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Surgical Technology, Concepts, Unit 5, Wound healing

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Concepts of surgical procedures, Wound healing
hey ohh
Quiz by hey ohh, updated more than 1 year ago
hey ohh
Created by hey ohh over 5 years ago
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Resource summary

Question 1

Question
Healing that may produce a weak union and may cause an incisional hernia later?
Answer
  • third intention
  • primary intention
  • first intention
  • second intention

Question 2

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

Question 3

Question
Poor nutrition, coughing, straining, or abdominal distention are factors that could lead to?
Answer
  • infected sounds
  • contaminated wounds
  • faster wound healing
  • wound disruption

Question 4

Question
A clean-contaminated wound is defined as?
Answer
  • 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

Question 5

Question
which of the following types of wound healing does not utilize suture to close the wound?
Answer
  • third intention
  • primary intention
  • secondary intention

Question 6

Question
Which type of wound does not destroy underlying tissue?
Answer
  • simple
  • contaminated
  • clean

Question 7

Question
what form of wound healing occurs when the wound is cleanly incised and closed?
Answer
  • delayed primary closure
  • secondary intention
  • primary intention

Question 8

Question
What form of wound healing occurs when the open wound is cleaned and left open to heal by the formation of granulation tissue?
Answer
  • secondary intention
  • primary intention
  • delayed primary intention

Question 9

Question
Ideal wound healing involves which of the following?
Answer
  • bacteria
  • strength
  • continuity
  • function

Question 10

Question
The extrusion of internal organs through a gaping wound is defined as?
Answer
  • evisceration
  • gangrene
  • infection
  • hernia

Question 11

Question
Separation of the layers of the wound would be defined as
Answer
  • gangrene
  • eviseration
  • dishiscence

Question 12

Question
which type of wound healing would leave the least amount of scar?
Answer
  • first intention
  • second intention
  • clean intention

Question 13

Question
When phagocytosis and vasodilation occurs, this describes which phase of first intention wound healing?
Answer
  • healing phase
  • lag phase
  • maturation phase
  • remodeling phase

Question 14

Question
Which type of wound healing is also called delayed primary closure?
Answer
  • primary healing
  • first intention wound healing
  • second intention wound healing
  • third intentions wound healing

Question 15

Question
Any tissue that has been damaged by surgical or traumatic means is called a [blank_start]wound[blank_end]?
Answer
  • wound

Question 16

Question
check the factors that deal with the physical condition of the patient and influences wound healing
Answer
  • environment
  • bacteria
  • disease
  • age
  • family

Question 17

Question
Which factors of intraoperative tissue handling influence wound healing
Answer
  • amount of tissue handling
  • age of patient
  • health of patient
  • length and direction of incision
  • duration of procedure

Question 18

Question
What does G.E.M stand for?
Answer
  • gentle tissue handling, expeditious, meticulous hemostasis
  • gentle tissue handling, external stimulus, meticulous hemostasis
  • gentle tissue handling, expeditious, meticulous care

Question 19

Question
Cancer cells can be spread two ways What are those two ways and explain them?
Answer
  • direct, tissue to tissue
  • direct, instrument to tissue
  • indirect-tissue to tissue
  • indirect, use of instrument on cancerous and then non-cancerous tissue

Question 20

Question
Which steps in the bowel technique are correct?
Answer
  • 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

Question 21

Question
Which are classic signs of inflammation?
Answer
  • cold
  • sweat
  • swelling
  • redness

Question 22

Question
which are examples of suture complications in wound healing?
Answer
  • tissue rejects suture
  • suture is wrapped to tight
  • suture is made with bad material
  • tissue separated from tissue degradation

Question 23

Question
When microbial contamination overrides the resistance of the host its called [blank_start]infection[blank_end]?
Answer
  • infection

Question 24

Question
An abnormal attachment of two surfaces or structures that are normally seperated is called [blank_start]adhesion[blank_end]?
Answer
  • adhesion

Question 25

Question
A result of wound dehiscence and occurs most often(starts with an H) is called [blank_start]herniation[blank_end]?
Answer
  • herniation

Question 26

Question
A tract betwen two epithelium lined surfaces that is open at both ends is called a [blank_start]fistula[blank_end]?
Answer
  • fistula

Question 27

Question
A tract between two epithelium lined surfaces that is open at one end only is?
Answer
  • herniation
  • fistula
  • sinus tract

Question 28

Question
Hypertrophic scar formation is known as?
Answer
  • adhesion
  • keloid scar
  • fistula

Question 29

Question
The act of pulling or tearing away is known as [blank_start]avulsion[blank_end]?
Answer
  • avulsion

Question 30

Question
An injury that is caused by a pointed object that pierces or penetrates the skin is known as [blank_start]puncture[blank_end]?
Answer
  • puncture

Question 31

Question
a hole in part of the body caused by an accident or disease is known as [blank_start]perforation[blank_end]?
Answer
  • perforation

Question 32

Question
[blank_start]abrasion[blank_end] 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.
Answer
  • abrasion

Question 33

Question
A wound that is produced by the tearing of soft body tissue is known as [blank_start]laceration[blank_end]?
Answer
  • laceration

Question 34

Question
An appendectomy where no rupture as occurred?
Answer
  • clean
  • contaminated
  • clean-contaminated

Question 35

Question
An open wound where an object and condition's in injury were not clean, like a stick puncture?
Answer
  • contaminated
  • dirty-infected
  • clean

Question 36

Question
Surgical wound where the wound is over 4 hours old?
Answer
  • clean-contaminated
  • contaminated
  • dirty-infected

Question 37

Question
breast biopsy, frozen section indicated benign
Answer
  • clean
  • clean-contaminated
  • dirty-infected

Question 38

Question
Laparoscopic cholecysectomy; gallbladder removal with endobag
Answer
  • clean-contaminated
  • contamainted
  • clean

Question 39

Question
Hernia repair with mesh?
Answer
  • clean
  • clean-contaminated
  • dirty-infected

Question 40

Question
wound that is less then 4 hours old; fracture
Answer
  • dirty-infected
  • clean-contaminated
  • contaminated

Question 41

Question
Vaginal hysterectomy with bladder sling?
Answer
  • clean
  • clean-contaminated
  • contaminated

Question 42

Question
Emergency bowel reduction; feces floating in abdomina lcavity
Answer
  • contaminated
  • infected-contaminated
  • dirty-infected

Question 43

Question
A wound that is non-traumatic and has no inflammation or breaks in technique?
Answer
  • clean-sterile
  • contaminated
  • clean

Question 44

Question
A [blank_start]incision[blank_end] is an intentional cut through intact tissue for the purpose of exposing underlying structures.
Answer
  • incision

Question 45

Question
What are the two classes of traumatic wounds?
Answer
  • gangrene
  • perforating wound
  • infected
  • closed
  • open

Question 46

Question
What are the 4 classes of traumatic open wounds?
Answer
  • simple
  • dirty
  • infected
  • contaminated
  • clean
  • complicated

Question 47

Question
[blank_start]Inflammation[blank_end] is a protective response to injury or tissue destruction.
Answer
  • Inflammation

Question 48

Question
Histamine is part of a body process that is called the [blank_start]inflammatory[blank_end] process.
Answer
  • inflammatory

Question 49

Question
Primary union is also known as?
Answer
  • third intension
  • second intension
  • first intension

Question 50

Question
Which phases of first intention are in the correct order?
Answer
  • proliferation phase, lag phase, maturation phase
  • maturation phase, proliferation phase, lag phase
  • proliferation phase,maturation phase,lag phase
  • lag phase, proliferation phase, maturation phase

Question 51

Question
Basil cells, neutrophils, and macrophages are part of what phase?
Answer
  • lag phase
  • proliferation phase
  • maturation phase
  • reconstruct phase

Question 52

Question
When a wound fails to heal by 1st intention/primary union the next phase starts which is called?
Answer
  • second intention/blood-clotting
  • second intention/healing
  • second intention/granulation
  • second intention/suturing

Question 53

Question
Three main factors influencing wound healing are?
Answer
  • sterile technique
  • patients blood pressure
  • physical condition of the patient
  • intraoperative tissue handling
  • patients environment

Question 54

Question
What type of infections are acquired in the OR and are characterized by pus deep beneath the wound, redness and fever.
Answer
  • MRSA infections
  • noscomial
  • staph infections
  • gram negative bacterial infections

Question 55

Question
Anaerobic microbes thrive in what type of environment?
Answer
  • hot moist
  • cold
  • without oxygen
  • with sunlight
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