Suturing Quiz July 2023

What is the purpose of performing the simple interrupted suture?

• Wound closure in instances involving a Laceration or Punch Biopsy

• Wound closure in Deep Dermal Suturing in C-Section Procedures

• Epidermal approximation that requires high tensile strength sutures

• All of the Above

Small skin scars called ... limit the use of vertical sutures in cosmetically sensitive areas

• Frankenstein marks

• Crosshatching

• Railroad marks

• All of the above

Identify the suturing technique in the above image

• Simple Continuous

• 1. Subcutaneous

• 1. Intradermal continuous

• 1. Simple skin suture

Which of the following sutures is commonly used in body sites where wounds tend to invert eg posterior neck

• Horizontal Mattress Suture

• Vertical Mattress Suture

• Simple Interrupted

• Simple Continuous

Which of the following is a factor for vertical mattress sutures to be left in longer/removed earlier

• Patient medications (eg. Prednisone therapy)

• Amount of wound tension at time of closure

• Location over stress sites eg. Joints of hand

• All of the above

Will a simple continuous suture leave a scar?

• Yes, just like other sutures

• 1. Should not

The main indication of which suture is to hold together fragile skin such as the skin of an elderly person or a person receiving chronic steroid therapy

• Horizontal Mattress Suture

• Vertical Mattress Suture

• Simple Interrupted

• Simple Continuous

Which of the following is true in relation to performing a simple interrupted suture?

• Needle is inserted at a 45 degree angle to the epidermis of skin

• Needle is inserted at a 25 degree angle almost parallel to the surface of the epidermis

• Needle is inserted perpendicularly to the epidermis

• None of the above

What are some advantages of using the Simple Interrupted Suturing Technique?

• More cosmetically appealing results

• If one of the stitches breaks, the remainder of the stitches will still hold the wound together

• Less risk of injuring cutaneous circulation

• All of the Above

Which of the following is true in relation to suturing and performing a simple interrupted suture?

• The neegle is grasped at the junction of the proximal and middle third portion of its length

• Toothed forceps aren't used in suturing

• Sutures should NOT enter and exit at an equal distance from the wound margin.

• When performing a Simple Interrupted Suture, a knot is NOT tied every time the needle exits the skin.