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SAM final > Surgery material > Flashcards

Surgery material Flashcards

1
Q

Which of the following USP numbers indicates the thinnest suture material

A

o 4-0

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2
Q

Which of the following USP numbers indicate the thickest suture material

o 0
o 2-0
o 2
o 3-0

A

o 2

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3
Q

• Which of the following metric numbers indicates the thickest suture material

o 0
o 1
o 2
o 3

A

o 3

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4
Q

What does “2-Metric” mean on a suture material pack

A

o The suture material is 0.2 mm of diameter

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5
Q

Polyglactin (Vicryl)

o Polyglactin (VicrylO)
o Polydioxanone (PDSO)
o Both of them
o None of them

A

o Polyglactin (VicrylO)

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6
Q

Which of the following suture materials is non-absorbable

o Polypropylene
o Polydioxanone
o Both
o None

A

o Polypropylene

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7
Q

Which of the following suture materials is non-absorbable

o Polypropylene
o Polyamide
o Both
o None

A

o Both

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8
Q

Which of the following suture patterns is tension relieving

A

o Interrupted horizontal mattress

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9
Q

Which of the following suture materials is absorbable

o Polypropylene
o Polyamide
o None
o Both

A

o None

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10
Q

Which of the following features makes polypropylene the most popular cardiovascular suture material

o Monofilament features
o Good tensile strength
o Good knot security
o Unique thrombophob feature

A

o Good tensile strength

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11
Q

Which of the following suture materials is not recommended for cystotomy wound closure (Greenberg, Am J Vets Res, 2004)

o PDS
o Polyglyconate
o Glycomer
o Polyglecaprone

A

o Polyglecaprone

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12
Q

Which of the following suture patterns is not recommended for cystotomy wound closure

A

o Double layer (penetrating + Lambert) suture

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13
Q

Which of the following does not represent an increased risk of infection of surgical infection

o Antimicrobial prophylaxis for a previous surgical procedure
o Prolonged hospitalization
o Obesity
o Prolonged procedure time

A

o Antimicrobial prophylaxis for a previous surgical procedure

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14
Q

The surface characteristics of a suture. Mark the incorrect statement!

o The surface of a suture influences the ease with which it is pulled through tissue and the amount of trauma caused.
o Rough sutures cause more injury than smooth sutures.
o Smooth surfaces are particularly important in delicate tissues.
o Sutures with smooth surfaces have more knot security.

A

o Sutures with smooth surfaces have more knot security.

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15
Q

What is Spongostan

A

o Gelatin sponge

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16
Q

Which statement is NOT true? Coating

o Is used for multifil suture materials.
o Improves knot security
o Is made of lactic acid
o May have antibacterial effect

A

o Is used for multifil suture materials.

17
Q

Which of the following features defines the suture materials drainage ability?

o Monofilament vs multifilament
o Tensile strength
o Knot security
o Absorption

A

o Monofilament vs multifilament

18
Q

Why not use multifilament for stomach and intestine surgeries?

o Expensive
o The risk of septic complication is higher, the risk of yarn drainage is (miatt)
o Poor tensile strength
o The knot tolerance is not good

A

o The risk of septic complication is higher, the risk of yarn drainage is (miatt)

19
Q

Which of the following statements is incorrect? An active drain

o Is not recommended as flushing drain (it is used as flushing drain)
o Can be open suction-drain
o Can be closed suction-drain
o Is used as flushing drain

A

o Is not recommended as flushing drain (it is used as flushing drain)

20
Q

The material of Cerclage can be

o Kirschner wire
o Absorbable suture
o Non-absorbable suture
o Fishing line

A

o Absorbable suture

21
Q

Which of the following statements is correct? Penrose drain is

o Tube drain
o Made of latex
o A multi-lumen drain
o Mostly used s active drain

A

o Tube drain

22
Q

Which of the following statement is correct? A passive drain

o Is always a single exit drain
o Can only be used as double exit drain
o Is mostly used for flushing
o Is more effective with a compression bandage on it

A

o Is always a single exit drain?

23
Q

The recommended fluid to lavage a joint is

o Sterile, isotonic infusion solution
o Sterile, hypertonic infusion solution
o Sterile, isotonic 1% povidone-iodine (Betadine) solution
o Sterile, hypertonic 1% povidone-iodine (Betadine) solution

A

o Sterile, isotonic 1% povidone-iodine (Betadine) solution

24
Q

Which of the following techniques is the most tension relieving one?

o simple interrupted
o cruciate suture
o continuous locked suture
o tubed/stent suture

A

o tubed/stent suture

25
Q

The increasing sequence of capacity of a vein catheter is

o Yellow, blue, pink, green
o Blue, pink, grey, yellow c
o Yellow, pink, blue grey
o Green, pink, blue, yellow

A

o Yellow, blue, pink, green

26
Q

Which statement is correct concerning syringe pumps

o Syringe pumps are less accurate than infusion pumps regarding continuous drug dosage
o Parameters required for adequate calculation of the rate of infusion (ml/h) are body weight (bwkg), drug concentration (mg/ml or %) and the dose of the drug to be used (mg/bwkg/h)
o Conventional infusion lines are suitable for as accurate dosing of drugs as syringe pumps, by counting drop numbers
o In case of a power-cut, even modern syringe pumps stops, just like anesthesia machines

A

o Parameters required for adequate calculation of the rate of infusion (ml/h) are body weight (bwkg), drug concentration (mg/ml or %) and the dose of the drug to be used (mg/bwkg/h)

27
Q

Which of the following instruments is not the member of the abdominal instrumentation set

o Balfour self retraining retractor
o Doyen clamp
o Finochietto self retaining retractor (used in thoracic operation)
o Atraumatic tissue forceps

A

o Finochietto self retaining retractor (used in thoracic operation)

28
Q

Which of the followings mostly contributes to the successful revision of post- operative ligature-fistulation

o Drainage
o Curettage
o Removal of the suture material
o Disinfecting lavage of the wound base?

A

o Disinfecting lavage of the wound base?

29
Q

Ideal therapy in case of a joint injury is

o Joint lavage within 6 hours
o Joint lavage within 10 hours
o Joint lavage within 10 hours
o Joint lavage within 10 hours

A

o Joint lavage within 6 hours

30
Q

Which of the following sterilization methods operates at the highest temperature

o Autoclave (steam)
o Gamma-beam radiation
o Ethylene-dioxide sterilization
o Isopropyl-alcoholic sterolisation

A

o Autoclave (steam)

31
Q

Which of the following instruments is not the member of the abdominal instrumentation set

o Balfour self retraining retractor
o Doyen clamp
o Finochietto self retaining retractor (used in thoracic operation)
o Atraumatic tissue forceps

A

o Finochietto self retaining retractor (used in thoracic operation)

32
Q

Suture Characteristics. Mark the incorrect statement!

o The ideal suture is easy to handle.
o The ideal suture reacts minimally in tissue.
o The ideal suture does not influence bacterial growth.
o The ideal suture holds securely when knotted.

A

o The ideal suture does not influence bacterial growth.

33
Q

Which of the following statements is incorrect? Radon drain …

o … is the tube drain
o is made of latex
o … can be used as a passive drain
o ..is mostly used as active drain

A

o … is the tube drain

34
Q

Closing the enterotomy

o Monofilament, absorbent suture, with knotted seams, in 2 coats
o Multifilament, absorbent suture with knotted seams only, 2 coats
o Monofilament, absorbent suture, single knot running seam in 1 layer (seromuscular)
o Monofil absorbent suture, single knot running seam , 1 layer (full overcoat)

A

o Monofil absorbent suture, single knot running seam , 1 layer (full overcoat)

35
Q

Why not use multifilament for stomach and intestine surgeries?

o Expensive
o The risk of septic complication is higher, the risk of yarn drainage is (miatt)
o Poor tensile strength
o The knot tolerance is not good

A

o The risk of septic complication is higher, the risk of yarn drainage is (miatt)

SAM final (19 decks)

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