CH11 AST Sutures and Needles


Question Answer
1. An intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called a(n) incision
2. Which class of surgical wounds has the highest rate of infection? IV
3.The final wound classification is assigned when the procedure is finished
4. A wound expected to heal by first intention is a(n) clean wound
5. Which of the following involves irrigation to wash out contaminants and removal of devitalized tissue? debridement
6. Pain, heat, redness, swelling, and loss of function are classic local signs of __ inflammation
7. Healing where the wound is left open and allowed to heal from the inner layer to the outside surface is __ second intention
8. Which phase of wound healing begins within minutes of injury? lag
9. In which phase of healing does a wound undergo a slow, sustained increase in tissue tensile strength? maturation
10. In the proliferation phase, which of the following forms into fibers that give the wound approximately 25% to 30% of its original tensile strength? collagen
11. Raised, thickened scar due to excessive keloid
12. A physical factor influencing wound healing gender
13. The partial or total separation of a layer or layers of tissue after closure is called a(n) dehiscence
14. An abnormal attachment of two surfaces or structures that are normally separate is called a(n) adhesion
15. A tract between two epithelium-lined surfaces that is open at both ends is called a fistula
16. Which of the following is used on a wound that has been primarily closed and from which little or no drainage is expected? one-layer dressing
17. Occlusive adherent polyurethane, liquid collodion, and aerosol adhesive sprays are examples of __ one-layer dressings
18. Which dressing layer is considered the absorbent layer? intermediate
19. Which contact layer of a dressing draws fluids from the wound surface and allows for the passage of air? nonocclusive
20. Elastic bandages, Montgomery straps and tape are examples of __ outer layers
21. The suture diameter is referred to as the ___ gauge
22. Plain gut, chromic gut, PDS II, and Monocryl are examples of monofilament absorbable sutures
23. Surgical silk is a multifilament nonabsorbable suture
24. Which of the following is commonly used for tendon repair and bone repair? Monocryl
25. Which of the following sutures is absorbable? Dexon
26. One of the most important pieces of information the STSR should learn to look for on a box of sutures is the suture size and material
27. Precut ties that are removed as single strands from the package and placed into the open hand of the surgeon for use as ligatures are free
28. A fast-healing, thin membrane lining the abdominal cavity is called peritoneum
29. The area of tough connective tissue just beneath the skin and just above the subcutaneous layer is called subcuticular
30. A primary suture line consisting of a single strand of suture placed as a series of stitches is called continuous
31. Large-gauged, interrupted, nonabsorbable sutures placed lateral to a primary suture line for wound reinforcement are called retention
32. Sutures placed into an anatomical structure to retract to the side are called __ sutures. traction
33. Pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called __ bolsters
34. For the most part, which of the following have replaced umbilical tape as isolation and retraction devices for vessels, nerves, or ducts? vessel loops
35. A stapler used to insert two straight, evenly spaced, side-by-side rows of staples into tissue is a(n) stapler. linear
36. A stapler commonly used during resection and reanastomosis of the distal colon or rectum is a(n) stapler. intraluminal circular
37. An absorbable mesh that provides temporary support during healing is __ polyglactin 910
38. Which mesh application may result in discomfort for the patient? stainless steel
39. Eye, point, body, and shape are characteristics of ___ needles
40. The suture is attached to the needle at the __ eye
41. Needles manufactured with suture strands inserted into one end are ___ needles. swaged
42. The needle used for tough tissue that is difficult to penetrate is called cutting
43. Needles used to penetrate tissue for the delivery of endoscopes into body cavities or joint spaces are needles. trocar point
44. A needle that can penetrate tissue without cutting it is a(n) needle. tapered-point
45. Which of the following determines the shape of the needle body? point
46. Chromic gut is used primarily in which of the following body structures? urinary tracts
47. Maxon suture thread is ___ monofilament
48. Pronova suture thread is ___ nonabsorbable
49. Pronova suture is commonly used in which type of surgery? ophthalmic
50. Ethibond is commonly used on which type of tissue? tendon
51. Another name given to "rapid-release" needles is ___ control-release
52. Ties loaded onto a curved clamp to facilitate placement of the tie around a vessel deep in the surgical wound is referred to as a ___ tie on a passer
53. For routine surgeries, suture packages should remain unopened on the sterile field. Needle packages with multiple needles should be opened and counted for which purpose? avoid interoperative count
54. Endoscopic sutures are tied using which of the following? knot pusher
55. Which needle type is a cutting needle? CP
56. Which needle type is a taper needle? MO
57. Which suture absorbs the fastest? chromic gut
58. Which suture is a monofilament? Maxon
59. Which suture thread has the smallest diameter? 7-0
60. Which suture thread has the smallest diameter? 0
61. Which suture thread has the largest diameter? #1
62. According to the text, which suture size is most commonly used for closure of orthopedic wounds and abdominal fascia? #1
63. According to the text, which suture size is typically used for aortic anastomosis? 4-0
64. According to the text, which suture size is used for smaller blood vessels? 7-0
65. Vessel loops are used to retract nerves
66. Which type of suture should be used to close an infected wound? monofilament
67. CPX h. cutting point x-tra large
68. FSL for skin large
69. CV cardiovascular
70. CTX circle taper x-tra large
71. CT circle taper
72. TP taper point
73. RB renal bypass
74. TF tetralogy of Fallot
75. PS C plastic surgery
76. FS L for skin
77. OS orthopedic surgery
78. UR urology
79. KS Keith strait
80. S spatula
81. CP cutting point
82. M Mayo



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