Question 1

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) Fistula
F)Cicatrix
G)Contusion
H)Sinus
I)Incision
J)Capillarity 
A) Laceration 
B) In-growth mesh 
C) Abrasion 
D) Hydrolysis 
E) Fistula
F)Cicatrix
G)Contusion
H)Sinus
I)Incision
J)Capillarity D

Question 2

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

Accepted Answer

A)  conventional 
B)  Keith straight 
C)  reverse 
D)  spatula 
A)  conventional 
B)  Keith straight 
C)  reverse 
D)  spatula C

Question 3

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 line 
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 line B

Question 4

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) Fistula
F)Cicatrix
G)Contusion
H)Sinus
I)Incision
J)Capillarity 
A) Laceration 
B) In-growth mesh 
C) Abrasion 
D) Hydrolysis 
E) Fistula
F)Cicatrix
G)Contusion
H)Sinus
I)Incision
J)Capillarity

Question 5

Primary union wound healing occurs:

Accepted Answer

A)  bottom to top 
B)  top to bottom 
C)  end to end 
D)  side to side 
A)  bottom to top 
B)  top to bottom 
C)  end to end 
D)  side to side

Question 6

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

Question 7

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 8

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

Accepted Answer

A) True 
 B)False

Question 9

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)  protein 
A)  collagen 
B)  enzymes 
C)  fibrin 
D)  protein

Question 10

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 11

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 12

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

Question 13

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)  polydioxanone 
A)  plain surgical gut 
B)  poliglecaprone 
C)  polyglyconate 
D)  polydioxanone

Question 14

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

Accepted Answer

A) True 
 B)False

Question 15

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)  traction 
A)  purse-string 
B)  retention 
C)  suture ligature 
D)  traction

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 slightly 
A)  evert the edges outward 
B)  invert the edges inward 
C)  overlap the edges tightly 
D)  rotate the edges slightly

Question 17

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

Accepted Answer

A)  blunt 
B)  cutting 
C)  taper 
D)  trocar 
A)  blunt 
B)  cutting 
C)  taper 
D)  trocar

Question 18

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 19

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 applier 
A)  intraluminal stapler 
B)  linear cutter 
C)  linear stapler 
D)  ligating clip applier

Question 20

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)  tracking 
A)  following 
B)  pulling 
C)  tagging 
D)  tracking

Exam 11: Hemostasis, Wound Healing, and Wound Closure

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

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

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

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

Primary union wound healing occurs:

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

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

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

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

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

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

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

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

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

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

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

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

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?

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

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:

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