1 Wound Evaluation

Question 1

what to do with amputated fingers or extremities

Answer 1

wrap with a moist, sterile protective dressing,
place in a waterproof bag,
then place in a container of ice water for preservation and consideration for future reattachment

Question 2

Foreign bodies are more common in these types of wounds

Answer 2

puncture wounds
with broken lass
from MVC

Question 3

major inorganic soil component responsible for promoting infection

Answer 3

Clay

Question 4

most common mechanism for traumatic wounds

Answer 4

blunt force

Question 5

TRUE or FALSE
there is no association between time from injury to wound closure and the development of infection

Answer 5

TRUE
there is no clearly defined relationship of time to closure to clinical infection

Question 6

lacerations over this area should be treated as though they are human bites

Answer 6

Metacarpophalangeal joints
(presumably occuring during a fight; clenched fist injury)

In terms of tendon injuries, this is extensor zone 5

Question 7

TRUE or FALSE
Glass is visible on plain radiographs

Answer 7

TRUE
as wells as the following:
- bone, teeth
- pencil graphite
- certain plastics
- gravel and sand
- some painted wood

Question 8

Ultrasound may be used, particularly for wooden foreign bodies, although the sensitivity of US is inadequate to reliably exclude small wood fragments that are less than ________

Answer 8

<2.5 mm

Question 9

body part wound with highest risk of infection after ED closure

Answer 9

lower extremity (7%)

Question 10

body part wound with lowest risk of infection after ED closure

Answer 10

head and neck (1-2%),

upper extremity (4%), lower extremity (7%)

Question 11

the most important determinant of cosmetic outcome under control of the treating physician is

Answer 11

meticulous wound repair with approximation of viable wound edges under little tension