NBSTSA Wound Management & Surgical Complications

Question 1

A wound that is left open initially and then closed several days later after infection risk decreases is classified as:

Accepted Answer

Tertiary intention (delayed primary closure)

Answer

Primary intention healing

Answer

Secondary intention healing

Answer

Granulation healing

Question 2

Which complication is characterized by a loop of bowel protruding through an abdominal incision after surgery?

Accepted Answer

Evisceration

Answer

Hematoma

Answer

Seroma

Answer

Dehiscence

Question 3

When a surgical site infection (SSI) occurs within the skin and subcutaneous tissue only, it is classified as:

Accepted Answer

Superficial incisional SSI

Answer

Deep incisional SSI

Answer

Organ/space SSI

Answer

Remote SSI

Question 4

Which suture technique provides the strongest abdominal fascial closure?

Accepted Answer

Figure-of-eight suture

Answer

Simple interrupted

Answer

Continuous (running) closure

Answer

Subcuticular closure

Question 5

A patient's wound shows redness, warmth, swelling, and purulent drainage on postoperative day 4. The MOST likely diagnosis is:

Accepted Answer

Surgical site infection

Answer

Normal inflammatory response

Answer

Wound dehiscence

Answer

Seroma formation

Question 6

Which factor is the MOST significant risk for developing a postoperative surgical site infection?

Accepted Answer

Preoperative diabetes mellitus with poor glycemic control

Answer

Patient age over 50

Answer

Use of absorbable sutures

Answer

Female gender