CRQ Wounds Flashcards

1
Q

One of the most important factors influencing wound healing is

A) nutrition of the patient

B) type of antibiotics

C) operative technique

D) housekeeping

A

C) operative technique

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2
Q

A severe allergic reaction possibly resulting in death is called

A) arthus reaction

B) hypersensibilty

C) anaphylactic shock

D) autoimmune disease

A

C) anaphylactic shock

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3
Q

The burn classification that is characterized by a dry, pearly white, or charred- appearing surface is

A) first

B) second

C) third

D) fourth

A

C) third

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4
Q

Clean cut wounds are classified as

A) lacerated

B) contused

C) incised

D) disrupted

A

C) incised

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5
Q

Inflammation is characterized by pain, redness,heat,swelling, and loss of function. The redness can be attributed to

A) serum brought into the area

B) constriction of capillaries

C) vasodilation bringing more blood to the area

D) heat from metabolic reaction

A

C) vasodilation bringing more blood to the area

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6
Q

Removal of contaminated debris from a wound is called

A) decontamination

B) debridement

C) dehiscence

D) desiccation

A

B) debridement

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7
Q

The space casued by the seperation of wound edges is called

A) lag phase

B) eviseration

C) fibrous scarring

D) dead space

A

D) dead space

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8
Q

If tissue is approximated too tightly, it can cause

A) ischemia

B) excessive scar tissue

C) keloids

D) adhesions

A

A) ischemia

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9
Q

Tensile strength of a wound refers to

A) the suture strength

B) ability of tissue to resist rupture

C) wound contraction

D) tissue approximation

A

B) ability of tissue to resist rupture

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10
Q

The substance that unites with thrombin to form fibrin, the basic structural material of blood clots, is

A) fibrinogen

B) prothrombin

C) fibrin

D) thrombin

A

A) fibrinogen

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11
Q

A cicatrix is

A) an abcess

B) a scar

C) pus

D) a wound

A

B) a scar

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12
Q

Keloids are

A) a form of abcess

B) an adhered serous membrane

C) a raised, thickened scar

D) a benign tumor

A

C) a raised, thickened scar

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13
Q

A wound that is infected or one in which there is excessive loss of tissue heals by

A) primary intention

B) secondary intention

C) third intention

D) fourth intention

A

B) secondary intention

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14
Q

Following a contaminated traumatic injury, the patient must be preventatively treated for

A) hepatitis

B) gas gangrene

C) tetanus bacillus

D) bacterenia

A

C) tetanus bacillus

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15
Q

The type of wound healing that requires debridement is

A) first

B) second

C) third

D) fourth

A

C) third

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16
Q

To promote healing, a surgical wound must have all of the following requisites EXCEPT

A) suture closure of dead space

B) drains to remove fluid or air

C) a moderately tight dressing

D) tight sutures to create tension

A

D) tight sutures to create tension

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17
Q

Wound healing that employs a technique allowing the wound to heal from the bottom up is called

A) interrupted intention

B) first intention

C) second intention

D) third intention

A

C) second intention

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18
Q

A diffuse, inflammatory process characterized by pain, redness, and swelling is termed

A) abscess

B) cellulitis

C) necrosis

D) phagocytosis

A

B) cellulitis

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19
Q

A band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called

A) keloid

B) adhesion

C) cicatrix

D) dehiscence

A

B) adhesion

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20
Q

In which burn classification are the skin and subcutaneous tissue destroyed?

A) first

B) second

C) thrid

D) fourth

A

C) thrid

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21
Q

A band of scar tissue that binds together two anatomical surfaces that are normally separate from each other is called

A) keloid

B) adhesion

C) cicatrix

D) dehiscence

A

B) adhesion

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22
Q

The type of wound healing that requires debridement is

A) first

B) second

C) third

D) fourth

A

C) third

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23
Q

Removal of nonviable tissue from a nonhealing or traumatic wound is known as

A) debridement

B) undermining

C) grafting

D) Mohs surgery

A

A) debridement

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24
Q

A graft made up of tissue taken from one species and grafted to another species is

A) homograft

B) autograft

C) xenograft

D) allograft

A

C) xenograft

25
Q

A graft transferred from one individual to another is

A) hemograft

B) porcine

C) autograft

D) allograft

A

D) allograft

26
Q

The most common type of skin cancer is

A) basal cell

B) melanoma

C) squamous cell

D) nevi

A

A) basal cell

27
Q

The skin provides which of the following vital functions:

A) protects underlying tissues and organs

B) excretes organic waste and stores nutrients

C) excretes water and dissipates heat as a means of thermoregulation

D) All of the Above

A

D) All of the Above

28
Q

A graft derived from pig tissue

A) feline

B) bovine

C) porcine

D) allograft

A

C) porcine

29
Q

Burned tissue that is nonelastic and may constrict underlying structures is

A) eschar

B) split thickness skin graft

C) keloid

D) None of the above

A

A) eschar

30
Q

A scar that is hypertrophic and bulbous and usually does not reduce over time is

A) papilloma

B) keloid

C) eschar

D) nevis

A

B) keloid

31
Q

The most widely used methods of scar revision next to scar removal is

A) chemical peel

B) sanding

C) Z-plasty

D) planing

A

C) Z-plasty

32
Q

A graft containing epidermis and only a pertion of the dermis is called a

A) split-thickness graft

B) full-thickness Wolfe graft

C) composite graft

D) full-thickness pinch graft

A

A) split-thickness graft

33
Q

All of the following statements regarding the preparation for a skin graft are true EXCEPT

A) the dermatome is placed on the recipient table

B) the donor site is prepared with a colorless antiseptic agent

C) separate setups are necessary for skin preparation of recipient and donor sites

D) items used in preparation of the recipient site must be permitted to contaminate the donor site

A

A) the dermatome is placed on the recipient table

34
Q

In order to reduce friction between the skin and the blade of the dermatome, the site is prepped with

A) methylene blue

B) betatine

C) chloraprep

D) mineral oil

A

D) mineral oil

35
Q

All of the following drains are considered active postoperative drains that attached to an external force EXCEPT

A) sump

B) chest

C) Penrose

D) Hemovac

A

C) Penrose

36
Q

The postoperative complication attributed to glove powder entering a wound is

A) granulomata

B) infection

C) inflammation

D) keloid formation

A

A) granulomata

37
Q

A closed-wound suction system works by

A) possitive pressure

B) negative pressure vacuum

C) air displacement

D) constant gravity drainage

A

B) negative pressure vacuum

38
Q

When viscera has protruded outside of the body, this condition is called

A) dehiscence

B) evisceration

C) ischemia

D) fistula

A

B) evisceration

39
Q

Amputated extremities are

A) sent to the pathology laboratory as are other specimens

B) preserved in formaldehyde

C) wrapped and refridgerated in the morgue

D) placed in a dry container

A

C) wrapped and refridgerated in the morgue

40
Q

A surgical wound that is sutured together heals by

A) granulation

B) primary intention

C) inflammatory means

D) second intention

A

B) primary intention

41
Q

Which classification of wound healing is involved with perforated bowel?

A) Secondary intention

B) Primary intention

C) Third intention

D) Fourth intention

A

C) Third intention

42
Q

Which wound is assigned to tissue healing by granulation?

A) Secondary intention

B) Third intention

C) Fourth intention

D) Inflammatory intention

A

A) Secondary intention

43
Q

Which type of wound healing requires debridement and continuous irrigation?

A) Primary

B) Secondary

C) third

D) Fourth

A

C) third

44
Q

What will be the correct order of wound healing process: (1) remodeling, (2) proliferation, and(3) inflammatory?

A) 1.2.3

B) 2,3,1

C) 3,2,1

D) 2,1,3

A

C) 3,2,1

45
Q

Which of the following is associated with secondary intention wound healing?

A) Wound that is sutured together

B) Infected contaminated wound

C) Wound space that is packed

D) Wound that is not sutured

A

D) Wound that is not sutured

46
Q

During which phase of healing is a scab formed?

A) inflammatory

B) Proliferation

C) Remodeling

D) Primary

A

A) inflammatory

47
Q

Conditions that affect wound healing include

A) surgical technique

B) obesity

C) age

D) All of the above

A

D) All of the above

48
Q

A sunburn is classified as a

A) second degree burn

B) first degree burn

C) third degree burn

D) Not classified

A

B) first degree burn

49
Q

Which of the following burns cause destruction of the entire thickness of skin?

A) First degree

B) Second degree

C) third degree

D) fourth degree

A

C) third degree

50
Q

Which burn classification is characterized by dry white skin and generally have little pain associated with this burn?

A) First degree

B) Second degree

C) third degree

D) Fourth degree

A

C) third degree

51
Q

Another name for a scar is

A) fibrin

B) keloid

C) hydrocolloid

D) infection

A

B) keloid

52
Q

Which body fluid is least likely to transmit HIV?

A) Blood

B) Semen

C) Saliva

D) Spinal fluid

A

C) Saliva

53
Q

What is the classification of a wound that is indicated by a delayed closure?

A) Primary intention

B) Secondary intention

C) Third intention

D) Fourth Intention

A

B) Secondary intention

54
Q

Complications of wound closure when the organs protrude through the edges of the wound is

A) adhesions

B) dehiscence

C) evisceration

D) hemorrhage

A

C) evisceration

55
Q

Arrange the three phases of wound healing in the correct order: 1:Proliferation
2: Inflammatory 3: Remodeling

A) 1,2,3

B) 3,2,1

C) 2,3,1

D) 2,1,3

A

D) 2,1,3

56
Q

Tissue breakdown at the wound margin is

A) adhesion

B) hematoma

C) debridement

D) dehiscence

A

D) dehiscence

57
Q

Wound complications include

A) hematoma

B) seroma

C) evisceration

D) all of the above

A

D) all of the above

58
Q

A wound is described as_________when there is a collection of pus around the incision.

A) hematoma

B) suppurative

C) granulation

D) dehiscence

A

B) suppurative