General Surgery: abdomen, incisions, and suture

what organs can be accessed with a midline incision

everything, spleen, liver, gallbladder, bladder, stomach, duodenum, pancreas, uterus

what organs can be accessed with a subcostal/kocher

spleen, gallbladder, liver, biliary system

what organs can be be accessed with a mercedes benz incision

gallbladder, biliary system, spleen, stomach, liver, esophagus

what organs can be accessed with a mcburney incision

appendix

what organs can be accessed with a pfannestiel incision

reproductive organs, uterus, ovaries, fallopian tubes, lower GI and UT, bladder

what organs can be accessed with a oblique inguinal incision

more for hernia repair, lower than mcburnery

what organs can be accessed with a rooftop/chevron incision

esophagus, stomach, kidney, adrenals, liver, spleen, gallbladder

what organs can be accessed with paramedian incision

right upper- stomach, duodenum, pancreas

left lower- pelvic structures, colon

list the tissue layers when entering through an abdominal incision

skin

subcutaneous

anterior fascia

muscle

posterior fascia

peritoneum

list the tissue layers in order when closing the abdominal wound

peritoneum

fascia and muscle

subcutaneous

skin

which of the following can be found in the left epigastric region

liver

kidney

spleen

gallbladder

spleen

which of the following are found in the hypogastric region

bladder

adrenal glands

fallopian tubes

sigmoid colon

1,2,3

1,2,4

1,3,4

2,3,4

1,3,4

mcburney is an incision used for

appendectomy

cholecystectomy

herniorrhaphy

pilonidal cystectomy

appendectomy

the simplest abdominal incision offering good exposure to any part of the abdominal cavity is the

right subcostal

kockers

midabdominal transverse

vertical midline

vertical midline

the incision often used for cesarean section for cosmesis

midline

pfannenstiel

chevron

inguinal oblique

pfannenstiel

the usual location for an appendectomy incision is the

left lower quadrant

left upper quadrant

right lower quadrant

right upper quadrant

right lower quadrant

surgical approaches to the abdomen sometimes necessitate a midline incision between the two rectus sheaths through the

linea aspera

arcuate line

lliopectineal line

linea alba

linea alba

which of the following determine suture selection

application

surgeons preference

suture properties

duration of the procedure

1,2,3

1,2,4

1,3,4

2,3,4

1,2,3

the amount of tension or pull, expressed in pounds, that a strand of suture can withstand before it breaks is termed

tension strength

memory

tensile strength

gauge

tensile strength

an example of an absorbable synthetic suture is

chromic

silk

vicryl

plain gut

vicryl

nurolon package is

orange

green

silver

yellow

green

ethibond package is

orange

blue

silver

green

orange

vicryl package is

violet

blue

green

pink

violet

monocryl pacage is

silver

pink

tan

orange

pink

prolene package is

royal blue

light green

silver

tan

royal blue

stainless steel suture package is

yellow

tan

silver

gold

gold

silk suture package is

light blue

yellow

light green

orange

light blue

chromic gut suture package is

orange

tan

yellow

green

tan

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 ties

continuous ties

stick ties

instrument ties

free ties

eye, point, body and shape are characteristics of

staplers

sutures

needles

closure tapes

needles

needles manufactured with suture strands inserted into end are

closed eye

french eye

swaged

trocar

swaged

the suture is attached to the needle at the

eye

point

body

end

eye

the needle used for tough tissue that is difficult to penetrate is called

tapered

cutting

blunt

pointed

cutting

a needle that can penetrate tissue without cutting it is an

side cutting needle

conventional needle

tapered point needle

reverse cutting needle

tapered point needle

the suture diameter is referred to as the _______ of the suture

size

degree

gauge

classification

size

plain gut, chromic gut, PDS, and monocryl are examples

monofilament nonabsorbable sutures

monofilament absorbable sutures

multifilament sutures

packing material

monofilament absorbable sutures

which of the following is a disadvantage of staple use

tissue reaction

wound healing

efficiency

precision

precision

a stitch is tied and cut before placing another stitch is called

continuous

noncontinuous

interrupted

halting

interrupted

whats is the most significant difference between a monofilament suture and a braided or twisted suture

length

tissue drag

weight

color

tissue drag

catgut/chromic is prepared from the submucosal layer of the intestine of

pigs

cat

rabbit

sheep

sheep

what are suture needles made of

copper

iron

steel silver

stainless/carbon

stainless/carbon

which of the following are absorbable suture circle all that apply

chromic

prolene

nylon

vicryl

monocryl

silk

PDS

ethibond

chromic, vicryl, monocryl, PDS

which of the following are used as a preservative in packaging in packaging of chromic suture

isopropyl alcohol

colloidal iodine

glutaraldehyde

hydrogen peroxide

isopropyl alcohol

a stick tie is commonly which of the following

size 2-0 and 3-0

a swaged needle suture on a needle holder

nurolon suture

tapered needle

1,2,3

1,2,4

1,3,4

2,3,4

1,2,4

which of the following is clamped approximately one third of the distance from the swaged end of needle to the needle point

carmalt

pliers

needle holder

debakey tissue forcep

needle holder

a fast healing, thin membrane lining the abdominal cavity is called

peritoneum

muscle

fascia

subcutaneous

peritoneum

which of the following would be absorbable the quickest

chromic gut

vicryl

PDS

silk

chromic gut

which of the following suture is contraindicated in the presence of infection and in the urinary and biliary tract

prolene

vicryl

PDS

silk

silk

the stich which provides the most rapid closure, even distribution of tension and leak proof suture line

interrupted

continues

buried

purse string

continues