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,Which of the following features is common to delayed primary closure?
Scar formation and contracture may require scar revision.
The wound is cleaned, debrided, and packed for eventual skin approximation.
There is no wound edge separation and minimal postoperative swelling.
Delayed healing may result in weak tissue approximation and herniation. - correct ans:The wound is
cleaned, debrided and packed for eventual skin approximation
Wound healing is influenced by numerous intrinsic and extrinsic factors.
Which of the following could place stress on a fresh postoperative wound?
Age and pre-existing conditions
Immune system response, respiratory, and circulatory status
Malnutrition and obesity
Vomiting, coughing, edema - correct ans:Vomiting, coughing, edema
Which is an example of a class Ill wound?
A cesarean delivery with meconium in the uterus
A cesarean delivery prior to labor
A cesarean delivery following labor
A crash cesarean delivery where no prep was used - correct ans:A cesarean delivery with meconium in
the uterus
What is the main reason for the use of negative-pressure therapy?
To increase oxygenation to the tissues
To dilute the bacterial load with water
To reduce edematous bacterial load and initiate wound contracture and healing
To accelerate granulation tissue formation - correct ans:To reduce edematous bacterial load and initiate
wound contracture and healing
What is a disadvantage of a drain?
It removes air from the surgical site.
,It affords an escape for serum and blood.
It allows intestinal secretion and bile escape.
It provides an entry for pathogenic microorganisms. - correct ans:It provides an entry for pathogenic
microorganisms.
Which of the following options describes a Class Il surgical wound?
The respiratory, gastrointestinal tract, or genitourinary tract is entered under controlled circumstances.
There is visible gastrointestinal spillage or inflammation is present.
The wound is infected or there is a perforated organ space.
It is the result of a non-penetrating trauma. - correct ans:The respiratory, gastrointestinal tract, or
genitourinary tract is entered under controlled circumstances.
Which of the following materials are used in the composition of non-absorbable sutures?
Cotton
Metal
Linen
All of the above - correct ans:All of the above
A stitch that is separate and tied independently of other stitches is called a(an)
running stitch.
interrupted stitch.
retention stitch.
purse-string stitch. - correct ans:Interrupted stitch.
In addition to sutures, the skin can be closed by using.
staples.
adhesive.
wound strips.
all of the above. - correct ans:All of the above
, Coefficient of friction is an element of which suture material characteristic?
Tissue-retraction
Handling
Needle configuration
Physical - correct ans:Handling
What statement is TRUE related to topical thrombin?
Topical thrombin should never be injected intravascularly.
Topical thrombin is a medication.
Topical thrombin does not biologically participate in the coagulation cascade.
Topical thrombin is only manufactured using animal sources. - correct ans:Topical thrombin should
never be injected intravascularly.
What is the principal enzyme in hemostasis and a catalyst to convert fibrinogen to fibrin in the
coagulation cascade?
Thrombin
Lipase
Protease
Amylase - correct ans:Thrombin
Traditional methods of surgical hemostasis include mechanical methods, thermal-based energy sources,
and
pressure dressings.
chemical agents (ie, pharmaceuticals).
asers.
monopolar electrosurgery. - correct ans:Chemical agents
Using suture to close a wound is a _______ method to achieve surgical hemostasis.
mechanical