Final Round

What is the recommended suture length to wound length (SL:WL) ratio?

• SL: WL > 2
• SL: WL > 4
• SL: WL > 6
• SL: WL > 8

Which of the following statement is correct when the wound has reached its maximal strength?

• Close slow healing tissues with short lasting absorbable suture
• Close slow healing tissues with non-absorbable suture
• Close fast healing tissues with short lasting non-absorbable suture
• Close fast healing tissues with long lasting non-absorbable suture

Which of the following is recommended when cosmetic results are important?

• Use skin sutures alone
• Avoid subcuticular suture
• Use the smallest inert braided suture material
• Use of topical skin adhesives

Which of the following is recommended in needle arming?

• Needle grasped one-third to one-half of the distance from swaged end
• Needle grasped one-fourth from the point
• Needle held at the swaged area
• Needle held at its tip

Which of the following is correct with regards to placing the needle in the tissue?

• Take large bites of tissues with small needle
• Twist needle to bring the point out through the tissue
• Use the needle to bridge or approximate tissues for suturing
• Withdraw the needle completely through the tissue before replacing it in the tissue

Which of the following basic suturing principles is recommended?

• Needle should enter at right angle to the tissue
• Distance of suture entry from wound edge should be longer in length compared to the depth of the wound
• Tip of needle should penetrate the skin 3-5 mm from wound edges
• Suture length to wound length (SL:WL) should be accomplished in big bites

Which of the following best describes the correct choice of suture?

• Simple interrupted suture contraindicated in infected wound
• Vertical mattress useful to achieve inversion
• Subcuticular suture placed perpendicular to the wound
• Continuous suture strength derived from evenly distributed tension along full suture length

Highest patient risk factor in wound complication

• Repeat C-section
• Presents with painless profuse bleeding
• Gestational Diabetes Mellitus
• Severe Preeclampsia

Highest incidence of wound complication

• Wound dehiscence
• Surgical Site Infection
• Incisional hernia
• Sepsis

Country with the highest CS rate

• Philippines
• Sudan
• USA
• Japan