Surgery Exam 4 Questions with Answers Latest Update
2024 Test
dry to dry - Correct Answer dry mesh gauze applied to an open wound with embedded
foreign or necrotic tissue
wet to dry - Correct Answer used with open wounds that have embedded foreign material,
devitalized tissue and viscous exudates
splints - Correct Answer must immobilize the joint above and below the wound
active drains - Correct Answer -Jackson-Pratt, vacutainer, syringe
-need collection reservoirs
-depend on vacuum
-drain deeper tissues
-greater efficiency
-lower risk of infection
-obstruction is primary complication
Passive drains - Correct Answer -penrose
-fluid drains around not through the drain
-cover it sterilely
-depends on gravity
-exit wounds ventrally
-ascending infection is more common
-should never go in a body cavity
, 100 mL in 1 L - Correct Answer How is 1% Povidone iodine made?
25 mL in 1 L - Correct Answer How is 0.5% chlorhexidine made?
Primary - Correct Answer -immediate closure of wound
-clean or clean-contaminated wounds
delayed primary - Correct Answer -wound left open for 2-5 days
-closed prior to granulation tissue formation
-permits repeated lavage and debridement to convert wound to clean-contaminated status
appropriate for closure
secondary - Correct Answer -granulation tissue allowed to form in wound prior to closure
-should be performed before epithelization has begum
-deep narrow wounds should have skin apposition over granulation tissue
-wide wounds should have skin edges mobilized and advanced over granulation tissue
second intention - Correct Answer -dirty or infected wounds
-large wounds
-granulation, epithelization, and contracture
chest tube - Correct Answer -connect syringe
-remove safety clamp
-open stop-cock
-replace safety clamp
-aspirate
-close stop-cock
-replace safety clamp
2024 Test
dry to dry - Correct Answer dry mesh gauze applied to an open wound with embedded
foreign or necrotic tissue
wet to dry - Correct Answer used with open wounds that have embedded foreign material,
devitalized tissue and viscous exudates
splints - Correct Answer must immobilize the joint above and below the wound
active drains - Correct Answer -Jackson-Pratt, vacutainer, syringe
-need collection reservoirs
-depend on vacuum
-drain deeper tissues
-greater efficiency
-lower risk of infection
-obstruction is primary complication
Passive drains - Correct Answer -penrose
-fluid drains around not through the drain
-cover it sterilely
-depends on gravity
-exit wounds ventrally
-ascending infection is more common
-should never go in a body cavity
, 100 mL in 1 L - Correct Answer How is 1% Povidone iodine made?
25 mL in 1 L - Correct Answer How is 0.5% chlorhexidine made?
Primary - Correct Answer -immediate closure of wound
-clean or clean-contaminated wounds
delayed primary - Correct Answer -wound left open for 2-5 days
-closed prior to granulation tissue formation
-permits repeated lavage and debridement to convert wound to clean-contaminated status
appropriate for closure
secondary - Correct Answer -granulation tissue allowed to form in wound prior to closure
-should be performed before epithelization has begum
-deep narrow wounds should have skin apposition over granulation tissue
-wide wounds should have skin edges mobilized and advanced over granulation tissue
second intention - Correct Answer -dirty or infected wounds
-large wounds
-granulation, epithelization, and contracture
chest tube - Correct Answer -connect syringe
-remove safety clamp
-open stop-cock
-replace safety clamp
-aspirate
-close stop-cock
-replace safety clamp
