CFA CFA Wound Closure & Dressing Techniques

Question 1

What is the first layer closed during abdominal wound closure?

Accepted Answer

Peritoneum

Answer

The peritoneum is the innermost layer and is closed first, followed by fascia, subcutaneous tissue, and then skin.

Question 2

Which suture material is most appropriate for peritoneal closure?

Accepted Answer

Polyglycolic acid (Vicryl)

Answer

Absorbable synthetic sutures such as polyglycolic acid (Vicryl) are preferred for peritoneal closure because the peritoneum heals quickly and does not require permanent suture.

Question 3

Which closure technique places sutures beneath the skin surface to minimize visible scarring?

Accepted Answer

Subcuticular closure

Answer

Subcuticular (intradermal) closure buries the suture line under the epidermis, producing minimal visible scarring.

Question 4

What stapling device is used specifically for skin closure?

Accepted Answer

Skin stapler

Answer

Skin staplers use stainless steel staples to quickly and uniformly approximate wound edges at the skin level.

Question 5

What is the primary purpose of retention (stay) sutures?

Accepted Answer

Provide additional support for high-tension wounds

Answer

Retention sutures reinforce the primary closure and prevent dehiscence in high-risk patients such as those who are obese or malnourished.

CFA Practice Test

CFA Practice Test

CFA CFA Wound Closure & Dressing Techniques