Leg ulcers

Question 1

Define chronic leg ulcer

Answer 1

Open lesion between knee and ankle that remains unhealed for at least 4 weeks

Question 2

Most common type of leg ulcer

Answer 2

Venous ulcer

Question 3

Describe a rheumatoid ulcer

Answer 3

Punched out with multiple tendons exposed

Question 4

Normal range for ABI

Answer 4

0.8-1.3

Question 5

When to take a swab of an ulcer

Answer 5

If increasingly painful, exudative or enlarging

Question 6

What does an ABI of below 0.8 show

Answer 6

Vascular disease

Question 7

What does an ABI of over 1.5 show

Answer 7

Calcification of arteries

Question 8

Describe the different treatments for a leg ulcer

Answer 8

Control the pain
Non-adherent dressing
De-sloughing agents
Compression bandaging 
Leg elevation

Question 9

Give examples of de-sloughing agents

Answer 9

Hydroxyl/honey

Question 10

The colour of wound healing continuum

Answer 10

Black-yellow-red-pink

Question 11

Definition of ulcer

Answer 11

Partial or complete loss of dermis

Question 12

3 main types of ulcer

Answer 12

Venous
Arterial
Neuropathic

Question 13

What type of ulcer can be caused by malnutrition

Answer 13

Neuropathic ulcer (Vit B12 deficiency)

Question 14

What is the name for the venous insufficiency exam

Answer 14

Trendelenburg test

Question 15

If no improvement after treatment what are three diseases to consider

Answer 15

TB
Cancer
Dermatitis