CSFA Practice Test - (Wound Healing /
General Surgery)
Which of the following methods should the surgical assistant consider when cutting sutures?
A. According to the surgeon's preference
B. According to the assistant's preference
C. Leave a one centimeter tail for nonabsorbable suture
D. Cut on the knot for absorbable suture
A. According to the surgeon's preference
Which of the following would affect normal wound healing?
A. Penicillin allergy
B. Peripheral vascular disease
C. Clean wound
D. Latex allergy
B. Peripheral vascular disease
The most common cause of delayed wound healing in the operative patient is:
A. Wound infection
B. Tissue loss
C. Dehiscence
D. Adhesions
A. Wound infection
The three phases of wound healing include all of the following EXCEPT:
A. Fibroplastic phase
B. Chronic phase
C. Remodeling phase
D. Inflammatory phase
B. Chronic phase
Which of the following sutures should not be used in the placement of heart valves?
A. Polypropylene
B. Polyglactin
C. Polydioxanone
,D. Polyglecaprone
C. Polydioxanone
Wounds in which there is significant bacterial contamination, foreign bodies, or extensive tissue
trauma are generally closed by which intention?
A. Delayed primary
B. Primary union
C. Lag
D. Granulation
D. Granulation
Which of the following types of stitch patterns provides an excellent cosmetic closure?
A. Subcuticular stitch
B. Retention stitch
C. Purse-string stitch
D. Simple stitch
A. Subcuticular stitch
The primary factor when selecting surgical needle is:
A. The metal's ability to resist corrosion
B. Preventing microbial growth
C. Reducing as much as possible the trauma to the tissue
D. Ease of loading the needle on the needle holder
C. Reducing as much as possible the trauma to the tissue
Which of the following microorganisms is responsible for causing postoperative wound edge
erythema and rebound tenderness?
A. S. aureus
B. Clostridium
C. Group B streptococci
D. S. epidermis
C. Group B streptococci
It is recommended that the square knot is:
A. Performed as a two-handed tie
B. Only used on small vessels
C. Performed by placing vertical tension on the final throw
D. Only used on superficial, not deep wound, vessels
A. Performed as a two-handed tie
, Which of the following statements concerning the principles of suture placement is correct?
A. Sutures should be placed as close to the wound edge as possible to prevent tissue necrosis
B. Sutures should be as far as possible from the wound edge to prevent knot slippage and
displacement
C. Sutures should be placed in deep tissue to prevent hematoma
D. Suture placement should place as much tension on the tissue as possible to promote healing
C. Sutures should be placed in deep tissue to prevent hematoma
Sutures placed in a wound to prevent wound evisceration are called:
A. Stent
B. Fixation
C. Retention
D. Traction
C. Retention
In which incision could retention sutures be used?
A. Vertical midline
B. McBurney
C. Transverse
D. Thoracoabdominal
A. Vertical midline
Which of the following types of stitches incorporates the seromuscular layer and submucosa?
A. Lembert
B. Connell
C. Halsted
D. Cusing
A. Lembert
During hemostasis, prothrombin and thromboplastin, along with calcium ions in the blood, form:
A. Fibrinogen
B. Thrombin
C. Fibrin
D. ADP
B. Thrombin
Endoscopic knot tying performed externally, introduced, and secured intra-abdominally is:
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