ST BOOK Ch . 11 Hemostasis, Wound healing, and Wound Closure

78問 • 3ヶ月前

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Which of the following choices interweaves its fibers during the maturation phase of wound healing and increases its tensile strength? a. collagen b. enzymes c. fibrin d. protein

A wound that is not sutured and that gradually fills in by granulation heals by a. first b. second c. third d. fourth

Incisional, nosocomial, and deep are all types of: a. wound approximation techniques. b. surgical site infections. c. radiation treatments. d. microbial preventions.

Which of the following postoperative wound complications would require immediate surgical intervention? a. fistula b. adhesions c. infection d. evisceration

Which of the following phases of healing for wounds closed by first intention begins within minutes of the incision or injury? a. inflammatory b. proliferation c. maturation d. granulation

The name of a raised, hypertrophic scar due to excessive collagen formation is: a. cicatrix. b. granuloma. c. keloid. d. seroma.

Which of the following types of suture needles is used on friable tissue such as liver or kidney? a. blunt b. cutting c. taper d. trocar

Which of the following tissue layers of the abdominal wall is the primary supportive tissue and must be closed securely? a. skin b. fascia c. peritoneum d. subcutaneous fat

When closing a class I abdominal wound, which of the following choices is the correct order of suture use? a. 2 Prolene, 3-0 Monocryl, 3-0 Vicryl b. 2 Prolene, 3-0 Vicryl, 3-0 Monocryl c. 3-0 Vicryl, 2 Prolene, 3-0 Monocryl d. 3-0 Vicryl, 3-0 Monocryl, 2 Prolene

Tissue trauma is minimized by using which of the following types of suture-needle combinations? a. threaded suture on a closed-eye taper needle b.threaded suture on a closed-eye Keith needle c.suture loaded on a French-eyed taper needle d.suture permanently swaged on an eyeless needle

Another name for a suture ligature is a: a. free tie. b. stick tie. c. tie-on-a-passer. d. ligature reel.

Which of the following types of needles is preferred for suturing of skin? a. blunt b. cutting c. taper d. spatula

The term for removal of foreign material or contaminated debris from a wound is: a. debridement. b. dehiscence. c. denuding. d. desiccation.

Evisceration of an abdominal wound is: a. filling in of a wound from bottom up. b. excessive scar formation after surgery. c. protrusion of viscera through all tissue layers. d. single- or multi-layer separation of wound edges.

Which of the following types of healing occurs in an aseptic wound with good approximation and ideal surgical conditions? a. first intention b. second intention c. third intention d. fourth intention

Occlusion banding causes: a. adhesions b. granulation c. ischemia d. keloids

Primary union wound healing occurs: a. bottom to top. b. top to bottom. c. end to end. d. side to side.

Inflammation can BEST be described as: a. a disease process accompanied by fever. b. an exaggerated immune system response. c. a normal protective response to tissue injury. d. an abnormal physiologic response to tissue injury.

Which of the following wounds would be assigned a Class I? a. compound femoral fracture b. gunshot wound to the abdomen c. appendectomy with no major intestinal spillage d. inguinal hernia repair with no breaks in technique

Which of the following kinds of wounds is a sacral decubitus ulcer? a. chronic b. clean c. closed d. contusion

Which of the following wound classifications would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy? a. Class I b. Class II c. Class III d. Class IV

A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to: a. Class I, primary union wound. b. hyperactive immune response. c. immunosuppressed status. d. vascular proliferation.

The term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end is: a. closed eye. b. crimped. c. French-eye. d. swaged.

Which of the following sutures is a natural, multifilament suture classified as nonabsorbable but is undetectable in tissues after two years? a. polyester b. polypropylene c. surgical silk d. stainless steel

Some multifilament sutures are coated to: a. provide smooth passage through tissue. b. decrease the absorption rate. c. increase the capillarity. d. prevent knot slippage.

Which of the following sutures has a rapid absorption rate? a. plain surgical gut b. poliglecaprone c. polyglyconate d. polydioxanone

Some sutures may be available with a designation of “plus”, which means they: a. are longer strands than the original versions. b. have more than one needle in the package. c. have a heavier gauge needle for thicker tissues. d. are impregnated with an antibacterial coating.

Which of the following organizations specifies diameter ranges for sutures? a. American National Standards Institute (ANSI) b. Brown and Sharpe (B&S) c. U.S. Pharmacopeia (USP) d. U.S. Food and Drug Administration (FDA)

What is the chemical name of Gore-Tex suture? a. polybutester b. polypropylene c. polyglactin 910 d. polytetrafluoroethylene

Which of the following types of mesh is MOST inert in tissue? a. polyester fiber b. polypropylene c. stainless steel d. polytetrafluoroethylene

The primary reason bolsters are used with retention sutures is to: a. facilitate easy postop suture removal. b. prevent sutures from cutting into the skin. c. stabilize heavy dressings without use of tape. d. prevent dressings from touching the suture line.

Ligatures are used to: a. prevent evisceration. b. eliminate dead space. c. approximate tissue layers. d. tie off blood vessels.

The term that describes the measure of how much a suture strand can be stretched before breaking is: a. gauge. b. capillarity. c. tensile strength. d. drag coefficient.

Which of the following needles causes the least amount of tissue damage? a. closed b. French-eye c. free d. swaged

The surgeon manipulates skin edges of a wound before the surgical technologist places an approximating skin staple by: a. everting the edges outward. b. inverting the edges inward. c. overlapping the edges tightly. d. rotating the edges slightly.

Which of the following types of tissue is usually separated rather than cut and therefore does not need to be closed? a. fascia b. muscle c. peritoneum d. subcutaneous

Which specialty needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy? a. arterial b. hypodermic c. spinal d. Veress

Which of the following needles has the cutting edge on the outside curvature of the needle body? a. conventional b. Keith straight c. reverse d. spatula

Which of the following suture gauges would be MOST appropriate for ophthalmic surgery? a. 2 b. 0 c. 3-0 d. 8-0

A continuous suturing technique that places sutures in the endothelial layer of the skin in short bites is called a: a. mattress suture. b. purse-string suture. c. traction suture. d. subcuticular suture.

Which of the following surgical needles has a straight body? a. Dorsey b. heparin c. Keith d. Tru-cut

Which of the following types of suture ties has an attached needle? a. free tie b. ligature reel c. suture ligature d. tie-on-a-passer

The suturing technique used to close infected tissue is: a. Blanket b. Interrupted c. Purse-string d. Simple continuous

Which of the following sutures is packaged wet A. PDS B. Chromic C. Sole D. Biosyn

A way in which the surgical technologist can assist the surgeon by keeping the sutures out of the way during a continuous running closure is by: A. Controlling B. Pulling C. Tagging D. Tracking

Which of the following sutures is classified as a monofilament suture A. Fiberwire B. Dacron C. Vicryl D. Ethilon

Which of the following absorbable sutures provides for the MOST extended wound support A. Vicryl B. Monocryl C. PDS plus D. Polysorb

Which of the following suturing techniques would be used to close the stump of the appendix in an open appendectomy A. Horizontal mattress B. Vertical mattress C. Purse-string D. Retention

Which of the following sutures is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures? a. polybutester b. polypropylene c. polyterephthalate d. polytetrafluoroethylene

Which of the following types of sutures is often used to create a vascular anastomosis? a. synthetic, absorbable, multifilament on a 3/8 circle cutting needle b. synthetic, nonabsorbable, multifilament on a 1/2 circle taper needle c. synthetic, absorbable, monofilament on a Keith straight needle d. synthetic, nonabsorbable, monofilament with double-armed taper needles

Which of the following types of synthetic mesh is absorbable? a. polyglactin 910 b. polypropylene c. polyester fiber d. PTFE

Which of the following internal stapling devices fires a circular double row of staples to reanastomose the colon? a. intraluminal stapler b. linear cutter c. linear stapler d. ligating clip applier

Which of the following devices is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis? a. suture bridge b. skin closure tapes c. split lead shots d. suture anchors

Which of the following types of vessel loops would you expect to use on veins? a. blue b. red c. yellow d. green

What is the chemical name for Dermabond™ or Indermil™? a. cryoprecipitate b. Cyanoacrylate c. Fibrin glue d. Polymethyl methacrylate

Which of the following types of sutures is placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure? a. purse-string b. retention c. suture ligature d. traction

Which of the following procedures would require the use of a CT scan or fluoroscopy? a. Chiba needle lung biopsy b. placement of a Veress needle c. placement of a spinal needle d. insertion of antecubital hypodermic needle

Which of the following layers of the abdominal wall must be approximated securely, even if the other layers are not? a. skin b. fascia c. peritoneum d. subcutaneous fat

In general, a monofilament suture would require _____ knot throws for security than a multifilament suture. a. more b. fewer c. the same number of d. more, but only if coated

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have: a. a large diameter gauge. b. an antibacterial coating over it. c. tightly braided fibers with capillarity. d. high-tensile strength and small diameter.

The term for tissue that is easily torn or shredded is: a. adhesive. b. dehisced. c. eviscerated. d. friable.

By which of the following intentions would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal? a. first intention b. second intention c. third intention d. primary union

Natural absorbable sutures are broken down in the body by: a. capillarity. b. enzymatic digestion. c. granulation. d. metabolic factors.

Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so that the wound can heal from side to side. True/False

True

Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter. True/False

False

The tensile strength of suture material should equal the tensile strength of the tissue into which the suture is placed. True/False

True

A surgeon’s choice of suture is based on the surgeon’s training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention. True/False

True

Monofilament sutures with memory, such as chromic gut and nylon, should be stretched tightly to remove all kinks in the strand before being handed to the surgeon. True/False

False

An example of acceptable and safe intraoperative autotransfusion blood collection is: a. blood collected during a major abdominal trauma procedure with small bowel perforation. b. bloody ascites fluid drained from the peritoneal cavity during surgery for ovarian cancer. c. blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic aneurysm. d. bloody fluid suctioned during liver resection with use of reconstituted topical thrombin spray on oozing bleeders.

The term that describes blood products donated by another person is: a. hemolytic. b. hemostatic. c. homeostasis. d. homologous.

Which of the following choices is NOT a method of achieving hemostasis? a. apportional b. chemical c. mechanical d. thermal

Which of the following terms refers to a genetic clotting deficiency? a. anaphylaxis b. aplastic anemia c. hemophilia d. hyperthermia

Which of the following blood types is considered the universal recipient? a. A b. B c. AB+ d. O

Elective surgery patients may be asked to discontinue use of which of the following medications to prevent drug-therapy-induced platelet dysfunctions? a. antibiotics b. anticonvulsants c. antacids d. aspirin

Kittners, cottonoids, and laps are surgical: a. clamps. b. ligatures. c. sponges. d. tourniquets.

Tourniquets provide permanent mechanical hemostasis and enhance visualization by creating a bloodless field. True/False

False

Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis. True/False

False

Two members of the surgical team must perform the checks of identification information including patient armband, blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient. True/False

True

ST BOOK Ch. 12 Surgical Case Management

Valmau5 · 60問 · 3ヶ月前

ST BOOK Ch. 12 Surgical Case Management