DTCC SURGICAL TECHNOLOGY FINAL EXAM 2025

A patient is brought into the emergency room with the following injuries: a large bruise on the thigh, an irregular cut on the on the forehead, and skin scraped off the arm. The wounds would be described as: A. incise wound of thigh, abrasion of forehead, burns of the arm B. avulsion of thigh, contused forehead, abrasion of arm C. contused wound of thigh, laceration of forehead, abrasion of arm D. abrasion of thigh, puncture wound to forehead, lacerated arm - Correct Ans-C. contused wound of thigh, laceration of forehead, abrasion of arm You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to: A. clean up the wound and approximate wound edges for primary intention healing B. irrigate and suction in preparation for second intention healing C. suture individual layers of tissue after debridement of the wound D. clean up the wound, park the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure - Correct Ans-D. clean up the wound, park the wound to keep wound edges apart, and bring the patient back at a later date for delayed closure Control of bleeding is called: A. homeostasis B. granulation C. inflammatory process D. hemostasis - Correct Ans-D. hemostasis During which phase of wound healing is the strength of the wound limited to the suture holding it together? A. granulation B. lag phase (inflammatory) C. epithelization (proliferation) D. remolding (maturation) - Correct Ans-B. lag phase (inflammatory) All of the following factors delay wound healing except: A. smoking B. steroid or cancer drugs DTCC DTCC C. emotional stress D. good circulation - Correct Ans-D. good circulation Which of the following intraoperative techniques would not promote wound healing? A. inoculum of bacteria into the wound B. preservation of blood supply C. elimination of dead space D. irrigation to debride the wound - Correct Ans-A. inoculum of bacteria into the wound Based on the potential for infection, which one of the following described wounds would be classified as a class I? A. removal of the appendix with no major spill B. inguinal hernia repair without break in technique C. compound fracture D. gunshot wound to the abdomen - Correct Ans-B. inguinal hernia repair without break in technique A collection of fluid in tissue would result in all of the following except: A. hemostasis B. a culture medium for bacteria C. pressure on adjacent organs D. elevation of skin flap with loss of vascularity and predisposition to wound disruption - Correct Ans-A. hemostasis For which of the following wound drains would a sterile safety pin be needed? A. sump drain B. closed wound suction drain C. Penrose drain D. gravity drain - Correct Ans-C. Penrose drain Inadvertent removal of which one of the following drains during the first 48 hours after placement would cause the least concern? A. T tube (gravity drain) B. wound sump drain C. closed-wound suction drain D. nasogastric tube - Correct Ans-D. nasogastric tube Which of the following signs would you expect if the patient is hemorrhaging? A. slow pulse B. hypertension DTCC C. cool, moist skin D. flushed face - Correct Ans-C. cool, moist skin Which of the following methods of hemostasis is thermal? A. absorbable gelatin (Gelfoam) B. thrombin C. Esmarch bandage D. electrocautery - Correct Ans-D. electrocautery When fibrous bands of scar tissue bind organs together, the condition is: A. adhesions B. cicatrix C. evisceration D. sinus tract - Correct Ans-A. adhesions A suture at the secondary suture line is a: A. stick tie B. ligature C. traction suture D. retention suture - Correct Ans-D. retention suture Of the following sutures, which will be absorbed quickest? A. surgical gut B. polyglycolic acid (Dexon) C. polypropylene (Prolene) D. polydioxanone (PDS) - Correct Ans-A. surgical gut Which suture is contraindicated both in the presence of infection and in the urinary or biliary tract? A. chromic gut B. polypropylene (Prolene) C. polydioxanone (PDS) D. silk - Correct Ans-D. silk Which suture gauge would be more appropriate for ophthalmic surgery? A. 7 B. 0 C. 4-0 D. 8-0 - Correct Ans-D. 8-0 DTCC DTCC DTCC The needle point most appropriate for suturing liver, pancreas, or spleen is: A. taper B. blunt C. cutting D. trocars - Correct Ans-B. blunt Which of the following statements best describes the placement of the needle holder on the needle? A. one-fourth of the distance from the point B. on the swaged section C. in the center of the needle D. one-third the distance from the eye or swage - Correct Ans-D. one-third the distance from the eye or swage The stitch which provides the most rapid closure, even distribution of tension, and a leakproof suture line is: A. interrupted B. continuous C. purse string D. buried - Correct Ans-B. continuous The purpose of a secondary suture line is to: A. reinforce the primary suture line B. provide traction to immobilize tissue C. secure the wound drain D. suture around a lumen to occlude a vessel - Correct Ans-A. reinforce the primary suture line With which of the following staplers would the surgeon need assistance in application? A. ligating clip B. linear stapler C. intraluminal stapler D. skin stapler - Correct Ans-D. skin stapler The dressing that should be placed nearest the wound is: A. primary dressing B. secondary dressing C. pressure dressing D. rigid dressing - Correct Ans-A. primary dressing DTCC DTCC Dressing sponges are opened by the circulator: A. before the surgical procedure begins B. before the counts are taken C. after the final count is taken D. anytime the scrub calls for them - Correct Ans-C. after the final count is taken After the blood around the wound is wiped away with a damp sponge, the dressings are applied by the: A. circulator as soon as the drapes are removed B. circulator before the drapes are removed C. scrub before the drapes are removed D. physician after the drapes are removed - Correct Ans-C. scrub before the drapes are removed What type of suture line will be used to close the appendix stump during the open appendectomy in room 10? A. continuous B. interrupted C. mattress D. purse string - Correct Ans-D. purse string What size suture will be most appropriate for the Bovine Thrombectomy in room 8? A. 5-0 B. 2 C. 1-0 D. 11-0 - Correct Ans-A. 5-0 The surgical technologist in room 5 has a packet of suture that is yellow. What type of suture is in this packet? A. Nylon B. Silk C. Gut D. Polyglactin 910 - Correct Ans-C. Gut The ST in room 9 needs a Vicryl suture. What color packet will he get? A. yellow B. green C. peach D. violet - Correct Ans-D. violet DTCC DTCC The surgeon in room 2 needs a stapler that can cut and staple a straight line simultaneously. Which stapling device should the ST get? A. EEA B. TA C. LDS D. Wound zipper - Correct Ans-C. LDS The surgeon in room 6 will be placing interrupted stitches rapidly. What type of needle attachment will he most likely request? A. pop-offs B. swaged C. french eye D. double armed - Correct Ans-A. pop-offs The surgery in room 1 will require closure of the sternum. What type of suture material will be most likely used? A. surgical cotton B. stainless steel C. surgical gut D. polyglecaprone (Monocryl) - Correct Ans-B. stainless steel The surgeon in room 7 has asked the surgical technologist for a stick tie. What is he requesting? A. a tie on an instrument B. a non-cutting needle with attached suture C. a Mayo needle D. a ligature reel - Correct Ans-B. a non-cutting needle with attached suture The patient having his appendix removed in room 10 has been in intense pain. Once the surgeon gets to the cecum, she discovers that the appendix has burst. What classification would this wound be?