week 1

Question 1

What is in ncnm suture pack?

Answer 1

needle holder
scissors
forceps (Adson and Brown-Adson tissue)
suture

Question 2

What are the two types of forceps typically in an NCNM suture pack?

Answer 2

Adson Dressing Forceps - straight and curved

Brown-Adson Tissue Forceps - straight with teeth

Question 3

Difference between structure and use of needle holders vs hemostats

Answer 3

Needle holders have serrated or smooth jaws in contrast to hemostats to prevent needle from rolling

Question 4

What are the typical scalpel sizes (and configuration of the blade)
When are each used?

Answer 4

handle: #3 or #4
blade: #15 for small lesions - small blade
#10 for large lesions - rounded blade
#11 for draining abscesses - straight blade/triangle
- all for shave biopsies

Question 5

Types of suture material

• absorbable/non-absorbable
• typical brands

Answer 5

non-absorbable: cotton, silk better, nylon (most frequent)

absorbable: sheep gut, vicryl most commonly used

Question 6

Basic types of needles

- curved vs round and use of each

Answer 6

straight needle: to close larger surgical wounds

curved and cutting more commonly used

Question 7

Suture sizes to use based on body area

Answer 7

6-0 to 2-0 are most common sizes for office use

Question 8

common needle sizes used for anesthetic injection in minor surgery and applicable locations on body

Answer 8

• drawing up anesthetic:
  20 gauge, 1.5 inch
  21 gauge, 1 inch
  22 gauge, 1 inch

- injecting anesthetic: 
25 gauge 5/8 inch
25 gauge 1.5 inch
* 27 gauge 1 inch : minor surgery
30 gauge .5 or 1 inch minimal pain

Question 9

Cutting needles

Answer 9

conventional: cutting edge facing inside of the needle curve
reverse: cutting edge facing outside of needle curve

Question 10

suture type based on body area

Answer 10

face/head: 5-0, 6-0, 7-0

general body: 3-0, 4-0, 5-0, 6-0

Question 11

Most common needle size for injecting anesthetics in minor surgery

Answer 11

27 gauge 1 inch needle