Final Practice Q's

Question 1

Can sutures dehis from too much tension?

Answer 1

Yes!!

Approximation without strangulation (Take off their blood supply)

Question 2

Tensile strength in term of percent of the wound after closure

Answer 2

5% of original strength within 10 days

Question 3

When does Granulation start to fill a wound?

Answer 3

5 days to 3 wks

Question 4

Corner stitches (half-buried horizontal mattress suturing) are used to:

Answer 4

Reduce the chance to compromise the circulation at the triangulated ends of wounds

Question 5

Wounds stitching in chest (How many days?)

Answer 5

6-12 days

Question 6

For Reducing Tension, which stitch would you use?

Answer 6

Both Mattresses (Horizontal & Vertical)

Question 7

Do Langer’s Lines allow for shorter incision lines in terms of days? Also in elbows?

Answer 7

Yes, 10-14 days

Question 8

Closures, how soon you want to do them if you want to reduce the risk of infections?

Answer 8

Delayed Closure w/in 96 hrs

Question 9

If you were going to use a tourniquet to do a digital block, is tighter the better?

Answer 9

No?

Question 10

If you wait 24 hours to close a wound, would there be an increase risk of infection?

Answer 10

Yes, (a clean contaminated wound)

Question 11

If you wait 24 hours to close a wound, Would there be an increase risk of scarring?

Answer 11

Yes

Question 12

If you wait 24 hours to close a wound, Would the overall result be better if you let it close by 2nd intention?

Answer 12

No, most cases late closure (3rd intention) gives a better overall result than not closing the wound (2nd intention)

1st intention - suturing right away
2nd intention - letting wound close naturally
3rd intention - wound is left open for a number of days, then closed if it’s found to be clean

Question 13

Would you remove excess granulation tissue

Answer 13

Yes

Question 14

If we use cyanoacrylate (superglue) to close a wound, what type of anchor would that be?

Answer 14

Primary

Question 15

Ginseng, Ginger, Feverfew, Vit E, and Saw palmetto, do they increase operative and post operative bleed?

Answer 15

Yes

Question 16

Would Retention Sutures cause wound dehiscence?

Answer 16

No, its a treatment for wound dehiscence

Question 17

Would tanning a scar change the color of the skin?

Answer 17

Yes

Question 18

In contrast to keloid scarring, hypertrophic scarring is defined as enlargement of the scar within the boundary of the original scar. True or false?

Answer 18

True

Question 19

A keloid/Hypertrophic scars is prone to occur in all the following locations except?

Answer 19

Face (They do mot occurs in the face)