Derm

Question 1

The layer of the skin that provides strength, support and oxygen and contains nerve endings and blood vessels

Answer 1

Dermis

Question 2

Would stage that involves just the epidermis, no loss of skin layers

Answer 2

Stage I

Question 3

Wound stage that may involve draining from the wound, pain, edema and erythema and may be prone to infection due to loss of barrier function

Answer 3

Stage II

Question 4

Would stages that cannot be treated by self-care

Answer 4

Sages III and IV

Question 5

Part of the wound healing process that is the body’s immediate response to injury and lasts 3-4 days

Answer 5

Inflammatory

Question 6

Part of the wound healing process that lasts from 3 days out to 3 weeks

Answer 6

Proliferative

Question 7

Part of the wound healing process that begins around 3 weeks and peaks at 60 days after the injury

Answer 7

Maturation/remodeling

Question 8

Preferred irrigant for wounds that cleans the wound surface by removing dirt and debris

Answer 8

Sterile saline 0.9%

Question 9

Minimum age for phenol-containing antiseptics

Answer 9

2 y/o

Question 10

Antiseptic that can be used on the actual wound (all others should not be)

Answer 10

hydrogen peroxide

Question 11

Topical peptide bacteriocidal (kills) antibiotic against gram positive organisms

Answer 11

Bacitracin

Question 12

Topical aminoglycoside bacteriostatic (inhibits synthesis) antibiotic against gram neg. organisms and some species of staphylcoccus

Answer 12

Neomycin

Question 13

Polypeptide bacteriocidal (kills) antibiotic against gram positive organisms

Answer 13

Polymixin B sulfate

Question 14

Topical antibiotic preparation that is best for minor burns and wounds in which the skin is intact

Answer 14

Ointments

Question 15

Topical antibiotic preparations that are best for broken skin

Answer 15

Creams and emulsions

Question 16

Topical antibiotic preparations that are best when burn or wound area is large

Answer 16

Lotions

Question 17

Minimum age for Neosporin + pain relief ointment and cream that contain pramoxine (local anesthetic)

Answer 17

2 y/o

Question 18

When Td is needed if contaminated wound and 3 or more doses as a child

Answer 18

> 5 years ago

Question 19

When in every pregnancy that Td is needed

Answer 19

3rd trimester

Question 20

Time at which wound should be referred if no signs of healing

Answer 20

7 days

Question 21

Active ingredient in liquid adhesives

Answer 21

8-hydroxy-quinoline

Question 22

Best dressing for wounds with sig. exudate (wet wounds) that are early in the inflammation process

Answer 22

Alginates

Question 23

Length of time alginates can be left in wound

Answer 23

7 days

Question 24

Product that alginates are made from

Answer 24

Seaweed

Question 25

Type of specialty dressing that is preferred for dry wounds that are covered with dead tissue and needed to be rehydrated, typically in the transition from the inflammatory to the proliferative phase

Answer 25

Hydrogels

Question 26

Type of specialty dressing that maintains moisture and is best for wounds as healing moves to the proliferative phase, with the formation of new connective tissue

Answer 26

Hydrocolloids

Question 27

Ingrediants to make NS

Answer 27

1 gallon of water and 8 teaspoons of table salt

Question 28

General recommendation for when to change dressing

Answer 28

Every 3-5 days (generally only change if dirty or not intact)

Question 29

Types of burns that have OTC products available with evidence to their effectiveness

Answer 29

Hypertrophic and keloid scars

Question 30

Scars that stay within the boundary of the original wound

Answer 30

Hypertrophic scars

Question 31

Scars that grow outside the boundary of the original wound

Answer 31

Keloid scars

Question 32

How often to change silicone gel and duration of use

Answer 32

wear for 12-24 hours for 2-3 months, wash sheet and reapply daily, each sheet can be used for ~4 days

Question 33

Popular product that claims to be softer, smoother and less noticeable but does not actually reduce the visibility of scars

Answer 33

Mederma

Question 34

Main ingredient in Mederma

Answer 34

Allium cepa (onion) bulb extract

Question 35

2 causes of burns that should always be refered

Answer 35

Electrical and chemical

Question 36

Areas of the body that are 4.5% SA

Answer 36

Face or back of head | Front of arm or back of arm

Question 37

Areas of the body that are 9% SA

Answer 37

Front or back of leg

Question 38

Areas of the body that are 18% SA

Answer 38

Front of torso or back of torso

Question 39

The outermost layer of the skin that is avascular and has a barrier function

Answer 39

Epidermis