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MCQ Discussion Sutures

This document discusses principles of sutures and wound management. It addresses topics like appropriate suture materials, techniques for wound closure, post-operative care, and contraindications for suturing. It presents multiple choice questions regarding these topics, with answers provided at the end. Key points covered include that subcuticular sutures have a better cosmetic outcome than intermittent suturing, absorbable sutures can be used for tendon repairs, and Staphylococcus aureus is the most common organism that causes wound infections.

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Hasini Samarasinghe
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973 views

MCQ Discussion Sutures

This document discusses principles of sutures and wound management. It addresses topics like appropriate suture materials, techniques for wound closure, post-operative care, and contraindications for suturing. It presents multiple choice questions regarding these topics, with answers provided at the end. Key points covered include that subcuticular sutures have a better cosmetic outcome than intermittent suturing, absorbable sutures can be used for tendon repairs, and Staphylococcus aureus is the most common organism that causes wound infections.

Uploaded by

Hasini Samarasinghe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MCQ Discussion

Principles of Surgery: Sutures

1) Principles of Sutures
a. Subcuticular sutures have a better cosmetic outcome than intermittent
suturing
b. Skin stapling has better cosmetic outcome than skin suturing
c. Cyano accrelate glue is an option for tissue approximation
d. Steri Strips cannot be used for large wounds
e. Disinfection is adequate for suturing equipment before use
2) Contraindications for primary wound suturing
a. Wounds with compound fractures
b. Presentation more than 12 hours since trauma
c. Dog bites
d. Wounds with underline tendon cuts
e. Abscess
3) Regarding post operative wound management
a. Thyroidectomy sutures can be removed on post operative day three
b. Laparotomy sutures can be removed on post operative day five
c. Abdominal drain with 100cc drainage should not be removed
d. Post operative day 2 fever is commonly due to surgical site infection
e. Tightly applied sutures following laparotomy may cause burst abdomen
4) Regarding suture materials
a. Synthetic material are cosmetically better for skin suturing
b. Absorbable sutures can be used for tendon repairs
c. Poly propylene is a synthetic absorbable suture material
d. Surgical steel used for sternotomy should be removed within three
years
e. Black silk is commonly used for suturing the face
5) Closure of wounds
a. Dog ears should be left alone when suturing wound edges
b. Wound edges should be inverted
c. Non toothed forceps are preferable to hold skin while suturing
d. Cuts should be sutured starting from a corner
e. Suture ends should be buried under skin when proline is used
6) T/F
a. staph. aureus is the commonest organism that causes wound infection
b. Irradiation delays wound healing
c. Hypertonic saline is used for slough removal
d. Calcium alginate is used for oozing wounds
e. Acetic acid is used in suspected pseudomonas infection
Answers
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2. F T T F T
3. T F T F T
4. T F F F T
5. F F F F F
6. T TTTTT

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