Which is the example of Monofilament suture & x20;

NORCET 2 -2021 (Shift-2)

Medical & Surgical Nursing

Easy

Which is the example of Monofilament suture

Appeared in: NORCET 2 -2021 (Shift-2)

Polydioxanone (PDS) is a synthetic, absorbable suture composed of a single filament.
Monofilament sutures like PDS pass smoothly through tissues, minimizing trauma and reducing the risk of bacterial colonization compared to braided sutures.
Its single-strand structure is the defining characteristic of a monofilament suture, making it the correct example among the choices.

Option A: Silk is a natural, multifilament (braided) suture, not a monofilament.
Option C: Polyglactin is a synthetic, multifilament (braided) suture.
Option D: Vicryl is the trade name for Polyglactin 910, which is a multifilament (braided) suture.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of surgical sutures (Monofilament vs. Multifilament) as background academic context rather than a clinical decision trigger.
Choosing between monofilament and multifilament sutures is a critical surgical decision based on tissue type, risk of infection, and desired handling properties. Monofilaments are often preferred in cosmetic surgery or potentially contaminated wounds.
A nurse's role includes monitoring the wound for signs of infection or suture reaction, which can be influenced by the suture type used.
What if? If the surgery was in a highly mobile area requiring excellent knot security, a surgeon might choose a multifilament suture like Vicryl despite its higher infection risk, and the nurse would need to be extra vigilant about wound care.

How to Approach the Question

First, identify the core concept of the question, which is the classification of surgical sutures.
The keyword is 'Monofilament'. Recall the definition: a suture made of a single, solid strand of material.
Evaluate each option against this definition.
Silk is a classic braided (multifilament) suture.
Polyglactin and its brand name Vicryl are also well-known braided (multifilament) sutures.
By elimination and direct knowledge, Polydioxanone (PDS) is identified as a monofilament suture.

Concept Tested & Keywords

Concept Tested: Classification of surgical sutures (Monofilament vs. Multifilament)
Stem keywords: Monofilament suture, example
Lead-in keywords: Which is
Negative lead-in flag: false

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E6 Gynecology Williams p. 430-440

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 81-83

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.