Question 1

Which is a disadvantage of synthetic mesh material?

Accepted Answer

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

Question 2

Which statement is true regarding suture knot tying?

Accepted Answer

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. 
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. D

Question 3

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

Accepted Answer

A) True 
 B)False  True

Question 4

Which is a strand used to make suture materials?

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

Which is a principle to be followed when handling needles and needle holders at the serial 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 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

Which is a disadvantage of skin closure strips?

Accepted Answer

A)  They can cause 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. 
A)  They can cause 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 9

Which is a feature that does not apply to the Halsted suture technique?

Accepted Answer

A)  When there is an infection present,silk suture is the preferred stitch. 
B)  Sutures are cut close to the knot. 
C)  A suture that is stronger than the tissue it holds should not be used. 
D)  Each skin stitch requires a separate needle. 
A)  When there is an infection present,silk suture is the preferred stitch. 
B)  Sutures are cut close to the knot. 
C)  A suture that is stronger than the tissue it holds should not be used. 
D)  Each skin stitch requires a separate needle.

Question 10

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 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

A) True 
 B)False

Question 13

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

Accepted Answer

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

Question 14

Which is an example of a synthetic nonabsorbable polymer?

Accepted Answer

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

Question 15

Which of the following is a suture cover?

Accepted Answer

A)  Primary packet 
B)  Peel pack 
C)  Chemguard wrap 
D)  Dust cover 
A)  Primary packet 
B)  Peel pack 
C)  Chemguard wrap 
D)  Dust cover

Question 16

Which is the top,outermost layer of abdominal closure underneath the skin layer?

Accepted Answer

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

Question 17

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 18

What is one disadvantage of using staples on tissues?

Accepted Answer

A)  Produces an air-tight closure,that may leak 
B)  Staples used on skin cannot be removed sooner than 3 weeks postoperatively 
C)  Produces an uneven surface 
D)  Cannot be placed through an endoscope 
A)  Produces an air-tight closure,that may leak 
B)  Staples used on skin cannot be removed sooner than 3 weeks postoperatively 
C)  Produces an uneven surface 
D)  Cannot be placed through an endoscope

Question 19

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 20

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

Accepted Answer

A)  Prior to use,allow the alcohol in the packet to evaporate. 
B)  Do not unwind the suture before handing it up on a needle holder. 
C)  Be careful to not soak suture in saline prior to use. 
D)  Avoid spilling the fluid within the suture packet onto the sterile field. 
A)  Prior to use,allow the alcohol in the packet to evaporate. 
B)  Do not unwind the suture before handing it up on a needle holder. 
C)  Be careful to not soak suture in saline prior to use. 
D)  Avoid spilling the fluid within the suture packet onto the sterile field.

Exam 28: Surgical Incisions, implants, and Wound Closure

Which is a disadvantage of synthetic mesh material?

Which statement is true regarding suture knot tying?

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

Which is a strand used to make suture materials?

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

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

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

Which is a disadvantage of skin closure strips?

Which is a feature that does not apply to the Halsted suture technique?

What is one necessary specification of all suture materials?

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

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

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

Which is an example of a synthetic nonabsorbable polymer?

Which of the following is a suture cover?

Which is the top,outermost layer of abdominal closure underneath the skin layer?

What type of device is used to span an incision?

What is one disadvantage of using staples on tissues?

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

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

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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