ANSWERS
Two hand-tie:
gives the best knot security
Is rarely used in surgery
rarely used in surgery
Is not a useful knot
Is faster than a one hand tie << correct answer >> Gives the best knot security
Which of the following methods of suturing should be used to close a deep layer located
on the medial edge of a myocutaneous flap closure of a sacral decubitus?
Halstead suture with 0 Vicryl CTX
simple running with 0 Vicryl SH
Cushing suture with Prolene FS
half-buried mattress suture with 0 PDO FS << correct answer >> half-buried mattress
suture with 0 PDO FS
Keloids are:
broken bones
enlarged scar due to formation of excessive
amounts of collagen
the end result of scarring
type of skin flap << correct answer >> *enlarged scar due to formation of excessive
amounts of collagen
True or False: All of the following are correct tip for holding retractors
1. When holding a retractors only use the amount of force necessary for visualization
, 2. Focus on holding the retractor even if you are holding it for hours- lack of focus will
cause the retractor to move and block visualization.
3. When holding a army-navy type retractor tow-in with the retractor-term refers to
placing pressure on the end of the retractor keeping it slightly down while slightly lifting
in/up-wards this motion will help keep a blunt from slipping out
4. when holding two retractors you will need to use counter and counter-traction to
maintain proper visualization << correct answer >> True
If during the course of an operation in which initially clean wound was made and the
pharyngeal cavity was entered, the wound is now:
still a clean wound
a contaminated wound
a clean, contaminated wound
an infected wound << correct answer >> a clean, contaminated wound
True or False:
Lithotomy position is another modification of the supine position with the patient lying on
their back with their legs in stirrups or on leg braces exposing the perineum, vagina, and
rectum. Care must always be taken to prevent injury to the Obturator nerve. << correct
answer >> True
All of the following statements concerning Trendelenburg position are true Except
Head of the bed tilted downward approximately 40 degrees. Knees are placed over the
lower break in the bed which is lowered to help stabilize the patient. This position
causes the abdominal viscera to move upward toward the diaphragm often results in
decreased lung volume and compression of the heart. I can also cause increased
intracranial pressure and hypertension and should not be used for extended periods of
time
Trendelenburg position can be used to treat a patient in hypovolemic shock. It raises
blood pressure by reducing venous stasis in the legs and increasing the blood supply to
the head and trunk. "Shock position" can include the entire bed being tilted downward
toward the head or the trunk can be kept level and just the legs elevated.
To prevent the patient from sliding toward the head of the bed and causing a shear
injury << correct answer >> Trendelenburg position is used for procedures of the head
and neck