Quiz: Chapter 11: Hemostasis, Wound Healing, and Wound Closure (Surgical Technology)

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

collagen

A wound that is not sutured and that gradually fills in by granulation heals by _____ intention.

second

Incisional, nosocomial, and deep are all types of:

surgical site infections.

Which of the following postoperative wound complications would require immediate surgical intervention?

evisceration

Which of the following phases of healing for wounds closed by first intention begins within minutes of the incision or
injury?

inflammatory

The name of a raised, hypertrophic scar due to excessive collagen formation is:

keloid.

Which of the following types of suture needles is used on friable tissue such as liver or kidney?

blunt

Which of the following tissue layers of the abdominal wall is the primary supportive tissue and must be closed
securely?

fascia

When closing a Class I abdominal wound, which of the following choices is the correct order of suture use?

3-0 Vicryl, 2 Prolene, 3-0 Monocryl

Tissue trauma is minimized by using which of the following types of suture-needle combinations?

suture permanently swaged on an eyeless needle

Another name for a suture ligature is a:

stick tie.

Which of the following types of needles is preferred for suturing of skin?

cutting

The term for removal of foreign material or contaminated debris from a wound is:

debridement.

Evisceration of an abdominal wound is:

protrusion of viscera through all tissue layers.

Which of the following types of healing occurs in an aseptic wound with good approximation and ideal surgical
conditions?

first intention

Occlusion banding causes:

ischemia

a less-than-normal amount of blood flow to part of your body.

Primary union wound healing occurs:

side to side.

Inflammation can BEST be described as:

a normal protective response to tissue injury.

Which of the following wounds would be assigned a Class I?

inguinal hernia repair with no breaks in technique

Which of the following kinds of wounds is a sacral decubitus ulcer?

chronic

Which of the following wound classifications would be assigned to a vaginal hysterectomy with anterior and posterior
colporrhaphy?

Class II

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

immunosuppressed status.

The term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end is:

swaged.

Which of the following sutures is a natural, multifilament suture classified as nonabsorbable but is undetectable in
tissues after two years?

surgical silk

Some multifilament sutures are coated to:

provide smooth passage through tissue.

Which of the following sutures has a rapid absorption rate?

plain surgical gut

Some sutures may be available with a designation of “plus”, which means they:

are impregnated with an antibacterial coating.

Which of the following organizations specifies diameter ranges for sutures?

U.S. Pharmacopeia (USP)

What is the chemical name of Gore-Tex suture?

polytetrafluoroethylene

Which of the following types of mesh is MOST inert in tissue?

stainless steel

The primary reason bolsters are used with retention sutures is to:

prevent sutures from cutting into the skin.

Ligatures are used to:

tie off blood vessels

The term that describes the measure of how much a suture strand can be stretched before breaking is:

tensile strength.

Which of the following needles causes the least amount of tissue damage?

swaged

The surgeon manipulates skin edges of a wound before the surgical technologist places an approximating skin staple
by:

everting the edges outward.

Which of the following types of tissue is usually separated rather than cut and therefore does not need to be closed?

muscle

Which specialty needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy?

Veress

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

reverse

Which of the following suture gauges would be MOST appropriate for ophthalmic surgery?

8-0

A continuous suturing technique that places sutures in the endothelial layer of the skin in short bites is called a:

subcuticular suture

Which of the following surgical needles has a straight body?

Keith

Which of the following types of suture ties has an attached needle?

suture ligature

The suturing technique used to close infected tissue is:

interrupted.

Which of the following sutures is packaged wet?

chromic

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:

controlling.

Which of the following sutures is classified as a monofilament suture?

Ethilon

Which of the following absorbable sutures provides for the MOST extended wound support?

PDS Plus

Which of the following suturing techniques would be used to close the stump of the appendix in an open
appendectomy?

purse-string

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

polypropylene

Which of the following types of sutures is often used to create a vascular anastomosis?

synthetic, nonabsorbable, monofilament with double-armed taper needles

Which of the following types of synthetic mesh is absorbable?

polyglactin 910

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

intraluminal stapler

Which of the following devices is used to close the epidermal layer when a subcuticular wound closure has been done
for good cosmesis?

skin closure tapes

Which of the following types of vessel loops would you expect to use on veins?

blue

What is the chemical name for Dermabond™ or Indermil™?

cyanoacrylate

Which of the following types of sutures is placed temporarily in the tongue to hold it out of the way in a maxillofacial
procedure?

traction

Which of the following procedures would require the use of a CT scan or fluoroscopy?

Chiba needle lung biopsy

Which of the following layers of the abdominal wall must be approximated securely, even if the other layers are not?

fascia

In general, a monofilament suture would require _____ knot throws for security than a multifilament suture.

more

To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have:

high-tensile strength and small diameter.

The term for tissue that is easily torn or shredded is:

friable

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

third intention

Natural absorbable sutures are broken down in the body by:

enzymatic digestion.

Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so
that the wound can heal from side to side

True

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

False

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

True

A surgeon’s choice of suture is based on the surgeon’s training, the condition of the patient, the type of wound, and
the conditions surrounding the surgical intervention

True

Monofilament sutures with memory, such as chromic gut and nylon, should be stretched tightly to remove all kinks in
the strand before being handed to the surgeon.

False

An example of acceptable and safe intraoperative autotransfusion blood collection is:

blood collected from sponges into a basin of sterile saline during repair of ruptured abdominal aortic
aneurysm

The term that describes blood products donated by another person is:

homologous.

Which of the following choices is NOT a method of achieving hemostasis?

a.

mechanical

b.

chemical

c.

apportional

d.

thermal

apportional

Which of the following terms refers to a genetic clotting deficiency?

hemophilia

Which of the following blood types is considered the universal recipient?

AB+

Elective surgery patients may be asked to discontinue use of which of the following medications to prevent drugtherapy-induced platelet dysfunctions?

aspirin

Kittners, cottonoids, and laps are surgical:

sponges.

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

False

Avitene®, Gelfoam®, and Surgicel® are examples of mechanical methods of hemostasis.

False

Two members of the surgical team must perform the checks of identification information including patient armband,
blood and Rh type, unit number, and expiration date prior to administration of any blood products to a patient.

True