Healing that may produce a weak union and may cause an incisional hernia later?
third intention
primary intention
first intention
second intention
Their are four classifications of surgical wounds, what are the four types?
clean, clean-dirty, contaminated, dirty and infected
clean, clean-dirty, infected, dirty and infected
clean, clean-contaminated, contaminated, dirty and infected
clean, dirty, infected, dirty and infected
Poor nutrition, coughing, straining, or abdominal distention are factors that could lead to?
infected sounds
contaminated wounds
faster wound healing
wound disruption
A clean-contaminated wound is defined as?
a wound with a drain and possible minor breaks in aseptic technique; ex. hysterectomy
an open traumatic wound with major breaks in aseptic technique with acute inflammation
a wound made under aseptic conditions with no wound drain used
a traumatic wound over 4 hours old
which of the following types of wound healing does not utilize suture to close the wound?
secondary intention
Which type of wound does not destroy underlying tissue?
simple
contaminated
clean
what form of wound healing occurs when the wound is cleanly incised and closed?
delayed primary closure
What form of wound healing occurs when the open wound is cleaned and left open to heal by the formation of granulation tissue?
delayed primary intention
Ideal wound healing involves which of the following?
bacteria
strength
continuity
function
The extrusion of internal organs through a gaping wound is defined as?
evisceration
gangrene
infection
hernia
Separation of the layers of the wound would be defined as
eviseration
dishiscence
which type of wound healing would leave the least amount of scar?
clean intention
When phagocytosis and vasodilation occurs, this describes which phase of first intention wound healing?
healing phase
lag phase
maturation phase
remodeling phase
Which type of wound healing is also called delayed primary closure?
primary healing
first intention wound healing
second intention wound healing
third intentions wound healing
Any tissue that has been damaged by surgical or traumatic means is called a ?
check the factors that deal with the physical condition of the patient and influences wound healing
environment
disease
age
family
Which factors of intraoperative tissue handling influence wound healing
amount of tissue handling
age of patient
health of patient
length and direction of incision
duration of procedure
What does G.E.M stand for?
gentle tissue handling, expeditious, meticulous hemostasis
gentle tissue handling, external stimulus, meticulous hemostasis
gentle tissue handling, expeditious, meticulous care
Cancer cells can be spread two ways What are those two ways and explain them?
direct, tissue to tissue
direct, instrument to tissue
indirect-tissue to tissue
indirect, use of instrument on cancerous and then non-cancerous tissue
Which steps in the bowel technique are correct?
all sections of the bowel or considered contaminated
all sections of the bowel are considered clean
different sections of the bowel are considered clean or contaminated
instruments need to be separated
Which are classic signs of inflammation?
cold
sweat
swelling
redness
which are examples of suture complications in wound healing?
tissue rejects suture
suture is wrapped to tight
suture is made with bad material
tissue separated from tissue degradation
When microbial contamination overrides the resistance of the host its called ?
An abnormal attachment of two surfaces or structures that are normally seperated is called ?
A result of wound dehiscence and occurs most often(starts with an H) is called ?
A tract betwen two epithelium lined surfaces that is open at both ends is called a ?
A tract between two epithelium lined surfaces that is open at one end only is?
herniation
fistula
sinus tract
Hypertrophic scar formation is known as?
adhesion
keloid scar
The act of pulling or tearing away is known as ?
An injury that is caused by a pointed object that pierces or penetrates the skin is known as ?
a hole in part of the body caused by an accident or disease is known as ?
is a partial thickness wound caused by damage to the skin and can be superficial involving only the epidermis to deep, involving the deep dermis.
A wound that is produced by the tearing of soft body tissue is known as ?
An appendectomy where no rupture as occurred?
clean-contaminated
An open wound where an object and condition's in injury were not clean, like a stick puncture?
dirty-infected
Surgical wound where the wound is over 4 hours old?
breast biopsy, frozen section indicated benign
Laparoscopic cholecysectomy; gallbladder removal with endobag
contamainted
Hernia repair with mesh?
wound that is less then 4 hours old; fracture
Vaginal hysterectomy with bladder sling?
Emergency bowel reduction; feces floating in abdomina lcavity
infected-contaminated
A wound that is non-traumatic and has no inflammation or breaks in technique?
clean-sterile
A is an intentional cut through intact tissue for the purpose of exposing underlying structures.
What are the two classes of traumatic wounds?
perforating wound
infected
closed
open
What are the 4 classes of traumatic open wounds?
dirty
complicated
is a protective response to injury or tissue destruction.
Histamine is part of a body process that is called the process.
Primary union is also known as?
third intension
second intension
first intension
Which phases of first intention are in the correct order?
proliferation phase, lag phase, maturation phase
maturation phase, proliferation phase, lag phase
proliferation phase,maturation phase,lag phase
lag phase, proliferation phase, maturation phase
Basil cells, neutrophils, and macrophages are part of what phase?
proliferation phase
reconstruct phase
When a wound fails to heal by 1st intention/primary union the next phase starts which is called?
second intention/blood-clotting
second intention/healing
second intention/granulation
second intention/suturing
Three main factors influencing wound healing are?
sterile technique
patients blood pressure
physical condition of the patient
intraoperative tissue handling
patients environment
What type of infections are acquired in the OR and are characterized by pus deep beneath the wound, redness and fever.
MRSA infections
noscomial
staph infections
gram negative bacterial infections
Anaerobic microbes thrive in what type of environment?
hot moist
without oxygen
with sunlight
