Question 1

Inflammation can BEST be described as:

Accepted Answer

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 
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

Question 2

Which type of suture ties has an attached needle?

Accepted Answer

A)  free tie 
B)  ligature reel 
C)  suture ligature 
D)  tie-on-a-passer 
A)  free tie 
B)  ligature reel 
C)  suture ligature 
D)  tie-on-a-passer

Question 3

Which of the following surgical needles is a solid bore (not hollow) type of needle?

Accepted Answer

A)  Dorsey 
B)  heparin 
C)  Keith 
D)  Tru-cut 
A)  Dorsey 
B)  heparin 
C)  Keith 
D)  Tru-cut

Question 4

Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years?

Accepted Answer

A)  polyester 
B)  polypropylene 
C)  surgical silk 
D)  stainless steel 
A)  polyester 
B)  polypropylene 
C)  surgical silk 
D)  stainless steel

Question 5

A surgeon's choice of suture to be used is based on the surgeon's training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention.

Accepted Answer

A) True 
 B)False

Question 6

What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?

Accepted Answer

A)  suture bridge 
B)  skin closure tapes 
C)  split lead shots 
D)  suture anchors 
A)  suture bridge 
B)  skin closure tapes 
C)  split lead shots 
D)  suture anchors

Question 7

Which suture is MOST inert in tissue?

Accepted Answer

A)  chromic gut 
B)  plain gut 
C)  stainless steel 
D)  surgical silk 
A)  chromic gut 
B)  plain gut 
C)  stainless steel 
D)  surgical silk

Question 8

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have:

Accepted Answer

A)  a large diameter gauge 
B)  an antibacterial coating over it 
C)  tightly braided fibers with capillarity 
D)  high-tensile strength and small diameter 
A)  a large diameter gauge 
B)  an antibacterial coating over it 
C)  tightly braided fibers with capillarity 
D)  high-tensile strength and small diameter

Question 9

Which of the following statements is TRUE regarding natural absorbable sutures?

Accepted Answer

A)  They are packaged dry. 
B)  They are packaged wet. 
C)  They are braided multifilament strands. 
D)  They have less tissue reaction than synthetics. 
A)  They are packaged dry. 
B)  They are packaged wet. 
C)  They are braided multifilament strands. 
D)  They have less tissue reaction than synthetics.

Question 10

What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals?

Accepted Answer

A)  cicatrix 
B)  granuloma 
C)  keloid 
D)  seroma 
A)  cicatrix 
B)  granuloma 
C)  keloid 
D)  seroma

Question 11

Some multifilament sutures are coated to:

Accepted Answer

A)  provide smooth passage through tissue 
B)  decrease the absorption rate 
C)  increase the capillarity 
D)  prevent knot slippage 
A)  provide smooth passage through tissue 
B)  decrease the absorption rate 
C)  increase the capillarity 
D)  prevent knot slippage

Question 12

What is the term for tissue that is easily torn or shredded?

Accepted Answer

A)  adhesive 
B)  dehisced 
C)  eviscerated 
D)  friable 
A)  adhesive 
B)  dehisced 
C)  eviscerated 
D)  friable

Question 13

Ethicon sutures may be available with a designation of "plus" for some sutures, which means they:

Accepted Answer

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 
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

Question 14

Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed?

Accepted Answer

A)  fascia lata 
B)  mesentery 
C)  peritoneum 
D)  subcutaneous fat 
A)  fascia lata 
B)  mesentery 
C)  peritoneum 
D)  subcutaneous fat

Question 15

What is the chemical name for Dermabond™ or Indermil™?

Accepted Answer

A)  cryoprecipitate 
B)  cyanoacrylate 
C)  fibrin glue 
D)  polymethyl methacrylate 
A)  cryoprecipitate 
B)  cyanoacrylate 
C)  fibrin glue 
D)  polymethyl methacrylate

Question 16

Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures?

Accepted Answer

A)  polybutester 
B)  polypropylene 
C)  polyterephthalate 
D)  polytetrafluoroethylene 
A)  polybutester 
B)  polypropylene 
C)  polyterephthalate 
D)  polytetrafluoroethylene

Question 17

Which type of synthetic mesh is absorbable?

Accepted Answer

A)  polyglactin 910 
B)  polypropylene 
C)  polyester fiber 
D)  PTFE 
A)  polyglactin 910 
B)  polypropylene 
C)  polyester fiber 
D)  PTFE

Question 18

Evisceration of an abdominal wound is:

Accepted Answer

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 
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

Question 19

By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal?

Accepted Answer

A)  first intention 
B)  second intention 
C)  third intention 
D)  primary union 
A)  first intention 
B)  second intention 
C)  third intention 
D)  primary union

Question 20

All of the following are techniques for eliminating dead space in a wound EXCEPT:

Accepted Answer

A)  careful approximation of tissues 
B)  electrical nerve stimulation 
C)  placement of wound drain 
D)  pressure dressings 
A)  careful approximation of tissues 
B)  electrical nerve stimulation 
C)  placement of wound drain 
D)  pressure dressings

Exam 11: Wound Healing, Sutures, Needles, and Stapling Devices

Inflammation can BEST be described as:

Which type of suture ties has an attached needle?

Which of the following surgical needles is a solid bore (not hollow) type of needle?

Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years?

A surgeon's choice of suture to be used is based on the surgeon's training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention.

What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?

Which suture is MOST inert in tissue?

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have:

Which of the following statements is TRUE regarding natural absorbable sutures?

What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals?

Some multifilament sutures are coated to:

What is the term for tissue that is easily torn or shredded?

Ethicon sutures may be available with a designation of "plus" for some sutures, which means they:

Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed?

What is the chemical name for Dermabond™ or Indermil™?

Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures?

Which type of synthetic mesh is absorbable?

Evisceration of an abdominal wound is:

By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal?

All of the following are techniques for eliminating dead space in a wound EXCEPT:

Orientation to Surgical Technology

Legal Concepts, Risk Management, and Ethical Issues

The Surgical Patient

Speacial Populations

Physical Environment and Safety Standards

Biomedical Science

Preventing Perioperative Disease and Transmission

Hemostasis, Emergency Situations, and All-Hazards Preparation

Surgical Pharmacology and Anesthesia

Instrumentation, Equipment, and Supplies

Surgical Case Management

Diagnostic Procedures

General Surgery

Obstetric and Gynecologic Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Oral and Maxillofacial Surgery

Plastic and Reconstructive Surgery

Genitourinary Surgery

Orthopedic Surgery

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