Answers
Which of the following interweaves its fibers during the maturation phase of wound healing
and increases its tensile strength?
a. collagen
b. enzymes
c. fibrin
d. protein - ANS a. collagen
A wound that is not sutured and that gradually fills in by granulation heals by which intention?
a. first
b. second
c. third
d. fourth - ANS b. second
All of the following are techniques for eliminating dead space in a wound EXCEPT:
a. careful approximation of tissues
b. electrical nerve stimulation
c. placement of wound drain
d. pressure dressings - ANS b. electrical nerve stimulation
Which postoperative wound complication would require immediate surgical treatment?
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,a. fistula
b. adhesions
c. infection
d. evisceration - ANS d. evisceration
Which phase of healing for wounds closed by first intention begins within minutes of the
incision or injury?
a. inflammatory
b. proliferation
c. maturation
d. granulation - ANS a. inflammatory
What is the name of a raised, hypertrophic scar due to excessive collagen formation in some
darker-skinned individuals?
a. cicatrix
b. granuloma
c. keloid
d. seroma - ANS c. keloid
Which type of suture needle is used on friable tissue such as liver or kidney?
a. blunt
b. cutting
c. taper
d. trocar - ANS a. blunt
Which tissue layer of the abdominal wall provides the greatest strength and support of the
wound?
a. skin
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, b. fascia
c. peritoneum
d. subcutaneous fat - ANS b. fascia
Which historic figure in medicine is credited with creating principles of proper tissue handling
and suturing?
a. DeBakey
b. Cushing
c. Halsted
d. Kocher - ANS c. Halsted
Tissue trauma is minimized by using which type of suture-needle combination?
a. threaded suture on a closed-eye taper needle
b. threaded suture on a closed-eye Keith needle
c. suture loaded on a French-eyed taper needle
d. suture permanently swaged on an eyeless needle - ANS d. suture permanently swaged on
an eyeless needle
Another name for a suture ligature is a:
a. free tie
b. stick tie
c. tie-on-a-passer
d. ligature reel - ANS b. stick tie
2. Which type of needle is preferred for suturing of skin?
a. blunt
b. cutting
c. taper
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