Leg ulcer Flashcards
what is the difference between anti embolism and compression stockings
a) none
b) anti-embolic stocking offer less pressure
c) anti-embolic stockings are better for ambulatory patients
d) ant-embolic stockings offer more pressure
b) anti-embolic stocking offer less pressure
what is the relevance of La Place’s law in compression bandaging
a) used to determine bandage stretch
b) used to determine bandage width
c) used to determine bandage layers
d) used to calculate sub bandage pressure
d) used to calculate sub bandage pressure
What is ankle flare?
a) distention of the large veins in the leg
b) inflammation of the ankle
c) general swelling of the ankle
d) distention of small veins on the medial aspect of foot below the mallelous
d) distention of small veins on the medial aspect of foot below the mallelous
which is the most commonly identified lower leg ulcer
a) mixed aetiology leg ulcer
b) neuro-ischemic leg ulcer
c) arterial ulcer
d) venous ulcer
d) venous ulcer
a patient with a non healing wound constantly wakes at night with pain in the lower extermity. The pain is relieved by hanging their leg over the side of the bed or walking around, what is the most likely cause of the ulcer
a) venous atetiogy
b) mixed atetiogy
c) arterial atetiogy
d) neuropathic atetiogy
c) arterial atetiogy
prior to applying compression therapy to a suspected lower extremity venous ulcer wound practitioners need to
a) x ray the lower limb
b) assess the blood supply
c) biopsy the wound bed
d) remove any slough
b) assess the blood supply
when the individual, their environment and wound are not compromised, the most appropriate method for the individual to wash their chronic leg wound is by
a) leaving the dressing in tact without cleansing
b) using an antiseptic solution
c) Using a pH neutral skin cleanser and water
d) Use soap and water
c) Using a pH neutral skin cleanser and water
The most effective treatment of venous leg ulcers with no arterial involvement is to
a) apply high grade compression 30 -40 mm Hg
b) refer patients to a vascular surgeon
c) apply low grade compression bandages 10 - 15 mm Hg
d) order compression bandages
a) apply high grade compression 30 -40 mm Hg
what is not a sign or arterial insufficiency
a) an APBI of between 0.9 - 1.2
b) lower extremity pain when legs are elevated
c) pallor on elevation
d) APBI of
a) an APBI of between 0.9 - 1.2
3 risk factors for venous ulceration
a) varicose veins
b) history of DVT
c) Atherosclerosis
d) reduced blood supply
e) poor calf muscle function
a) varicose veins
b) history of DVT
e) poor calf muscle function
which of the 4 following would suggest adverse outcomes of lower leg compression therapy
a) observable changes in colour of the toes or nail beds
b) temperature changes altered compared to other non compressed limb
c) reduction of pain to the ulcer
d) decreasing oedema
e) altered sensation the the other limb
f) decreased exudate
g) increased or new pain to the lower leg
a) observable changes in colour of the toes or nail beds
b) temperature changes altered compared to other non compressed limb
e) altered sensation the the other limb
g) increased or new pain to the lower leg
compression therapy is contraindicated without a vascular surgeons permission when there is
a) evidence of bacterial colonisation of the wound
b) evidence of arterial disease
c) evidence of lower leg oedema
d) evidence of lipodermatosclerosis
e) evidence of patient inactivity
b) evidence of arterial disease
Lymphodeama is the result of fluid collecting in
a) intervascular
b) peri vascular
c) intracelluar
d) interstitial
e) intravascular
d) interstitial
Lymphoedema patients usually experience
a) a feeling of heaviness in the lower extremitties
b) sharp burning pain in the lower extremities
c) claudication on ambulating
d) rest pain on elevation
a) a feeling of heaviness in the lower extremitties
discoloration of the skin of the lower extremity from the release of haemoglobin is called
a) lipodermasclerosis
b) chronic venous insufficiency
c) haemosiderosis
d) atherosclerosis
c) haemosiderosis
