Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

A) True 
 B)False

Question 6

What type of device is used to span an incision?

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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. 
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 9

What is another name for a suture ligature?

Accepted Answer

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

Question 10

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

Accepted Answer

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. 
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 11

Which is a classification of suture?

Accepted Answer

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

Question 12

What is one necessary specification of all suture materials?

Accepted Answer

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 
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

Question 13

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

Accepted Answer

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. 
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 14

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

Accepted Answer

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

Question 15

What type of suture is typically used on facial procedures?

Accepted Answer

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

Question 16

What is the most commonly used length of suture material?

Accepted Answer

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

Question 17

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

Accepted Answer

A) True 
 B)False

Question 18

Which statement is true regarding a stainless steel suture?

Accepted Answer

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. 
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.

Exam 28: Surgical Incisions implants and Wound Closure

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

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

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

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

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

What type of device is used to span an incision?

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

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

What is another name for a suture ligature?

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

Which is a classification of suture?

What is one necessary specification of all suture materials?

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

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

What type of suture is typically used on facial procedures?

What is the most commonly used length of suture material?

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

Which statement is true regarding a stainless steel suture?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Spinal Surgery

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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