CSFA CSFA Hemostasis and Wound Closure 3

Question 1

A retention (tension) suture is placed to prevent wound dehiscence primarily in which type of patient?

Accepted Answer

Patients with compromised wound healing such as obese, malnourished, or immunosuppressed patients

Answer

Pediatric patients under 10 years

Answer

Patients undergoing laparoscopic surgery

Answer

ASA I patients having elective procedures

Question 2

What is the purpose of applying a bolster or bumper over a tie-over dressing in skin graft surgery?

Accepted Answer

To immobilize the graft against the recipient bed, preventing hematoma and shear that disrupts neovascularization

Answer

To keep the graft visible for monitoring

Answer

To apply topical antibiotics continuously

Answer

To promote early ambulation

Question 3

Which clamp is most commonly used to temporarily occlude a vessel for hemostasis during vascular anastomosis?

Accepted Answer

Bulldog clamp

Answer

Kocher clamp

Answer

Allis clamp

Answer

Babcock clamp

Question 4

When tying a surgeon's knot, how does the first throw differ from a standard square knot?

Accepted Answer

The first throw wraps twice around the needle holder (double throw) for added friction to prevent slipping

Answer

The first throw uses a single loop only

Answer

The first throw passes the suture through the tissue twice

Answer

The first throw is made with the non-dominant hand only

Question 5

Which hemostatic clamp is used to control bleeding from medium-to-large vessels and has transverse serrations along its full jaw length?

Accepted Answer

Rochester-Pean clamp

Answer

Mosquito hemostat

Answer

Kelly clamp

Answer

Crile clamp

Question 6

Subcuticular (intradermal) closure technique is chosen primarily because it:

Accepted Answer

Eliminates suture tracks, producing a more cosmetically acceptable scar

Answer

Is faster than staple closure

Answer

Requires no suture removal

Answer

Is best for contaminated wounds