Leg Ulcers

Question 1

What type of leg ulcers are the majority of leg ulcers?

Answer 1

Venous

Question 2

What type of pain is associated with venous ulcers?

Answer 2

Neuropathic pain

Question 3

Is ulcer on foot more likely to be venous or arterial?

Answer 3

Arterial

Question 4

Which type of ulcer (arterial/venous) is more superficial?

Answer 4

Venous

Question 5

Which type of ulcer (arterial/venous) is more deep?

Answer 5

Arterial

Question 6

What does ABPI measure?

Answer 6

Ankle/brachial pressure index:

Ratio between ankle and brachial systolic

Question 7

What ABPI ratio is considered normal?

Answer 7

0.8 - 1.3

Question 8

What does an ABPI of

Answer 8

Vascular disease

Question 9

What does an ABPI of > 1.5 suggest?

Answer 9

Calcification

Question 10

When would you would swab a leg ulcer?

Answer 10

ONLY if there’s signs of infection

Increasingly painful/ exudative/ smelly/ enlarging

Question 11

Why is it so important to manage the patient’s pain in treating a leg ulcer?

Answer 11

If pain not controlled, patient won’t tolerate compression

Question 12

How many layers of compression bandaging are there for leg ulcers?

Answer 12

4

Question 13

Name 2 de-sloughing agents:

Answer 13

Hydrogel

Honey

Question 14

What shape is 4 layer bandage padded to on leg?

Answer 14

Cone shape

Question 15

Within how many weeks do we aim to heal leg ulcers by?

Answer 15

12 weeks

Question 16

What does “SIGN 120” say?

Answer 16

“All patients with chronic venous leg ulcer should have an ABPI performed prior to treatment”
“Measurement of ABPI should be performed by appropriately trained practitioners who should endeavour to maintain their skills”
“Compression should only be applied by staff with appropriate training”

Question 17

Why is it so important to apply compression correctly, by a trained nurse?

Answer 17

Due tot the risk of compression damage

Question 18

Treatment for venous eczema:

Answer 18

Topical steroids, compression

Question 19

Which type of ulcers (arterial or venous) tend to have a shallow edge?

Answer 19

Venous ulcers

Question 20

Which type of ulcers (arterial or venous) tend to be more “punched out”?

Answer 20

Arterial ulcers

Question 21

What type of ulcer (arterial or venous) is more likely to be found around the malleolus?

Answer 21

Venous

Question 22

What type of ulcer (arterial or venous) is more likely to be found around the toes?

Answer 22

Arterial

Question 23

How does one treat a BCC usually?

Answer 23

Excision

Question 24

Which ulcers normally develop around the malleoli

Answer 24

Venous ulcers

Question 25

Which ulcers often present on the feet, especially around pressure sites such as the heel?
(2)

Answer 25

Diabetic ulcers and Arterial ulcers

Question 26

What paste is used as a barrier cream?

What colour is it?

Answer 26

Zinc paste

White