Deck 28: Surgical Incisions implants and Wound Closure

Question 1

What is one necessary specification of all suture materials?

A)Must be sterile when placed in tissue
B)As large a diameter as possible must be used to ensure proper hold
C)Removal must occur within 7 to 10 days postoperatively
D)Must be greatly reactive to skin and tissue to be effective

Answer 1

A
Suture material must be sterile when placed in tissue.Sterile techniques must be rigidly followed in handling suture material.Almost all postoperative wound infections are initiated along or adjacent to suture lines.Affinity for bacterial contamination varies with the physical characteristics of the material.

Question 2

Which is a disadvantage of synthetic mesh material?

A)Very few pores to allow drainage
B)Limited precut patch sizes
C)Difficulty with suturing underneath the edges of tissue
D)Not an inert material

Answer 2

A
Synthetic mesh is very porous to allow free drainage of exudate.It is easily cut,easily sutured underneath tissue edges,and is an inert material.

Question 3

What type of skin graft is taken from one part of the patient's body and moved to another area?

A)Cryopreserved skin
B)Autograft
C)Allograft
D)Artificial skin

Answer 3

B
An autograft is body tissue taken from one area of the patient and used in another area of the body.

Question 4

What type of device is used to span an incision?

A)Bumper
B)Bolster
C)Bridge
D)Buttons or beads

Question 5

Which term is also known as bone cement?

A)Dermabond
B)Cyanoacrylate
C)Polydiaxanone
D)Methyl methacrylate

Question 6

Which layer of the epidermis creates cells that reproduce and multiply to form new epidermal layers?

A)Stratum corneum
B)Stratum lucidum
C)Stratum granulosum
D)Stratum spinosum

Question 7

Which is an advantage of skin closure strips?

A)They do not cause a foreign body tissue reaction.
B)They curl up and fall off easily.
C)Visibility of the healing wound is limited.
D)Application can be time consuming.

Question 8

What type of needle has a slit from inside the eye to the end of the needle through which the suture strand is drawn?

A)Single-armed needle
B)Permanently swaged needle
C)French eye needle
D)Cutting needle

Question 9

Which is an organ or structure that lies within the peritoneal cavity?

A)Kidney
B)Small bowel
C)Bladder
D)Aorta

Question 10

What is one advantage of using staples on skin tissue?

A)Staples produce an air-tight closure that may leak.
B)Staples used on skin can be removed 5 to 7 days postoperatively.
C)Staples produce an uneven surface.
D)Staples cannot be placed through an endoscope.

Question 11

A __________ stitch is one in which each individual stitch is placed,tied,and cut in succession from one suture.

A)horizontal mattress
B)simple interrupted
C)Connell suture
D)continuous running

Question 12

What type of incision is typically used for an open appendectomy procedure?

A)Thoracoabdominal incision
B)Pfannenstiel incision
C)Inguinal incision
D)McBurney's incision

Question 13

Which is the outermost,top layer of skin?

A)Stratus layer
B)Cuticular layer
C)Epidermis layer
D)Subcutaneous layer

Question 14

Which is an example of a synthetic nonabsorbable polymer?

A)Dermal silk
B)Surgical cotton
C)Stainless steel suture
D)Surgical nylon

Question 15

Which statement is true regarding a stainless steel suture?

A)A stainless steel suture is very elastic.
B)Stainless steel may not be used when an infection is present.
C)Stainless steel is used in the respiratory tract.
D)Stainless steel is cut only with Mayo suture scissors.

Question 16

What type of suture is typically used on facial procedures?

A)Chromic surgical gut
B)PDS
C)Surgical stainless steel
D)Plain surgical gut

Question 17

Which statement is true regarding suture knot tying?

A)Place the knot in a noticeable spot.
B)Tie the knot toward a weak blood supply.
C)Tie the knot toward a vital structure.
D)Tie the knot away from a potential irritant such as the nares.

Question 18

Which type of suture material should not be used in the presence of infection?

A)Silk
B)Surgical Gut
C)Nylon
D)Prolene

Question 19

What type of suture does not separate from the needle unless pulled off intentionally?

A)Double-armed attachment
B)Permanently swaged needle attachment
C)Controlled-release needle attachment
D)Halsted needle

Question 20

What type of stitch is used for skin edges primarily?

A)Everting
B)Inverting
C)Diverting
D)Overting

Question 21

What type of material can be used to retract skin or a vessel?

A)Cotton towel
B)Thyroid shield
C)Balfour retractor
D)Umbilical tape

Question 22

Which is a classification of suture?

A)Disposable
B)Absorbable
C)Reusable
D)Resorbable

Question 23

What is the most commonly used length of suture material?

A)60-70 inches
B)54-80 inches
C)18-30 inches
D)5 inches

Question 24

Which is a component used to classify surgical needles?

A)Color
B)Length
C)Point
D)Neck

Question 25

Which is a requirement of prosthetic materials that are to be implanted into the body?

A)Will degenerate within 2 to 3 years
B)Produce little or no tissue reaction
C)Maintain marginal tissue coverage
D)Maintain degenerative qualities within the body

Question 26

Which type of suture is less traumatic and glides easily through tissue?

A)Monofilament
B)Polyfilament
C)Unafilament
D)Bifilament

Question 27

Which is the correct technique to cut suture inside the body?

A)Cut the suture as close as possible to the knot.
B)Leave a long tail on the suture.
C)Cut the suture holding the scissors horizontal.
D)Cut the suture using a knife blade.

Question 28

What type of stitch is more likely to be used on stomach,colon,or bladder?

A)Absorbable
B)Nonabsorbable
C)Disposable
D)Reabsorbable

Question 29

What is another name for a suture ligature?

A)Tie on a passer
B)Stick tie
C)Free tie
D)Kittner

Question 30

Which is a principle to be followed when handling needles and needle holders at the sterile field?

A)Clamp the needle one quarter the distance from the eye to the point.
B)Close the ratchet of the needle holder on the first or second ratchet.
C)Never touch the free end of the suture material when handing it up at the sterile field.
D)Pass the needle holder with the needle point down toward the sterile wound.

Question 31

Which is a component of fibrin glue?

A)Platelets
B)Potassium gluconate
C)Fibrinogen
D)Gelfoam

Question 32

What type of bone can be taken from a patient's own tibia?

A)Allogenous cortical bone
B)Autologous cancellous bone
C)Autologous cortical
D)Allogenous cancellous

Question 33

When incisions are made along Langer lines,the resulting closure is more cosmetically pleasing.

Question 34

Which loose,fatty tissue layer is below the dermis?

A)Peritoneal tissue
B)Fascia
C)Subcutaneous
D)Muscle

Question 35

When handling synthetic absorbable sutures,soak them in saline before using to allow better pliability.

Question 36

After an EEA stapler is used to anastomose two edges of tissue together,a donut-shaped ring is sent to pathology as a specimen.

Question 37

What main precaution must be taken when handling any implants,especially silicone implants?

A)Always rinse an implant in saline before using.
B)Use a nonsterile marker to write down the size of the implant.
C)The implant should always be handled with bare hands only.
D)Gloves that are free of lint, dust, powder, and surface contaminants should be worn.

Question 38

Which is a handling consideration when working with surgical gut and collagen sutures?

A)Before use, allow the alcohol in the packet to evaporate.
B)Pull the suture straight before handing it up on a needle holder.
C)Soak suture in saline before use.
D)Avoid spilling the fluid within the suture packet onto the sterile field.