Batch 2

Which of the following is recommended for fascial closure?

• Continuous interlocking stitch for increased collagen content and wound strength
• Use small bites at close intervals including only the aponeurosis into the stitch
• Increased tension increases collagen content and wound tensile strength
• Use nonabsorbable monofilament suture for fascial closure

Which of the following is TRUE for the subcutaneous fat layer closure?

• Fat closure associated with seroma and hematoma
• Fat closure increases risk for wound infection and rupture
• Fat closure used to eliminate dead space
• Fat closure contributes to increased wound strength

Abdominal incision technique used in patients with dense adhesions between the lower uterine segment and the peritoneum.

• Pfannensteil
• Joel-Cohen
• Misgav Ladach
• Maylard

Lowest potential achievable incidence among wound complication if the science of proper tissue management is used

• Post op site pain and erythema
• Surgical Site Infection
• Wound dehiscence
• Hernia

Which of the following statements BEST describes the monofilament sutures?

• Less bacterial harboring compared to braided sutures
• More resistance as it passes through tissue
• Greater tensile strength
• Less flexibility

Which part of the needle should be grasped during the surgical procedure?

• Eye
• Swage
• Body
• Point

What is the critical wound healing period for abdominal fascia?

• 5-7 days
• 7-14 days
• 14-28 days
• 28-42 days

True for uterine single-layer closure versus double-layer closure

• Single-layer closure has lesser SSI
• Single-layer closure has lesser dehiscence rate
• Single-layer closure has smaller blood loss
• Single-layer closure needs 2cm and 1cm interval from the edge

Lowest patient risk factor in wound complication

• Crash-emergency CS
• First repeat CS for CPD
• Stat CS for breech
• CS by request

Which of the following demonstrates proper handling of scissors?

• Insert thumb and middle fingers into the rings the scissors handle
• Use of index finger to steady scissors
• Cut suture with middle of the scissors
• Curve of the dissecting scissors facing the tissue enclosed