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Concepts of surgical procedures, Wound healing

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Surgical Technology, Concepts, Unit 5, Wound healing

Question 1 of 55

1

Healing that may produce a weak union and may cause an incisional hernia later?

Select one of the following:

  • third intention

  • primary intention

  • first intention

  • second intention

Explanation

Question 2 of 55

1

Their are four classifications of surgical wounds, what are the four types?

Select one of the following:

  • 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

Explanation

Question 3 of 55

1

Poor nutrition, coughing, straining, or abdominal distention are factors that could lead to?

Select one of the following:

  • infected sounds

  • contaminated wounds

  • faster wound healing

  • wound disruption

Explanation

Question 4 of 55

1

A clean-contaminated wound is defined as?

Select one of the following:

  • 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

Explanation

Question 5 of 55

1

which of the following types of wound healing does not utilize suture to close the wound?

Select one of the following:

  • third intention

  • primary intention

  • secondary intention

Explanation

Question 6 of 55

1

Which type of wound does not destroy underlying tissue?

Select one of the following:

  • simple

  • contaminated

  • clean

Explanation

Question 7 of 55

1

what form of wound healing occurs when the wound is cleanly incised and closed?

Select one of the following:

  • delayed primary closure

  • secondary intention

  • primary intention

Explanation

Question 8 of 55

1

What form of wound healing occurs when the open wound is cleaned and left open to heal by the formation of granulation tissue?

Select one of the following:

  • secondary intention

  • primary intention

  • delayed primary intention

Explanation

Question 9 of 55

1

Ideal wound healing involves which of the following?

Select one or more of the following:

  • bacteria

  • strength

  • continuity

  • function

Explanation

Question 10 of 55

1

The extrusion of internal organs through a gaping wound is defined as?

Select one of the following:

  • evisceration

  • gangrene

  • infection

  • hernia

Explanation

Question 11 of 55

1

Separation of the layers of the wound would be defined as

Select one of the following:

  • gangrene

  • eviseration

  • dishiscence

Explanation

Question 12 of 55

1

which type of wound healing would leave the least amount of scar?

Select one of the following:

  • first intention

  • second intention

  • clean intention

Explanation

Question 13 of 55

1

When phagocytosis and vasodilation occurs, this describes which phase of first intention wound healing?

Select one of the following:

  • healing phase

  • lag phase

  • maturation phase

  • remodeling phase

Explanation

Question 14 of 55

1

Which type of wound healing is also called delayed primary closure?

Select one of the following:

  • primary healing

  • first intention wound healing

  • second intention wound healing

  • third intentions wound healing

Explanation

Question 15 of 55

1

Fill the blank space to complete the text.

Any tissue that has been damaged by surgical or traumatic means is called a ?

Explanation

Question 16 of 55

1

check the factors that deal with the physical condition of the patient and influences wound healing

Select one or more of the following:

  • environment

  • bacteria

  • disease

  • age

  • family

Explanation

Question 17 of 55

1

Which factors of intraoperative tissue handling influence wound healing

Select one or more of the following:

  • amount of tissue handling

  • age of patient

  • health of patient

  • length and direction of incision

  • duration of procedure

Explanation

Question 18 of 55

1

What does G.E.M stand for?

Select one of the following:

  • gentle tissue handling, expeditious, meticulous hemostasis

  • gentle tissue handling, external stimulus, meticulous hemostasis

  • gentle tissue handling, expeditious, meticulous care

Explanation

Question 19 of 55

1

Cancer cells can be spread two ways What are those two ways and explain them?

Select one or more of the following:

  • direct, tissue to tissue

  • direct, instrument to tissue

  • indirect-tissue to tissue

  • indirect, use of instrument on cancerous and then non-cancerous tissue

Explanation

Question 20 of 55

1

Which steps in the bowel technique are correct?

Select one or more of the following:

  • 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

Explanation

Question 21 of 55

1

Which are classic signs of inflammation?

Select one or more of the following:

  • cold

  • sweat

  • swelling

  • redness

Explanation

Question 22 of 55

1

which are examples of suture complications in wound healing?

Select one or more of the following:

  • tissue rejects suture

  • suture is wrapped to tight

  • suture is made with bad material

  • tissue separated from tissue degradation

Explanation

Question 23 of 55

1

Fill the blank space to complete the text.

When microbial contamination overrides the resistance of the host its called ?

Explanation

Question 24 of 55

1

Fill the blank space to complete the text.

An abnormal attachment of two surfaces or structures that are normally seperated is called ?

Explanation

Question 25 of 55

1

Fill the blank space to complete the text.

A result of wound dehiscence and occurs most often(starts with an H) is called ?

Explanation

Question 26 of 55

1

Fill the blank space to complete the text.

A tract betwen two epithelium lined surfaces that is open at both ends is called a ?

Explanation

Question 27 of 55

1

A tract between two epithelium lined surfaces that is open at one end only is?

Select one of the following:

  • herniation

  • fistula

  • sinus tract

Explanation

Question 28 of 55

1

Hypertrophic scar formation is known as?

Select one of the following:

  • adhesion

  • keloid scar

  • fistula

Explanation

Question 29 of 55

1

Fill the blank space to complete the text.

The act of pulling or tearing away is known as ?

Explanation

Question 30 of 55

1

Fill the blank space to complete the text.

An injury that is caused by a pointed object that pierces or penetrates the skin is known as ?

Explanation

Question 31 of 55

1

Fill the blank space to complete the text.

a hole in part of the body caused by an accident or disease is known as ?

Explanation

Question 32 of 55

1

Fill the blank space to complete the text.

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.

Explanation

Question 33 of 55

1

Fill the blank space to complete the text.

A wound that is produced by the tearing of soft body tissue is known as ?

Explanation

Question 34 of 55

1

An appendectomy where no rupture as occurred?

Select one of the following:

  • clean

  • contaminated

  • clean-contaminated

Explanation

Question 35 of 55

1

An open wound where an object and condition's in injury were not clean, like a stick puncture?

Select one of the following:

  • contaminated

  • dirty-infected

  • clean

Explanation

Question 36 of 55

1

Surgical wound where the wound is over 4 hours old?

Select one of the following:

  • clean-contaminated

  • contaminated

  • dirty-infected

Explanation

Question 37 of 55

1

breast biopsy, frozen section indicated benign

Select one of the following:

  • clean

  • clean-contaminated

  • dirty-infected

Explanation

Question 38 of 55

1

Laparoscopic cholecysectomy; gallbladder removal with endobag

Select one of the following:

  • clean-contaminated

  • contamainted

  • clean

Explanation

Question 39 of 55

1

Hernia repair with mesh?

Select one of the following:

  • clean

  • clean-contaminated

  • dirty-infected

Explanation

Question 40 of 55

1

wound that is less then 4 hours old; fracture

Select one of the following:

  • dirty-infected

  • clean-contaminated

  • contaminated

Explanation

Question 41 of 55

1

Vaginal hysterectomy with bladder sling?

Select one of the following:

  • clean

  • clean-contaminated

  • contaminated

Explanation

Question 42 of 55

1

Emergency bowel reduction; feces floating in abdomina lcavity

Select one of the following:

  • contaminated

  • infected-contaminated

  • dirty-infected

Explanation

Question 43 of 55

1

A wound that is non-traumatic and has no inflammation or breaks in technique?

Select one of the following:

  • clean-sterile

  • contaminated

  • clean

Explanation

Question 44 of 55

1

Fill the blank space to complete the text.

A is an intentional cut through intact tissue for the purpose of exposing underlying structures.

Explanation

Question 45 of 55

1

What are the two classes of traumatic wounds?

Select one or more of the following:

  • gangrene

  • perforating wound

  • infected

  • closed

  • open

Explanation

Question 46 of 55

1

What are the 4 classes of traumatic open wounds?

Select one or more of the following:

  • simple

  • dirty

  • infected

  • contaminated

  • clean

  • complicated

Explanation

Question 47 of 55

1

Fill the blank space to complete the text.

is a protective response to injury or tissue destruction.

Explanation

Question 48 of 55

1

Fill the blank space to complete the text.

Histamine is part of a body process that is called the process.

Explanation

Question 49 of 55

1

Primary union is also known as?

Select one of the following:

  • third intension

  • second intension

  • first intension

Explanation

Question 50 of 55

1

Which phases of first intention are in the correct order?

Select one of the following:

  • proliferation phase, lag phase, maturation phase

  • maturation phase, proliferation phase, lag phase

  • proliferation phase,maturation phase,lag phase

  • lag phase, proliferation phase, maturation phase

Explanation

Question 51 of 55

1

Basil cells, neutrophils, and macrophages are part of what phase?

Select one of the following:

  • lag phase

  • proliferation phase

  • maturation phase

  • reconstruct phase

Explanation

Question 52 of 55

1

When a wound fails to heal by 1st intention/primary union the next phase starts which is called?

Select one of the following:

  • second intention/blood-clotting

  • second intention/healing

  • second intention/granulation

  • second intention/suturing

Explanation

Question 53 of 55

1

Three main factors influencing wound healing are?

Select one or more of the following:

  • sterile technique

  • patients blood pressure

  • physical condition of the patient

  • intraoperative tissue handling

  • patients environment

Explanation

Question 54 of 55

1

What type of infections are acquired in the OR and are characterized by pus deep beneath the wound, redness and fever.

Select one of the following:

  • MRSA infections

  • noscomial

  • staph infections

  • gram negative bacterial infections

Explanation

Question 55 of 55

1

Anaerobic microbes thrive in what type of environment?

Select one of the following:

  • hot moist

  • cold

  • without oxygen

  • with sunlight

Explanation

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