppressed status

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20
Q

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?

A

surgical silk

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21
Q

What is the chemical name of Vicryl suture?

A

polyglactin 910

22
Q

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

A

subcuticular suture

23
Q

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

A

tensile strength

24
Q

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

A

more

25
Q

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

A

are impregnated with an antibacterial coating

26
Q

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

A

veress

27
Q

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

A

cyanoacrylate

28
Q

Which suture gauge would be MOST appropriate for ophthalmic surgery?

A

10-0

29
Q

Which type of suture ligature ties has an attached needle?

A

stick tie

30
Q

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

A

first intention

31
Q

Which suture is MOST inert in tissue?

A

prolene

32
Q

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

A

skin closure tapes (steri-strips)

33
Q

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

A

keloid

34
Q

Which blood type is considered the universal donor?

A

O

35
Q

Which blood type is considered the universal receiver?

A

AB

36
Q

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

A

debridement

37
Q

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

A

to prevent sutures from cutting into the skin

38
Q

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

A

blunt

39
Q

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

A

reverse

40
Q

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

A

intraluminal stapler (EEA)

41
Q

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

A

apportional

42
Q

Ligatures are use to:

A

occlude the lumen of blood vessels

43
Q

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

A

homologous

44
Q

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

A

synthetic, nonabsorbable, monofilament with double-armed taper needles

45
Q

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

A

traction

46
Q

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?

A

swaged

47
Q

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

A

suture permanently swaged on an eyeless needle

48
Q

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

A

interrupted

49
Q

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

A

fascia

50
Q

Which type of needle is preferred for suturing of skin?

A

cutting

51
Q

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?

A

third intention

Surg tech 👩‍⚕️ (32 decks)

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