CRQ Wounds Flashcards
One of the most important factors influencing wound healing is
A) nutrition of the patient
B) type of antibiotics
C) operative technique
D) housekeeping
C) operative technique
A severe allergic reaction possibly resulting in death is called
A) arthus reaction
B) hypersensibilty
C) anaphylactic shock
D) autoimmune disease
C) anaphylactic shock
The burn classification that is characterized by a dry, pearly white, or charred- appearing surface is
A) first
B) second
C) third
D) fourth
C) third
Clean cut wounds are classified as
A) lacerated
B) contused
C) incised
D) disrupted
C) incised
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
C) vasodilation bringing more blood to the area
Removal of contaminated debris from a wound is called
A) decontamination
B) debridement
C) dehiscence
D) desiccation
B) debridement
The space casued by the seperation of wound edges is called
A) lag phase
B) eviseration
C) fibrous scarring
D) dead space
D) dead space
If tissue is approximated too tightly, it can cause
A) ischemia
B) excessive scar tissue
C) keloids
D) adhesions
A) ischemia
Tensile strength of a wound refers to
A) the suture strength
B) ability of tissue to resist rupture
C) wound contraction
D) tissue approximation
B) ability of tissue to resist rupture
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) fibrinogen
A cicatrix is
A) an abcess
B) a scar
C) pus
D) a wound
B) a scar
Keloids are
A) a form of abcess
B) an adhered serous membrane
C) a raised, thickened scar
D) a benign tumor
C) a raised, thickened scar
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
B) secondary intention
Following a contaminated traumatic injury, the patient must be preventatively treated for
A) hepatitis
B) gas gangrene
C) tetanus bacillus
D) bacterenia
C) tetanus bacillus
The type of wound healing that requires debridement is
A) first
B) second
C) third
D) fourth
C) third
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
D) tight sutures to create tension
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
C) second intention
A diffuse, inflammatory process characterized by pain, redness, and swelling is termed
A) abscess
B) cellulitis
C) necrosis
D) phagocytosis
B) cellulitis
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
B) adhesion
In which burn classification are the skin and subcutaneous tissue destroyed?
A) first
B) second
C) thrid
D) fourth
C) thrid
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
B) adhesion
The type of wound healing that requires debridement is
A) first
B) second
C) third
D) fourth
C) third
Removal of nonviable tissue from a nonhealing or traumatic wound is known as
A) debridement
B) undermining
C) grafting
D) Mohs surgery
A) debridement
A graft made up of tissue taken from one species and grafted to another species is
A) homograft
B) autograft
C) xenograft
D) allograft
C) xenograft
A graft transferred from one individual to another is
A) hemograft
B) porcine
C) autograft
D) allograft
D) allograft
The most common type of skin cancer is
A) basal cell
B) melanoma
C) squamous cell
D) nevi
A) basal cell
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
D) All of the Above
A graft derived from pig tissue
A) feline
B) bovine
C) porcine
D) allograft
C) porcine
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) eschar
A scar that is hypertrophic and bulbous and usually does not reduce over time is
A) papilloma
B) keloid
C) eschar
D) nevis
B) keloid
The most widely used methods of scar revision next to scar removal is
A) chemical peel
B) sanding
C) Z-plasty
D) planing
C) Z-plasty
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) split-thickness graft
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) the dermatome is placed on the recipient table
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
D) mineral oil
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
C) Penrose
The postoperative complication attributed to glove powder entering a wound is
A) granulomata
B) infection
C) inflammation
D) keloid formation
A) granulomata
A closed-wound suction system works by
A) possitive pressure
B) negative pressure vacuum
C) air displacement
D) constant gravity drainage
B) negative pressure vacuum
When viscera has protruded outside of the body, this condition is called
A) dehiscence
B) evisceration
C) ischemia
D) fistula
B) evisceration
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
C) wrapped and refridgerated in the morgue
A surgical wound that is sutured together heals by
A) granulation
B) primary intention
C) inflammatory means
D) second intention
B) primary intention
Which classification of wound healing is involved with perforated bowel?
A) Secondary intention
B) Primary intention
C) Third intention
D) Fourth intention
C) Third intention
Which wound is assigned to tissue healing by granulation?
A) Secondary intention
B) Third intention
C) Fourth intention
D) Inflammatory intention
A) Secondary intention
Which type of wound healing requires debridement and continuous irrigation?
A) Primary
B) Secondary
C) third
D) Fourth
C) third
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
C) 3,2,1
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
D) Wound that is not sutured
During which phase of healing is a scab formed?
A) inflammatory
B) Proliferation
C) Remodeling
D) Primary
A) inflammatory
Conditions that affect wound healing include
A) surgical technique
B) obesity
C) age
D) All of the above
D) All of the above
A sunburn is classified as a
A) second degree burn
B) first degree burn
C) third degree burn
D) Not classified
B) first degree burn
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
C) third degree
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
C) third degree
Another name for a scar is
A) fibrin
B) keloid
C) hydrocolloid
D) infection
B) keloid
Which body fluid is least likely to transmit HIV?
A) Blood
B) Semen
C) Saliva
D) Spinal fluid
C) Saliva
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
B) Secondary intention
Complications of wound closure when the organs protrude through the edges of the wound is
A) adhesions
B) dehiscence
C) evisceration
D) hemorrhage
C) evisceration
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
D) 2,1,3
Tissue breakdown at the wound margin is
A) adhesion
B) hematoma
C) debridement
D) dehiscence
D) dehiscence
Wound complications include
A) hematoma
B) seroma
C) evisceration
D) all of the above
D) all of the above
A wound is described as_________when there is a collection of pus around the incision.
A) hematoma
B) suppurative
C) granulation
D) dehiscence
B) suppurative
