CFA Wound Closure & Dressing Techniques Flashcards
6 cards from real CFA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CFA Wound Closure & Dressing Techniques flashcards as text
What is the first layer closed during abdominal wound closure?
Answer: Peritoneum
The peritoneum is the innermost layer and is closed first, followed by fascia, subcutaneous tissue, and then skin.
Which suture material is most appropriate for peritoneal closure?
Answer: Polyglycolic acid (Vicryl)
Absorbable synthetic sutures such as polyglycolic acid (Vicryl) are preferred for peritoneal closure because the peritoneum heals quickly and does not require permanent suture.
Which closure technique places sutures beneath the skin surface to minimize visible scarring?
Answer: Subcuticular closure
Subcuticular (intradermal) closure buries the suture line under the epidermis, producing minimal visible scarring.
What stapling device is used specifically for skin closure?
Answer: Skin stapler
Skin staplers use stainless steel staples to quickly and uniformly approximate wound edges at the skin level.
What is the primary purpose of retention (stay) sutures?
Answer: Provide additional support for high-tension wounds
Retention sutures reinforce the primary closure and prevent dehiscence in high-risk patients such as those who are obese or malnourished.
When should wound edge undermining be performed before closure?
Answer: When there is excessive tension on wound edges
Undermining releases skin tension and allows wound edges to be approximated without undue stress, reducing the risk of dehiscence.