SURGICAL ASSISTING ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS GRADED
A+
⩥ Type 2 clean-contaminated wounds. Answer: 3-11% risk of
infection
Non-sterile body region entered under controlled conditions and
without unusual contamination
(GI or Gu tract, biliary tract, respiratory tract, oropharynx)
Minor breaks in technique
⩥ Type 3 Contaminated Wound. Answer: 10-17% risk of infection
Major break in sterile technique
Gross spillage from gastrointestinal (GI) tract
Infected GI, urinary or biliary tract
Fresh traumatic wound (through unprepped skin)
⩥ Type 4 Dirty or Infected wounds. Answer: Infection risk: >27%
Wounds associated with perforated viscus; cross clean tissue to drain
pus
Traumatic wounds with:
Imbedded foreign body
,Delayed presentation( > 12-24 hours for face and scalp; > hours
elsewhere)
⩥ Primary Closure (primary intention). Answer: Wound edges are
brought together so that they are adjacent to each other
Example: Normal surg. incision, well-repaired lacerations, well
reduced bone fractures, healing after flap surgery
⩥ Secondary Closure (secondary intention). Answer: Wound is left
open, and closes naturally through granulation
ex. tooth extraction sockets, poorly reduced fractures
⩥ tertiary closure. (delayed primary closure).. Answer: wound is left
open for a number of days and then closed if it found to be clean
ex. healing of wounds by use of tissue grafts, traumatic wounds
⩥ Criteria for suture materials. Answer: 1. Tensile strength
2. Good knot security
3. Workability in handling
4. Low tissue reactivity
5. Ability to resist bacterial infection
⩥ How are sutures sized?. Answer: 3 to 12-0
Numbers without zeros indicate larger sutures, numbers followed by
zeros indicate smaller sutures
, ⩥ Non-absorbable suture are used for what?. Answer: Skin repair
when wanting removal
Fasica under tension
Vascular (blood vessel) repairs
-Nylon
-Prolene
-Stainless steel
-Silk
⩥ When is absorbable suture used?. Answer: Subcutaneous repair
Intraoral mucosa (including tongue)
Fascia not under tension
-Vicryl
-Monocryl
-PDS
-Chromic
-Cat gut
⩥ What are the two different types of suture material?. Answer:
Monofilament
Multifilament
⩥ Monofilament. Answer: Single strand of suture material
2026 QUESTIONS WITH ANSWERS GRADED
A+
⩥ Type 2 clean-contaminated wounds. Answer: 3-11% risk of
infection
Non-sterile body region entered under controlled conditions and
without unusual contamination
(GI or Gu tract, biliary tract, respiratory tract, oropharynx)
Minor breaks in technique
⩥ Type 3 Contaminated Wound. Answer: 10-17% risk of infection
Major break in sterile technique
Gross spillage from gastrointestinal (GI) tract
Infected GI, urinary or biliary tract
Fresh traumatic wound (through unprepped skin)
⩥ Type 4 Dirty or Infected wounds. Answer: Infection risk: >27%
Wounds associated with perforated viscus; cross clean tissue to drain
pus
Traumatic wounds with:
Imbedded foreign body
,Delayed presentation( > 12-24 hours for face and scalp; > hours
elsewhere)
⩥ Primary Closure (primary intention). Answer: Wound edges are
brought together so that they are adjacent to each other
Example: Normal surg. incision, well-repaired lacerations, well
reduced bone fractures, healing after flap surgery
⩥ Secondary Closure (secondary intention). Answer: Wound is left
open, and closes naturally through granulation
ex. tooth extraction sockets, poorly reduced fractures
⩥ tertiary closure. (delayed primary closure).. Answer: wound is left
open for a number of days and then closed if it found to be clean
ex. healing of wounds by use of tissue grafts, traumatic wounds
⩥ Criteria for suture materials. Answer: 1. Tensile strength
2. Good knot security
3. Workability in handling
4. Low tissue reactivity
5. Ability to resist bacterial infection
⩥ How are sutures sized?. Answer: 3 to 12-0
Numbers without zeros indicate larger sutures, numbers followed by
zeros indicate smaller sutures
, ⩥ Non-absorbable suture are used for what?. Answer: Skin repair
when wanting removal
Fasica under tension
Vascular (blood vessel) repairs
-Nylon
-Prolene
-Stainless steel
-Silk
⩥ When is absorbable suture used?. Answer: Subcutaneous repair
Intraoral mucosa (including tongue)
Fascia not under tension
-Vicryl
-Monocryl
-PDS
-Chromic
-Cat gut
⩥ What are the two different types of suture material?. Answer:
Monofilament
Multifilament
⩥ Monofilament. Answer: Single strand of suture material
