Pressure Ulcer

Question 1

Any lesion caused by unrelieved
pressure usually over a bony
the prominence that results in damage to underlying tissue

Answer 1

Pressure Ulcer

Question 2

Stages of Pressure

Answer 2

Stage 1
Stage 2
Stage 3
Stage 4

Question 3

Only the epidermis is affected; non-blanching erythema

Answer 3

Stage 1

Question 4

Epidermis and Dermis are affected; Shallow opening; blisters

Answer 4

Stage 2

Question 5

Subcutaneous tissue is affected or fascia

Answer 5

Stage 3

Question 6

Fascia + bone, tendon, muscle, or cartilage affectation

Answer 6

Stage 4

Question 7

A pressure ulcer wherein the bottom of the sore cannot be seen

Answer 7

Unstageable

Question 8

It is when the surface of the skin looks like a stage 1 or 2 sore, but underneath it’s a stage 3 or 4.

Answer 8

Suspected Deep Tissue Injury (SDTI)

Question 9

Intact skin with non-blanchable erythema

Answer 9

Stage 1

Question 10

Extravasation of blood from ischemic leaky blood vessels

Answer 10

Stage 1

Question 11

Partial thickness skin loss involving the epidermis and/or dermis.

Answer 11

Stage 2

Question 12

Superficial ulcer and presents as an abrasion, blister, or shallow crater

Answer 12

Stage 2

Question 13

Full-thickness skin loss involving damage to, or necrosis of, subcutaneous that may extend down to, but not through underlying fascia.

Answer 13

Stage 3

Question 14

Presents clinically as a deep crater with or without undermining adjacent tissue.

Answer 14

Stage 3

Question 15

Full-thickness skin loss with extensive destruction,
tissue necrosis, or damage to muscle, bone, or
supporting structures

Answer 15

Stage 4

Question 16

Undermining and sinus tracts also may be associated
with this stage of pressure ulcers

Answer 16

Stage 4

Question 17

Appears at the medial aspect of the leg and caused by venous insufficiency

Answer 17

Venous Ulcer

Question 18

It presents with a beefy red color and is painless. Can be treated with compression.

Answer 18

Venous Ulcer

Question 19

Complete or partial arterial blockage may lead to tissue
necrosis and/or ulceration.

Answer 19

Arterial wounds

Question 20

Signs on the extremity with arterial wound

Answer 20

Pulselessness of the ex.
Painful ulceration
Small, punctuated ulcers
Cold skin
Delayed capillary return

Question 21

A tissue is transferred from one part of the body to another.

Answer 21

Autograft

Question 22

tissue transferred from genetically different individuals of the same species. It is skin from another human (possibly a cadaver) is
used.

Answer 22

Homograft/Allograft

Question 23

A graft transferred from an individual of one species to an individual of another species

Answer 23

Xenografts

Question 24

Most effective animal skin used for xenografts

Answer 24

Tilapia skin

Question 25

These are usually the result of blunt trauma or friction with other surfaces

Answer 25

Non-penetrating wounds

Question 26

Types of non-penetrating wounds

Answer 26

Abrasions Lacerations Contusions Concussions

Question 27

Scraping of the outer layer of the skin

Answer 27

Abrasion

Question 28

A tear-like wound

Answer 28

Laceration

Question 29

Swollen bruises due to accumulation of blood and dead cells under the skin

Answer 29

Contusions

Question 30

Damage to the underlying organs and tissue on the head with no significant external wound

Answer 30

Concussions

Question 31

These result from trauma that breaks through the full thickness of the skin; reaching down to the underlying tissue and organs

Answer 31

Penetrating wounds

Question 32

Trauma from sharp objects

Answer 32

Stab wounds

Question 33

Intentional cuts in the skin to perform surgical procedures

Answer 33

Surgical wounds

Question 34

Wounds resulting from firearms

Answer 34

Gunshot wounds

Question 35

Wounds caused by extreme temperature (ex: burn and frostbite)

Answer 35

Thermal wounds

Question 36

These result from contact with or inhalation of chemical materials that cause skin or lung damage

Answer 36

Chemical wounds

Question 37

Bites can be from humans, dogs, bats, rodents, snakes, scorpions, spiders, and tick

Answer 37

Bites and Stings

Question 38

These usually present with superficial burn-like or sting of high-like wounds secondary to the passage of voltage electrical currents through the body.

Answer 38

Electrical wounds