Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Medical Surgical Nursing
Medium
The suture shown in the image is:
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- The image shows a dark-colored, single-strand (monofilament) suture.
- Nylon is a synthetic, non-absorbable, monofilament suture, which perfectly matches the visual evidence.
- It is commonly dyed black for better visibility during surgical procedures, especially for skin closure.
- Brand names for Nylon sutures include Ethilon and Monosof.
Why Other Options Were Wrong
- Option B: Plain catgut is a natural, absorbable suture that is typically yellowish-tan in color and has a twisted, not monofilament, structure.
- Option C: Prolene is a synthetic monofilament like nylon, but it is characteristically dyed blue. While it appears dark in a black-and-white image, nylon is the more common suture that is dyed black.
- Option D: Cotton is a natural, braided (multifilament) suture. The image clearly shows a smooth, single strand (monofilament), which rules out cotton.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of surgical suture materials based on visual characteristics as background academic context rather than a clinical decision trigger.
- Choosing the correct suture is critical for proper wound healing. A nurse must be able to identify suture types to monitor the wound correctly and provide appropriate patient education.
- Using a non-absorbable suture like nylon on the skin requires the patient to return for suture removal, a key point for patient discharge teaching.
- What if the wound was internal, such as on the small bowel? An absorbable suture like Vicryl or PDS would be used, as a non-absorbable suture like nylon could become a nidus for infection or obstruction.
How to Approach the Question
- First, carefully analyze the image provided. Identify the key physical characteristics of the suture: Is it a single strand (monofilament) or braided (multifilament)? Note its color and texture if discernible.
- The image shows a smooth, single strand, indicating it is a monofilament suture. This immediately helps eliminate options that are multifilament (e.g., Cotton, Silk).
- Next, consider the properties of the remaining options. The suture is dark.
- Evaluate the monofilament options: Nylon is commonly black, Prolene is blue, and Catgut is yellowish-tan.
- Based on the dark color and monofilament structure, Nylon is the most plausible identification among the choices.
- Confirm your choice by recalling the common uses. Nylon is very frequently used for skin closure, which is a common procedure depicted in general questions.
Concept Tested & Keywords
- Concept Tested: Identification of surgical suture materials based on visual characteristics.
- Stem keywords: suture, image
- Lead-in keywords: is
- Clinical cues: The image shows a dark, monofilament suture attached to a curved needle, which is a key visual cue for identification.
Question ID
Q0bdEV7FN5qOeIu13qWqKB
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 81-83
E6 Gynecology Williams p. 430-440
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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