American Board of Surgical Assistants TEST REVIEW - Sutures and Wound Repair/ General Surgery Q&A Rated A+

American Board of Surgical Assistants TEST REVIEW - Sutures and Wound Repair/ General Surgery Q&A Rated A+ 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? Dead Space Fascia lata Space caused by separation of wound edges which have not been closely approximated by sutures is called 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: Which suture can be used in presence of infection? Increased Polypropylene Suture in which short lateral stitches are taken beneath Secondary intention Subcuticular Healing process in which a wound is purposely left open and allowed to heal from bottom upward is called Surgical gut is made from the Which is most inert in tissue Submucosa layer of sheep's intestines 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 Silk is not recommended for use in gallbladder kidney or bladder because for stone formation Evisceration It may become nucleus 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 Bumpers or guards are used on tension sutures to Tissue trauma will be kept to minimum by using Suture ligature Prevent heavy suture from cutting into skin Sutured swaged to a needle Amount of weight or pull necessary to break suture or ligature material is called Which would have ea weakening effect on suture? Soaking in saline Testing tensile strength 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 water 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 Open anastomosis Common duct expo ext of colostomy Fissure in ano 1,2,3, A longitudinal ulcer in anal canal is ____ and _____ is a tubular tract that has its skin opening beside anus Fistula in ano Protrusion of viscera through and incision following surgery is All of the following require immediate surgery except: Complete SBO Evisceration Cecal volvulus Bile peritonitis Massive rectal prolapse Cessation of peristalsis Massive rectal prolapse Paralytic ileus An abd incision made parallel and about four cm lateral to midline is a Which concerning hernias is NOT true? Incarcerated hernia the intestinal flow is obstructed Strangulated hernia causes acute intestinal obstruction Direct hernia leaves the abdomen through inguinal ring Femoral hernia appears below pouparts ligament inguinal ring Paramedium rectus Direct hernia leaves the abdomen through Subtotal gastric resection with gastrojejunostomy anterior to transverse colon is a Saccular dilation leading from lumen of bowel is Surgical procedure for head of pancreas is Diverticulum Whipple Vagotomy is performed with partial gastrectomy for peptic ulcer disease to Billroth II Decrease secretion of hydrochloric acid Esophageal varices occur when an increase in ____ obstructions forces ____ blood to seek a new avenue of return to the ____ PORTAL VEIN VENOUS RIGHT ATRIUM A Roux en Y procedure for common duct repair is Choledocojujenostomy Portal vein and IVC Surgical bypass procedure for portal HTN is a shunt between ____ and ____ or between ____ and _____ or Splenic vein and left renal vein All of the following cause intestinal obstruction except: Intussusception Volvulus of cecum Colitis Superior mesenteric embolus Colitis Which statement concerning thyroid is not true? Blood supply is from ext carotid Gland affects rate at which all tissue metabolize Glandular segment is essential to life Thyroid crisis can occur in patient with hyperthyroidism Which statement concerning SBO is not true? May lead to metabolic acidosis Causes distention of proximal intestine May lead to metabolic alkalosis Causes distention of Distal intestine Glandular segment is essential to life Causes distention of DISTAL intestine