NORCET 2 -2021 (Shift-2)
Medical Surgical Nursing
Easy
Which is the example of Monofilament suture
Appeared in: NORCET 2 -2021 (Shift-2)
Explanation
- Polydioxanone (PDS) is a synthetic, absorbable suture material constructed as a single strand, which defines it as a monofilament suture.
- Monofilament sutures have a smooth surface that passes through tissue with minimal friction and trauma.
- A key advantage of their single-strand structure is the lack of crevices (interstices), which reduces the risk of harboring bacteria and causing surgical site infections.
Why Other Options Were Wrong
- Option A: Silk is a natural, braided suture, making it a multifilament, not a monofilament. Its braided structure can increase tissue reaction and risk of infection.
- Option C: Polyglactin is a synthetic, braided (multifilament) suture. It is known for good handling but has the potential to harbor bacteria in its braids.
- Option D: Vicryl is the brand name for Polyglactin 910. Like Polyglactin, it is a braided, multifilament suture, not a monofilament.
Related Visual
- Visual 1: Diagram: A cross-sectional illustration comparing a single-strand monofilament suture with a braided multifilament suture, highlighting the smooth surface of the former and the crevices of the latter.
- Visual 2: Table: A chart classifying common suture materials (e.g., PDS, Vicryl, Silk, Prolene) based on their structure (monofilament/multifilament), material (natural/synthetic), and absorption properties (absorbable/non-absorbable).
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of surgical sutures by structure (monofilament vs. multifilament) as background academic context rather than a clinical decision trigger.
- Nurses must understand suture types to anticipate wound healing characteristics and monitor for complications. A monofilament suture like Polydioxanone is often chosen for skin closure to achieve a better cosmetic outcome and lower infection risk.
- When caring for a patient post-operatively, knowing a multifilament suture was used might prompt closer monitoring for signs of infection, as these sutures have a higher capillarity and can wick bacteria into the wound.
- What if? If a surgeon needed to close a deep fascial layer under high tension, they might choose a braided multifilament suture (like Vicryl) over a monofilament one because multifilament sutures generally offer better knot security and are less prone to breaking if nicked.
How to Approach the Question
- Identify the key term in the question: 'Monofilament suture'.
- Define 'monofilament' in your mind: a suture made of a single, smooth strand.
- Mentally contrast this with 'multifilament', which consists of multiple smaller strands braided or twisted together.
- Evaluate each option against the definition. Recall that Silk and Vicryl (Polyglactin) are classic examples of braided, multifilament sutures.
- This process of elimination strongly suggests Polydioxanone is the correct answer.
- Confirm the choice by recalling that Polydioxanone (PDS) is a well-known monofilament suture used in surgery.
Concept Tested & Keywords
- Concept Tested: Classification of surgical sutures by structure (monofilament vs. multifilament).
- Stem keywords: Monofilament suture, example
- Lead-in keywords: Which is
Question ID
QPhFGhpmOB-sili_tBxYel
Practise the full NORCET 2 -2021 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Peri-operative Nursing Questions
- A patient planned for surgery advised to remove Jewellery because:
- A surgeon is going to give a skin incision on patient. Which of the following is to be done?
- How many items are included in the WHO surgical safety checklist: SITOSO?
- Which position is given to a client by nursing officer, who has been brought from OT after craniotomy surgery?
- A patient returning from abdominal surgery abdominal binder is applied. What is the purpose of abdominal binder?
- What is the responsibility of scrubs nurses in OT?
- A female patient has a laparoscopic cholecystectomy this morning she is now complaining of right shoulder pain. The nurse would explain to the patien…
- The suture shown in the image is:
- A patient has just returned from the post anesthesia care unit (PACU) after hemorrhoidectomy. His postoperative orders include sitz bath every mornin…
- The priority nursing intervention for a patient during the immediate post-operative period is?
More NORCET 2 -2021 (Shift-2) Questions
- Preferred route of tranexamic acid drug administration is?
- Parts of the fallopian tube, except?
- After thyroidectomy the patient complains for hoarseness of voice that occurs due to injury in?
- Highest source of vitamin-C?
- After the RTA, a patient was brought to the emergency department. After Massive blood transfusion, which electrolyte imbalance occurs in the patient?
- A patient suffering from shock is receiving normal saline (NS). What is the normal osmolarity of Na\ in NS?
- A patient is unconscious nurse is going to take the sterile urine sample for culture from the urinary catheter. What technique is to be used by the n…
- Covid face shield is sterilized by?
- Which reflex should check when death of the brain stem occurs, except?
- Which is an example of a tocolytic agent?