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American Board Of Surgical Assistants
TEST REVIEW - Sutures And Wound
Repair/ General Surgery
Who discovered that the body absorbs sutures made from animal tissues?
Philip Syng Physick
Which suture material is NOT absorbed but remains as a living tissue in the body?
Fascia lata
Space caused by separation of wound edges which have not been closely approximated by sutures is called
Dead Space
An interrupted suture, which is placed through tissue from one side of the wound to the other and then back through tissue again is called
Matress
Suture material which, during healing process, becomes encapsulated by fibrous tissue is called
Non absorbable suture
In the presence of infection, the absorption rate of surgical gut is:
Increased
Which suture can be used in presence of infection?
Polypropylene
Suture in which short lateral stitches are taken beneath
Subcuticular
Healing process in which a wound is purposely left open and allowed to heal from bottom upward is called
Secondary intention
Surgical gut is made from the
Submucosa layer of sheep's intestines
Which is most inert in tissue
Wire
Most braided or twisted non absorbable sutures should not be used in presence of active infection because
The sutures become breeding place for infection
Halsted Technique consists mainly of
Interrupted silk sutures
Another name for a stick tie or transfixation suture is
Suture ligature
Bumpers or guards are used on tension sutures to
Prevent heavy suture from cutting into skin
Tissue trauma will be kept to minimum by using
Sutured swaged to a needle
Amount of weight or pull necessary to break suture or ligature material is called
Tensile strength
Which would have ea weakening effect on suture?
Soaking in saline
Testing tensile strength
Straightening it
ALL OF THE ABOVE
Which of following synthetic non absorb suture material is least reactive in tissue?
Polypropylene
Polyester fiber
Nylon
teflon impregnanted polyester
Polypropylene
What type of suture would be used when closing the anus for perineal stage of an and perineal resection
Purse string suture
Ampulla of water is dilated for
Common duct stones
Massive rectal prolapse
Cessation of peristalsis
Paralytic ileus
An abd incision made parallel and about four cm lateral to midline is a
Paramedium rectus
Which concerning hernias is NOT true?
Incarcerated hernia the intestinal flow is obstructed
Strangulated hernia causes acute intestinal obstruction
Direct hernia leaves the abdomen through inguinal ring
Femoral hernia appears below pouparts ligament
Direct hernia leaves the abdomen through inguinal ring
Subtotal gastric resection with gastrojejunostomy anterior to transverse colon is a
Billroth II
Saccular dilation leading from lumen of bowel is
Diverticulum
Surgical procedure for head of pancreas is
Whipple
Vagotomy is performed with partial gastrectomy for peptic ulcer disease to
Decrease secretion of hydrochloric acid
Esophageal varices occur when an increase in ____ obstructions forces ____ blood to seek a new avenue of return to the ____
PORTAL VEIN
VENOUS
RIGHT ATRIUM
A Roux en Y procedure for common duct repair is
Choledocojujenostomy
Surgical bypass procedure for portal HTN is a shunt between ____ and ____ or between ____ and _____
Portal vein and IVC
or
Splenic vein and left renal vein
in which of the following is a loop colostomy done?
Abdominperineal resection
Bowel decompression
Total colectomy
Hemicolectomy
Bowel decompression
Which of the following must be sutured to close an upper paramedic incision?:
- Ant rectus sheath
- Rectus abd muscle
- Post rectus sheath
- Peritoneum
1,3,
Ant rectus __ Post Rectus-- Peritoneum
Benign intestinal tumor is a _____ while _____ is malignant
Fibromata, lymphosarcoma
Which concerning splenectomy is not true
Major veins and arteries to be ligated are in hilum of spleen
Sub capsular hematoma or splenic rupture require emergency surgery
Thrombocytosis usually occurs following surgery
Surgery causes increases in antibody production
Surgery causes increases in antibody production
Which does not require emergency surgery
Fecal impaction
Sigmoid colon volvulus
Paralytic ileus
All
All of the above
Four major sources of blood supply to stomach:
Right and left gastroepiploic
Right and left gastric
Anastomosis between small intestine and colon is a
Ileocolostomy
Surgical removal of endocrine gland affects the
Body metabolism
Sublingual
Submaxillary
Parotid
Which statements about endocrine glands is/are false?
Release their secretions into blood stream
Essential for growth and development
Ductless
None of the above
NONE of the above, they are all true
Acromegaly is te result of hyper function of the
pituitary
Statement concerning a post hypophysectomy patient is true?
Replacement adrenal steroid therapy is required
Diabetes insidious may occur
Cessation of menstruation and infertility occurs
All of the above
ALL of the above
Secreting cells of mammary glands
Alveoli
Whipple for carcinoma of pancreas includes removal of ___ pancreas, entire ____, portion of ___ and distal segment of ____
HEAD of pancreas
entire DUODENUM
portion of STOMACH
distal segment of COMMON BILE DUCT
Low levels of adrenocortical hormone in the blood or urine is indicative of _____ dz
Addisons
Radical mastectomy for cancer involves removal of portion of the ____ muscles
Pectorals major and minor
Bleeding from the tonsillar bed is controlled with ___ rather than ___ which might damage the ____
PRESSURE rather than SUTURE LIGATURE which may damage EXTERNAL CAROTID
Test of thyroid function is ____ which measures __
BMR which measures CONSUMPTION AT REST
Which about surgery of breast is/are false?
Augmentation mammoplasty is done for gynecomastia
Excessive accumulation of uric acid in blood with disposition of acid crystal in tissue causes
Gout
Care must be taken not to damage which structures during thyroidectomy
Parathyroids
Trachea
Recurrent laryngeal nerve
The ___ hormones secreted by the ____ hormones regulate the metabolism of calcium and ph0sphate
Parathyroid
Parathyroid
Which about thyroid is true
Tracheal compression can occur from post op edema
Gland is essential to life
Non toxic glandular goiter produces excess thyroid hormon
All of the above
Tracheal compression can occur from post op edema
Three main vessels which are ligated in thyroidectomy are
Superior middle and inferior thyroid veins
Complete removal of _____ glands results in severe tetany
Parathyroid
Choledocotomy is a/an:
iNcision into common bile duct
Characteristic symptom of perforated peptic ulcer
Shock
Splenic vein drains into IVC
Splenic vein drains into IVC
This is FALSE
longitudinal ulcer in anal canal is
Fissure in ano
Which postop complication of total gastrectomy:
- Dumping syndrome
- Anemia
- Vitamin B 12 deficiency
- Diarrhea
ALL OF THE ABOVE
The ___ is attached to the_____>
Omentum, stomach
Mesentery, diaphragm
Omentum, diaphragm
Mesentery, stomach
OMENTUM, STOMACH
Partial gastrectomy followed by gastroduodenal anastomosis is a
Billroth I
Which anastomoses are completed with Whipple operation?:
- pancreatojejunostomy
- Duodenojejunostomy
- Choledocojejunostomy
- Gastrojejuonstomy
1,3, 4
Pancreatojejunostomy
choledocojejunostomy
Gastrojejunostomy
In upper quadrant oblique incision (subcostal) which muscle is retracted / transversely divided?
Rectus
Care must be taken during ligation of the vena cava for pulmonary embolism to prevent injury to"
Lumbar veins
Right ureter
