N5354 Final Exam with complete
solutions latest version
absorbable synthetic braided suture? - CORRECT ANSWER-Vicryl
Absorbable synthetic monofilament suture? - CORRECT ANSWER-Monocryl
braided sutures? - CORRECT ANSWER-Multifilament- strength, less stiff, infection risk
Non-braided suture? - CORRECT ANSWER-Monofilament- more resistant to infection,
more loose due to lack of grip
natural nonabsorbable suture? - CORRECT ANSWER-Surgical silk
nonabsorbable synthetic suture? - CORRECT ANSWER-Nylon & Polyprolene
diameter of sutures? - CORRECT ANSWER-smaller the #, larger the strand Ex 2-0 =
large
face suture selection? - CORRECT ANSWER-5-0 or 6-0
4-0 suture selection? - CORRECT ANSWER-scalp, upper body, hand, lower body, over
joints
4-0 or 5-0 suture selection? - CORRECT ANSWER-Hands
best for high tension wounds, palms, feet, over joint areas? - CORRECT ANSWER-
Interrupted Horizontal mattress- everting that spreads tension along wound edge
best for loose or thin skin? - CORRECT ANSWER-Interrupted Vertical mattress-
everting edges with greater closure strength and wound tension distribution
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7-10 days suture removal? - CORRECT ANSWER-upper body and hands
10-14 days suture removal? - CORRECT ANSWER-scalp and lower body
14-21 days suture removal? - CORRECT ANSWER-over joints
4-5 days suture removal? - CORRECT ANSWER-face
check what distal to the injury? - CORRECT ANSWER-movement, circulation, and
sensation
fastest type of wound closure, high for wound infection? - CORRECT ANSWER-Primary
closure (primary intention)
wound granulation without closure? - CORRECT ANSWER-Secondary intention
delayed primary closure- in a few days to decrease infection risk? - CORRECT
ANSWER-Tertiary intention
Plain lidocaine? - CORRECT ANSWER-ears, hands/feet, nail beds
2% lidocaine? - CORRECT ANSWER-ears, extremities, nail beds
posterior neck or concave surfaces? - CORRECT ANSWER-Vertical Mattress
braided sutures? - CORRECT ANSWER-Multifilament- strength, less stiff, infection risk
needle gauge for joint injections? - CORRECT ANSWER-18-20-------14-18 in shoulder
landmark for lateral elbow joint aspiration? - CORRECT ANSWER-Anconeus triangle
contraindications for joint aspiration/injections? - CORRECT ANSWER-cellulitis,
dermatitis, skin infection, osteomyelitis, coagulopathy, joint prosthesis, suspected
bacteremia if septic arthritis not suspected
approach most used in knee joint aspiration? - CORRECT ANSWER-lateral- 45 degree
angle
approach most common in shoulder joint aspiration? - CORRECT ANSWER-posterior-
below acromion process
most mobile joint in the body? - CORRECT ANSWER-shoulder
stabilizes shoulder joint? - CORRECT ANSWER-glenoid labrum
restricts active ROM and localized to specific area? - CORRECT ANSWER-Periarticular
processes- bursitis, cellulitis, contusion, tendonitis
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