Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been
there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesytextured substance on occasion. He worries this may be cancer. When gently pinched from th...
American Board of Surgical Assistants TEST REVIEW -
Sutures and Wound Repair/ General Surgery | Already
Graded
Who discovered that the body absorbs sutures made from animal tissues? - ✔✔Philip Syng Physick
Which suture material is NOT absorbed but remains as a living tissue in the body? - ✔✔Fascia lata
Space caused by separation of wound edges which have not been closely approximated by sutures is
called - ✔✔Dead Space
An interrupted suture, which is placed through tissue from one side of the wound to the other and then
back through tissue again is called - ✔✔Matress
Suture material which, during healing process, becomes encapsulated by fibrous tissue is called -
✔✔Non absorbable suture
In the presence of infection, the absorption rate of surgical gut is: - ✔✔Increased
Which suture can be used in presence of infection? - ✔✔Polypropylene
Suture in which short lateral stitches are taken beneath - ✔✔Subcuticular
Healing process in which a wound is purposely left open and allowed to heal from bottom upward is
called - ✔✔Secondary intention
Surgical gut is made from the - ✔✔Submucosa layer of sheep's intestines
Which is most inert in tissue - ✔✔Wire
,Stay suture does not pass through
-Subq
-Rectus muscle
-Mesentery
-Fascia - ✔✔Mesentery
Spitting open or gaping of wound is called - ✔✔Dehiscence
Which of the following is used to stop bleeding and oozing on surfaced of severed BONES - ✔✔Mixture
of waxes (chiefly beeswax)
Protrusion of bowel through separated edges of abdominal wound closure is - ✔✔Evisceration
Silk is not recommended for use in gallbladder kidney or bladder because - ✔✔It may become nucleus
for stone formation
Most braided or twisted non absorbable sutures should not be used in presence of active infection
because - ✔✔The sutures become breeding place for infection
Halsted Technique consists mainly of - ✔✔Interrupted silk sutures
Another name for a stick tie or transfixation suture is - ✔✔Suture ligature
Bumpers or guards are used on tension sutures to - ✔✔Prevent heavy suture from cutting into skin
Tissue trauma will be kept to minimum by using - ✔✔Sutured swaged to a needle
Amount of weight or pull necessary to break suture or ligature material is called - ✔✔Tensile strength
, Which would have ea weakening effect on suture?
Soaking in saline
Testing tensile strength
Straightening it - ✔✔ALL OF THE ABOVE
Which of following synthetic non absorb suture material is least reactive in tissue?
Polypropylene
Polyester fiber
Nylon
teflon impregnanted polyester - ✔✔Polypropylene
What type of suture would be used when closing the anus for perineal stage of an and perineal
resection - ✔✔Purse string suture
Ampulla of Vater is dilated for - ✔✔Common duct stones
Select procedure that require isolation of instruments from rest of operative field:
1. Open intest anastomosis
2. Common duct exploration
3. Exteriorization of coostomy
4. esophagomyotomy - ✔✔1,2,3,
Open anastomosis
Common duct expo
ext of colostomy
A longitudinal ulcer in anal canal is ____ and _____ is a tubular tract that has its skin opening beside
anus - ✔✔Fissure in ano
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