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NBSTSA Review > CRQ Wounds > Flashcards

CRQ Wounds Flashcards

1
Q

Tensile strength of a wound refers to

A) the suture strength

B) ability of tissue to resist rupture

C) wound contraction

D) tissue approximation

A

B) ability of tissue to resist rupture

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2
Q

To promote healing, a surgical wound must have all of the following requisites EXCEPT

A) suture closure of dead space

B) drains to remove fluid or air

C) a moderately tight dressing

D) tight sutures to create tension

A

D) tight sutures to create tension

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3
Q

Which burn classification is characterized by dry white skin and generally have little pain associated with this burn?

A) First degree

B) Second degree

C) third degree

D) Fourth degree

A

C) third degree

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4
Q

The space casued by the seperation of wound edges is called

A) lag phase

B) eviseration

C) fibrous scarring

D) dead space

A

D) dead space

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5
Q

What type of dressing is molded into a thick pad that fits into the graft area and is secured with suture?

A) supportive

B) stent

C) flat

D) tegaderm

A

B) stent

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6
Q

What is the correct order of dressing a surgical wound: 1) place dressing, 2) wash the incision, 3) cover sterile dressing with a towel, 4) remove drapes?

A) 1,2,3,4

B) 2,1,3,4

C) 3,4,1,2

D) 3,4,2,1

A

B) 2,1,3,4

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7
Q

Based on the potential for infection , which one of the following described wounds would be classified as a class I?

A) removal of the appendix with no major spill

B) inguinal hernia repair without break in technique

C) compound fracture

D) gunshot wound to the abdomen

A

B) inguinal hernia repair without break in technique

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8
Q

Which nonadherent surgical dressing is used for a clean surgical wound and also care of specimans?

A) Sterile gauze

B) Telfa

C) ABD

D) xeroform

A

B) Telfa

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9
Q

Inflammation is characterized by pain, redness,heat,swelling, and loss of function. The redness can be attributed to

A) serum brought into the area

B) constriction of capillaries

C) vasodilation bringing more blood to the area

D) heat from metabolic reaction

A

C) vasodilation bringing more blood to the area

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10
Q

Another name for a scar is

A) fibrin

B) keloid

C) hydrocolloid

D) infection

A

B) keloid

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11
Q

Wound classification in which the procedure was completed under ideal conditions with a primary closure?

A) Class I

B) Class II

C) Class III

D) Class IV

A

A) Class I

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12
Q

Scar tissue formed by fibrous collagen to fill in the wound

A) granulation tissue

B) granuloma

C) dead space

D) adhesion

A

A) granulation tissue

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13
Q

All of the following factors delay wound healing except:

A) smoking

B) steroid or cancer drugs

C) emotional stress

D) good circulation

A

D) good circulation

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14
Q

A gap left in wound caused by separation of wound edges

A) granulation

B) hematoma

C) debridement

D) dead space

A

D) dead space

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15
Q

A patient is brought into the emergency room with the following injuries; a large bruise on the thigh, an irregular cut on the forhead, and the skin scraped off the arm. The wounds would be described as:

A) incise wound of thigh, abrasion of forehead, burns of the arm

B) avulsion of thigh, contused forehead, abrasion of arm

C) contused wound of thigh, contused forehead, abrasion of arm

D) abrasion of thigh, puncture wound to forehead, lacerated arm

A

C) contused wound of thigh, contused forehead, abrasion of arm

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16
Q

A collection of fluid in tissue would result in all of the following except:

A) hemostasis

B) a culture medium of bacteria

C) pressure on adjacent organs

D) elevation of skin flap with the loss of vascularity and predisposition to wound disruption

A

A) hemostasis

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17
Q

Burned tissue that is nonelastic and may constrict underlying structures is

A) eschar

B) split thickness skin graft

C) keloid

D) None of the above

A

A) eschar

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18
Q

During which phase of healing is a scab formed?

A) inflammatory

B) Proliferation

C) Remodeling

D) Primary

A

A) inflammatory

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19
Q

The most widely used methods of scar revision next to scar removal is

A) chemical peel

B) sanding

C) Z-plasty

D) planing

A

C) Z-plasty

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20
Q

Wound classification with a dirty traumatic wound that is over 4 hours old.

A) Class I

B) Class II

C) Class III

D) Class IV

A

D) Class IV

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21
Q

The burn classification that is characterized by a dry, pearly white, or charred- appearing surface is

A) first

B) second

C) third

D) fourth

A

C) third

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22
Q

In which burn classification are the skin and subcutaneous tissue destroyed?

A) first

B) second

C) thrid

D) fourth

A

C) thrid

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23
Q

You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to:

A) clean up the wound and approximate wound edges for primary intention healing

B) irrigate and suction in preparation for second intention healing

C) suture individual layers of tissue after debridement of the wound

D) clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure

A

D) clean up the wound, pack the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure

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24
Q

A sunburn is classified as a

A) second degree burn

B) first degree burn

C) third degree burn

D) Not classified

A

B) first degree burn

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25
Q

A circumferential bandage should be applied to an extremity

A) distal to proximal

B) proximal to distal

C) anterior to lateral

D) medial to anterior

A

A) distal to proximal

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26
Q

Amputated extremities are

A) sent to the pathology laboratory as are other specimens

B) preserved in formaldehyde

C) wrapped and refridgerated in the morgue

D) placed in a dry container

A

C) wrapped and refridgerated in the morgue

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27
Q

Gauze packing is used

A) on a small incision

B) wrapping a limb

C) in nose or open wound

D) when compression is needcd

A

C) in nose or open wound

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28
Q

Control of bleeding is called

A) homeostasis

B) granulation

C) inflammatory process

D) hemostasis

A

D) hemostasis

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29
Q

The main purpose for Webril is

A) cast padding

B) under pneumatic tourniquet

C) pressure dressing

D) both A and B

A

D) both A and B

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30
Q

Wound classification in which a traumatic open wound is less than 4 hours old with acute inflammation present.

A) Class I

B) Class II

C) Class III

D) Class IV

A

C) Class III

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31
Q

When viscera has protruded outside of the body, this condition is called

A) dehiscence

B) evisceration

C) ischemia

D) fistula

A

B) evisceration

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32
Q

Inflammatory lesion surrounding a foreign substance in a wound

A) Granuloma

B) Granulation

C) cyst

D) tumor

A

A) Granuloma

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33
Q

A wound that is infected or one in which there is excessive loss of tissue heals by

A) primary intention

B) secondary intention

C) third intention

D) fourth intention

A

B) secondary intention

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34
Q

Which of the following is associated with secondary intention wound healing?

A) Wound that is sutured together

B) Infected contaminated wound

C) Wound space that is packed

D) Wound that is not sutured

A

D) Wound that is not sutured

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35
Q

What will be the correct order of wound healing process: (1) remodeling, (2) proliferation, and(3) inflammatory?

A) 1.2.3

B) 2,3,1

C) 3,2,1

D) 2,1,3

A

C) 3,2,1

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36
Q

A graft containing epidermis and only a pertion of the dermis is called a

A) split-thickness graft

B) full-thickness Wolfe graft

C) composite graft

D) full-thickness pinch graft

A

A) split-thickness graft

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37
Q

All of the following statements regarding the preparation for a skin graft are true EXCEPT

A) the dermatome is placed on the recipient table

B) the donor site is prepared with a colorless antiseptic agent

C) separate setups are necessary for skin preparation of recipient and donor sites

D) items used in preparation of the recipient site must be permitted to contaminate the donor site

A

A) the dermatome is placed on the recipient table

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38
Q

During which phase of wound healing is the strength of the wound limited to the suture holding it together?

A) granulation

B) lag phase (inflammatory)

C) epithelization (proliferation)

D) remodeling (maturation)

A

B) lag phase (inflammatory)

39
Q

Which of the following methods of hemostasis is thermal?

A) absorbable gelatin (gelfoam)

B) thrombin

C) esmarch bandage

D) electrocautery

A

D) electrocautery

40
Q

What type of dressing is most often used on a skin graft?

A) pressure

B) stent

C) flat

D) both A and B

A

D) both A and B

41
Q

Which classification of wound healing is involved with perforated bowel?

A) Secondary intention

B) Primary intention

C) Third intention

D) Fourth intention

A

C) Third intention

42
Q

For which of the following wound drains would a sterile safety pin be needed?

A) sump drain

B) closed wound suction drain

C) penrose drain

D) gravity drain

A

C) penrose drain

43
Q

Which of the following signs would you expect if a patient was hemorrhaging?

A) slow pulse

B) hypertension

C) cool moist skin

D) flushed face

A

C) cool moist skin

44
Q

Conditions that affect wound healing include

A) surgical technique

B) obesity

C) age

D) All of the above

A

D) All of the above

45
Q

A wound is described as_________when there is a collection of pus around the incision.

A) hematoma

B) suppurative

C) granulation

D) dehiscence

A

B) suppurative

46
Q

A cicatrix is

A) an abcess

B) a scar

C) pus

D) a wound

A

B) a scar

47
Q

Removal of dead, devitalized tissue from a wound to promote healing

A) Pulse Lavage

B) Curettage

C) Irrigation

D) debridement

A

D) debridement

48
Q

Which body fluid is least likely to transmit HIV?

A) Blood

B) Semen

C) Saliva

D) Spinal fluid

A

C) Saliva

49
Q

One of the most important factors influencing wound healing is

A) nutrition of the patient

B) type of antibiotics

C) operative technique

D) housekeeping

A

C) operative technique

50
Q

Following a contaminated traumatic injury, the patient must be preventatively treated for

A) hepatitis

B) gas gangrene

C) tetanus bacillus

D) bacterenia

A

C) tetanus bacillus

51
Q

What type of gauze dressing is used on a circumcision?

A) sponge

B) tegaderm

C) vaseline gauze

D) roll gauze

A

C) vaseline gauze

52
Q

Which of the following burns cause destruction of the entire thickness of skin?

A) First degree

B) Second degree

C) third degree

D) fourth degree

A

C) third degree

53
Q

Which of the following intraoperative techniques would not promote wound healing?

A) inoculum of bacteria into the wound

B) preservation of blood supply

C) elimination of dead space

D) irrigation to debride the wound

A

A) inoculum of bacteria into the wound

54
Q

Which type of wound healing requires debridement and continuous irrigation?

A) Primary

B) Secondary

C) third

D) Fourth

A

C) third

55
Q

The chief constituent of connective tissue

A) Adhesions

B) Collagen

C) Edema

D) Hematoma

A

B) Collagen

56
Q

A scar that is hypertrophic and bulbous and usually does not reduce over time is

A) papilloma

B) keloid

C) eschar

D) nevis

A

B) keloid

57
Q

A severe allergic reaction possibly resulting in death is called

A) arthus reaction

B) hypersensibilty

C) anaphylactic shock

D) autoimmune disease

A

C) anaphylactic shock

58
Q

A graft transferred from one individual to another is

A) hemograft

B) porcine

C) autograft

D) allograft

A

D) allograft

59
Q

The most common type of skin cancer is

A) basal cell

B) melanoma

C) squamous cell

D) nevi

A

A) basal cell

60
Q

In order to reduce friction between the skin and the blade of the dermatome, the site is prepped with

A) methylene blue

B) betatine

C) chloraprep

D) mineral oil

A

D) mineral oil

61
Q

Removal of nonviable tissue from a nonhealing or traumatic wound is known as

A) debridement

B) undermining

C) grafting

D) Mohs surgery

A

A) debridement

62
Q

A graft derived from pig tissue

A) feline

B) bovine

C) porcine

D) allograft

A

C) porcine

63
Q

Inadvertant removal of which on of the following drains during the first 48 hours after placement would cause the least concern?

A) T-Tube (gravity Drain)

B) wound sump drain

C) closed wound suction drain

D) nasogastric tube

A

D) nasogastric tube

64
Q

A diffuse, inflammatory process characterized by pain, redness, and swelling is termed

A) abscess

B) cellulitis

C) necrosis

D) phagocytosis

A

B) cellulitis

65
Q

A strong thin transparent liquid useful in sealing certain wound edges is

A) dermabond

B) tincture of benzoin

C) collodian

D) both a and c

A

D) both a and c

66
Q

The type of wound healing that requires debridement is

A) first

B) second

C) third

D) fourth

A

C) third

67
Q

Two surfaces that “stick” together that are normally separated

A) Adhesions

B) Collagen

C) Granuloma

D) Edema

A

A) Adhesions

68
Q

The postoperative complication attributed to glove powder entering a wound is

A) granulomata

B) infection

C) inflammation

D) keloid formation

A

A) granulomata

69
Q

A graft made up of tissue taken from one species and grafted to another species is

A) homograft

B) autograft

C) xenograft

D) allograft

A

C) xenograft

70
Q

The type of wound healing that requires debridement is

A) first

B) second

C) third

D) fourth

A

C) third

71
Q

Keloids are

A) a form of abcess

B) an adhered serous membrane

C) a raised, thickened scar

D) a benign tumor

A

C) a raised, thickened scar

72
Q

Wound classification where entry was made into the respiratory tract under controlled conditions with no break in aseptic technique?

A) Class I

B) Class II

C) Class III

D) Class IV

A

B) Class II

73
Q

Which wound is assigned to tissue healing by granulation?

A) Secondary intention

B) Third intention

C) Fourth intention

D) Inflammatory intention

A

A) Secondary intention

74
Q

A band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called

A) keloid

B) adhesion

C) cicatrix

D) dehiscence

A

B) adhesion

75
Q

Clean cut wounds are classified as

A) lacerated

B) contused

C) incised

D) disrupted

A

C) incised

76
Q

Blood clot

A) hemostasis

B) Hematoma

C) edema

D) dyscrasia

A

B) Hematoma

77
Q

Tissue breakdown at the wound margin is

A) adhesion

B) hematoma

C) debridement

D) dehiscence

A

D) dehiscence

78
Q

The substance that unites with thrombin to form fibrin, the basic structural material of blood clots, is

A) fibrinogen

B) prothrombin

C) fibrin

D) thrombin

A

A) fibrinogen

79
Q

A suture at the secondary suture line is a:

A) stick tie

B) ligature

C) traction suture

D) retention suture

A

D) retention suture

80
Q

Arrange the three phases of wound healing in the correct order: 1:Proliferation
2: Inflammatory 3: Remodeling

A) 1,2,3

B) 3,2,1

C) 2,3,1

D) 2,1,3

A

D) 2,1,3

81
Q

A closed-wound suction system works by

A) possitive pressure

B) negative pressure vacuum

C) air displacement

D) constant gravity drainage

A

B) negative pressure vacuum

82
Q

The skin provides which of the following vital functions:

A) protects underlying tissues and organs

B) excretes organic waste and stores nutrients

C) excretes water and dissipates heat as a means of thermoregulation

D) All of the Above

A

D) All of the Above

83
Q

Swelling, abnormal accumalation of fluid in a area

A) Hematoma

B) edema

C) dead space

D) inflamed

A

B) edema

84
Q

A surgical wound that is sutured together heals by

A) granulation

B) primary intention

C) inflammatory means

D) second intention

A

B) primary intention

85
Q

Wound healing that employs a technique allowing the wound to heal from the bottom up is called

A) interrupted intention

B) first intention

C) second intention

D) third intention

A

C) second intention

86
Q

What is the classification of a wound that is indicated by a delayed closure?

A) Primary intention

B) Secondary intention

C) Third intention

D) Fourth Intention

A

C) Third intention

87
Q

A band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called

A) keloid

B) adhesion

C) cicatrix

D) dehiscence

A

B) adhesion

88
Q

Removal of contaminated debris from a wound is called

A) decontamination

B) debridement

C) dehiscence

D) desiccation

A

B) debridement

89
Q

If tissue is approximated too tightly, it can cause

A) ischemia

B) excessive scar tissue

C) keloids

D) adhesions

A

A) ischemia

90
Q

All of the following drains are considered active postoperative drains that attached to an external force EXCEPT

A) sump

B) chest

C) Penrose

D) Hemovac

A

C) Penrose

91
Q

Wound complications include

A) hematoma

B) seroma

C) evisceration

D) all of the above

A

D) all of the above

92
Q

Complications of wound closure when the organs protrude through the edges of the wound is

A) adhesions

B) dehiscence

C) evisceration

D) hemorrhage

A

C) evisceration

93
Q

Formation of excessive scar tissue in skin, fascia, muscle or a joint

A) Contracture

B) edema

C) Granuloma

D) Hematoma

A

A) Contracture

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