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5 Written questions

5 Matching questions

  1. tensile strength
  2. chromic gut vs. plain gut sutures
  3. absorbable sutures
  4. surgical short scrub
  5. Autoclave temperature for sterilization
  1. a made from sheep historically, both are absorbable sutures. Chromic gut is treated with chromic salts and will last longer (up to 60 days)
  2. b amount of tension or pull, expressed in pounds that a suture strand can withstand before breaking
  3. c 5-6 minutes (each arm); hands, wrists, forearms, 2" above elbows; hands held up for rinsing; prevents bringing microorganisms from unwashed area; clean nails with brush after pick; use scrub brush for friction; dry with sterile towels; no lotion; sterile gloves for protection and sterility.
  4. d 250-254 F or 121-123 C. Autoclave requires-heat water and pressure: 15psi, 20 minutes minimum
  5. e catgut, Vicryl, PDS II, used internally and are not removesd

5 Multiple choice questions

  1. known as the Father of Medicine, first to use boiled water to irrigate wounds (460 BC)
  2. overall: smallest possible for face 7-0 ideally,
    higher for joints and higher tension areas or deep sutures more like 4-0 (handout)
  3. face, eyelid, eyebrow, nose, lip 3-5 days
    scalp 6-8 days
    chest, abdomen, penis 8-10 days
    ear, hand 10-14 days
    back, extremities, foot, joints 12-14 days (handout)
  4. "not traumatic needles", no eye, minimizing trauma to skin, called "swaged" needles because the suture is pre-attached, usually curved
  5. All communication to and from pt. prior to administering anesthesia. Also MUST ask about allergies prior to administering anesthesia.

5 True/False questions

  1. minor surgical procedures performed in the medical officesuturing, cyst removal, incision and drainage of an abscess, collection of biopsies, vasectomy, arthroscopy, circumcision, teeth extraction, toenail removal, mole removal, needle biopsy, joint fluid aspiration, spinal tap, bone marrow aspiration

          

  2. Dilating instrumentsgrasping or clamping: hemostatic forceps, tissue forceps, dressing or thumb forceps, sponge forceps, splinter forceps

          

  3. sterile solutiongo on after sterile short scrub; protects you and keeps sterility

          

  4. Purpose of suturingto approximate edges (bring edges together) speed healing, reduce scarring

          

  5. medical asepsispreventing contact with all microorganisms before they can enter the body; no microbial life. Autoclaving surgical instruments, using sterile gloves, maintaining sterile field, sterile draping, etc.