SUTURE TEST REVIEW

According to the text, which suture size is most commonly used for closure of orthopedic wounds and abdominal fascia?

1

Which suture thread has the largest diameter?

1

According to the text, which suture size is typically used for aortic anastomosis?

4-0

Which suture thread has the smallest diameter?

5

According to the text, which suture size is used for smaller blood vessels?

7-0

Which suture thread has the smallest diameter?

7-0

Which class of surgical wounds has the highest rate of infection?

IV

Which suture is a monofilament?

Maxon

Which of the following is commonly used for tendon repair and bone repair?

Monocryl

Maxon suture thread is

absorbable monofilament

An abnormal attachment of two surfaces or structures that are normally separate is called a(n)

adhesion

A physical factor influencing wound healing

age

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

Pieces of plastic or rubber tubing threaded over the retention suture ends prior to tying are called

bolsters

Which suture absorbs the fastest?

chromic gut

A wound expected to heal by first intention is a(n)

clean wound

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

A primary suture line consisting of a single strand of suture placed as a series of stitches is called

continuous

Another name given to "rapid-release" needles is

control-release

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

cutting

Which of the following involves irrigation to wash out contaminants and removal of devitalized tissue?

debridement

The partial or total separation of a layer or layers of tissue after closure is called a(n)

dehiscence

One of the most important pieces of information the STSR should learn to look for on a box of sutures is the

expiration date

The suture is attached to the needle at the

eye

A tract between two epithelium-lined surfaces that is open at both ends is called a

fistula

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 tie

The suture diameter is referred to as the

gauge

An intentional cut through intact tissue for the purpose of exposing or excising underlying structures is called a(n)

incision

Pain, heat, redness, swelling, and loss of function are classic local signs of

inflammation

Which dressing layer is considered the absorbent layer?

intermediate

A stapler commonly used during resection and reanastomosis of the distal colon or rectum is a(n) stapler.

intraluminal circular

Raised, thickened scar due to excessive

keloid

Endoscopic sutures are tied using which of the following?

knot pusher

Which phase of wound healing begins within minutes of injury?

lag

A stapler used to insert two straight, evenly spaced, side-by-side rows of staples into tissue is a(n) stapler.

linear

In which phase of healing does a wound undergo a slow, sustained increase in tissue tensile strength?

maturation

Which type of suture should be used to close an infected wound?

monofilament

Plain gut, chromic gut, PDS II, and Monocryl are examples of

monofilament absorbable sutures

Surgical silk is a

multifilament nonabsorbable suture

Eye, point, body, and shape are characteristics of

needles

Pronova suture thread is

nonabsorbable monofilament

Which contact layer of a dressing draws fluids from the wound surface and allows for the passage of air?

nonocclusive

Occlusive adherent polyurethane, liquid collodion, and aerosol adhesive sprays are examples of

one-layer dressing

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

Pronova suture is commonly used in which type of surgery?

ophthalmic

Elastic bandages, Montgomery straps and tape are examples of

outer layers

A fast-healing, thin membrane lining the abdominal cavity is called

peritoneum

Which of the following sutures is absorbable?

plain gut

Which of the following determines the shape of the needle body?

point

An absorbable mesh that provides temporary support during healing is

polyglactin 910

Large-gauged, interrupted, nonabsorbable sutures placed lateral to a primary suture line for wound reinforcement are called

retention

Vessel loops are used to

retract nerves

Healing where the wound is left open and allowed to heal from the inner layer to the outside surface is

second intention

Which needle type is a cutting needle?

skin

Which mesh application may result in discomfort for the patient?

stainless steel

The area of tough connective tissue just beneath the skin and just above the subcutaneous layer is called

subcuticular

Needles manufactured with suture strands inserted into one end are ___ needles.

swaged

A needle that can penetrate tissue without cutting it is a(n) needle.

tapered-point

Ethibond is commonly used on which type of tissue?

tendon

The final wound classification is assigned when

the procedure is finished

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

Which needle type is a taper needle?

tissue

Sutures placed into an anatomical structure to retract to the side are called __ sutures.

traction

Needles used to penetrate tissue for the delivery of endoscopes into body cavities or joint spaces are needles.

trocar point

Chromic gut is used primarily in which of the following body structures?

urinary tracts

For the most part, which of the following have replaced umbilical tape as isolation and retraction devices for vessels, nerves, or ducts?

vessel loops