Question 1

A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:

Accepted Answer

A)   Class I, primary union wound
B)   hyperactive immune response
C)   immunosuppressed status
D)   vascular proliferationE) C) and D)
F) B) and D)

Question 2

Match each term below with its description.
-Traumatic injury from friction forces causing scraping of epidermal layer

Accepted Answer

A)  Laceration
B)  In-growth mesh
C)  Abrasion
D)  Hydrolysis
E)  FistulaF) CicatrixG) ContusionH) SinusI) IncisionJ) CapillarityK) A) and C)
L) B) and E)

Question 3

Which type of suture needle is used on friable tissue such as liver or kidney?

Accepted Answer

A)   blunt
B)   cutting
C)   taper
D)   trocarE) All of the above
F) B) and C)

Question 4

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 unionE) None of the above
F) B) and C)

Question 5

Which needle has the cutting edge on the outside curvature of the needle body?

Accepted Answer

A)   conventional
B)   Keith straight
C)   reverse
D)   spatulaE) C) and D)
F) A) and B) C

Question 6

Which internal stapling device fires a circular double row of staples to reanastomose the colon?

Accepted Answer

A)   intraluminal stapler
B)   linear cutter
C)   linear stapler
D)   ligating clip applierE) A) and B)
F) B) and D)

Question 7

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 dressingsE) B) and D)
F) A) and C)

Question 8

What is the primary reason bolsters are used with retention sutures?

Accepted Answer

A)   to facilitate easy postop suture removal
B)   to prevent sutures from cutting into the skin
C)   to stabilize heavy dressings without use of tape
D)   to prevent dressings from touching the suture lineE) A) and C)
F) A) and B) B

Question 9

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

Accepted Answer

A) True 
 B)False

Question 10

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 steelE) None of the above
F) A) and C)

Question 11

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

Accepted Answer

A) True 
 B)False

Question 12

What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?

Accepted Answer

A)   purse-string
B)   retention
C)   suture ligature
D)   tractionE) None of the above
F) C) and D)

Question 13

Match each term below with its description.
-Process of breaking down synthetic polymer chains by water from tissues

Accepted Answer

A)  Laceration
B)  In-growth mesh
C)  Abrasion
D)  Hydrolysis
E)  FistulaF) CicatrixG) ContusionH) SinusI) IncisionJ) CapillarityK) B) and D)
L) E) and J) D

Question 14

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

Accepted Answer

A) True 
 B)False

Question 15

Primary union wound healing occurs:

Accepted Answer

A)   bottom to top
B)   top to bottom
C)   end to end
D)   side to sideE) A) and B)
F) A) and C)

Question 16

How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple?

Accepted Answer

A)   evert the edges outward
B)   invert the edges inward
C)   overlap the edges tightly
D)   rotate the edges slightlyE) A) and B)
F) A) and C)

Question 17

Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength?

Accepted Answer

A)   collagen
B)   enzymes
C)   fibrin
D)   proteinE) A) and B)
F) None of the above

Question 18

A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by:

Accepted Answer

A)   following
B)   pulling
C)   tagging
D)   trackingE) A) and B)
F) A) and C)

Question 19

Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction?

Accepted Answer

A)   plain surgical gut
B)   poliglecaprone
C)   polyglyconate
D)   polydioxanoneE) A) and C)
F) None of the above

Question 20

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)   polytetrafluoroethyleneE) A) and B)
F) None of the above

Exam 11: Hemostasis, Wound Healing, and Wound Closure

A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:

Correct AnswerverifiedShow Answer

Match each term below with its description. -Traumatic injury from friction forces causing scraping of epidermal layer

Correct AnswerverifiedShow Answer

Which type of suture needle is used on friable tissue such as liver or kidney?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which needle has the cutting edge on the outside curvature of the needle body?

Correct AnswerverifiedC

Which internal stapling device fires a circular double row of staples to reanastomose the colon?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

What is the primary reason bolsters are used with retention sutures?

Correct AnswerverifiedB

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?

Correct AnswerverifiedShow Answer

Match each term below with its description. -Process of breaking down synthetic polymer chains by water from tissues

Correct AnswerverifiedD

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

Correct AnswerverifiedShow Answer

Primary union wound healing occurs:

Correct AnswerverifiedShow Answer

How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple?

Correct AnswerverifiedShow Answer

Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength?

Correct AnswerverifiedShow Answer

A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by:

Correct AnswerverifiedShow Answer

Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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C

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B

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D

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