Shared Flashcard Set

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Wound Healing
Wound Healing
47
Medical
Professional
02/24/2011

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Cards

Term
1. Second intention healing involves:
Definition
wound granulation
Term
2. The healing stage of first intention healing occurs from the:
Definition
5th-14th day
Term
3. Which of the following occurrences would NOT decrease the healing capabilities of a patient?
Definition
early ambulation
Term
4. The rupture of a wound with spilling of contents is known as:
Definition
evisceration
Term
5. All of the following are part of the inflammatory process EXCEPT:
Definition
vasoconstriction
Term
6. The healing process in which a wound is purposely left open and allowed to heal from the bottom up is called:
Definition
secondary intention
Term
7. The substance that weakly holds wound edges together during the first five days of first intention healing is:
Definition
fibroblast
Term
8. A stab wound is a separate small incision:
Definition
close to the sight
Term
9. A patient is brought into the emergency room with the following injuries: a large bruise on the thigh, an irregular cut on the forehead, and skin scraped off the arm. The wounds would be described as:
Definition
contused wound of thigh, laseration of forhead, abrasion of the arm
Term
10. You are assigned to scrub on a gunshot wound of the abdomen with a perforated bowel and will expect the surgeon to:
Definition
clean up the wound, pack the wound to keep edges apart, and bring the patient back at a later date for a delayed closure
Term
11. Control of bleeding is called:
Definition
hemostasis
Term
12. During which phase of wound healing is the strength of the wound limited to the suture holding it together?
Definition
Lag phase (inflammatory)
Term
13. All of the following factors delay wound healing except:
Definition
good circulation
Term
14. Which of the following intraoperative techniques would not promote wound healing?
Definition
inoculum of bacteria into the wound
Term
15. Based on the potential for infection, which one of the following described wounds would be classified as a class I?
Definition
inguinal herina repair without break in technique
Term
16. A collection of fluid in tissue would result in all of the following except:
Definition
hemostasis
Term
17. For which of the following wound drains would a sterile safety pin be needed?
Definition
penrose drain
Term
18. Inadvertent removal of which one of the following drains during the first 48 hours after placement would cause the least concern?
Definition
nasogastric tube
Term
19. When fibrous bands of scar tissue bind organs together, the condition is:
Definition
adhesions
Term
20. Glove powder is normally wiped from the gloved hand because it has the potential to cause:
Definition
irrigation
Term
21. Which of the following is MOST commonly used for wound closure in the presence of infection?
Definition
stainless steel
Term
22. When assisting with the closure of a skin incision and operating the skin stapler, the surgical technologist in the scrub role is placing the staples through which two layers?
Definition
sub-q and skin
Term
23. Which of the following suturing techniques features short lateral stitches that are taken beneath the epithelial layer of skin?
Definition
subcuticular closure
Term
24. Which of the following wounds is most likely in the inflammatory phase of wound healing?
Definition
20 min after abdominal
Term
25. Place the following phases of wound healing by first intention in correct order from first to last:

I. proliferation
II. remodeling
III. inflammatory
Definition
inflammatory, proliferation, remodeling
Term
26. Wounds can heal in three ways. Which correctly describes healing by third intention?
Definition
delayed primary closure
Term
27. Which of the following is not a sign of inflammation?
Definition
pain, heat, redness, swelling, loss of function
Term
28. A traumatic wound that leaves tissue torn or hanging from the body is a/an:
Definition
avulsion
Term
29. Operative techniques to enhance wound healing include all of the following except:
Definition
Term
30. Mark R. is scheduled for emergency surgery to treat a perforated gastric ulcer. This procedure will be placed in which of the following wound classifications?
Definition
class III- contaminated
Term
31. An abnormal deposition of collagen that occurs during the healing process is known as:
Definition
keloid
Term
32. The surgical wound classification that results in the lowest percentage of infections is:
Definition
classI- clean- infection rate 1-5%
Term
33. All of the following are factors that influence wound healing except:
Definition
physcial condition of patient, tissue handling, aseptic technique
Term
34. A bruise is also known as a:
Definition
contusion
Term
35. A wound in which the skin is broken, no loss or destruction of tissue, no F.B.
Definition
open simple would
Term
36. Second intention healing is also known as:
Definition
granulation
Term
37. Partial or total separation of a layer or layers of tissue after closure of the wound is:
Definition
dead space in a wound
Term
38. Removal of devitalized tissue and contaminants is:
Definition
debridenemt
Term
39. Abnormal communication between two normally separate internal structures, or an abnormal communication between an internal structure and the body surface is:
Definition
fistula
Term
40. Lack of oxygenated blood supply to an area or organ of the body is:
Definition
ischemia
Term
41. An abnormal scar that results from excessive collagen deposits.
Definition
keloid
Term
42. Excessive granulation tissue is called:
Definition
proud flesh
Term
43. An open fracture that is less than four hours old is classified as a:
Definition
contaminated- class III
Term
44. An open traumatic wound that is more than four hours old is considered:
Definition
dirty/infected-class IV
Term
45. Which wound classification has had microbial contamination prior to procedure?
Definition
class IV- dirty/infected
Term
46. Which wound classification has not had an entry into the GI or GU tracts?
Definition
class I-cleam
Term
47. Pertaining to pus:
Definition
purulent
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