Unit 1: Quiz #1-2 Flashcards by Alyssa Patino

Which of the following layers of the skin is avascularized?

Epidermis

Dermis

Subcutaneous

Subdermal

Epidermis

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Which of the following dermal cells fight infection?

Mast Cells

Macrophages

Fibroblasts

Keratinocytes

Macrophages

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The photograph below illustrates a wound of what depth?

look at #3 photo of bumps on knee

Superficial Partial-thickness

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Polymorphonuclear Neutrophils (PMN’s) serve what role during the inflammation phase of wound healing?

Promote collagen deposition

Induce new vascular growth

Form platelet plug to control bleeding

Kill bacteria and clean the wound bed

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Which phase of wound healing can last up to 1-2 years after tissue injury?

Remodeling

Inflammation

Proliferation

Angiogenesis

Remodeling

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Which of the following wound drainage is characterized by copious amounts of proteins resulting in a yellow color?

Purulent drainage

Exudate

Transudate

Serous drainage

Exudate

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Which of the following cells play a key role in re-epithelialization during the proliferative phase of wound healing?

Macrophages

PMN’s

Keratinocytes

MMP’s

Keratinocytes

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Which of the following wounds will result in a lack of sweating and less sensitivity to temperature and touch?

Superficial Burn

Full Thickness Burn

Partial Thickness Burn

Full Thickness Burn

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The photograph below illustrates which type of wound closure?

Photo on #9 : stitches

Primary closure

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Which of the following tissues describes the shiny white tissue exposed in the photograph of the dorsum of the foot below?

Photo #10

Tendon

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Which of the following pathways outline typical wound healing in the inflammation phase?

Vasoconstriction, platelet aggregation, fibrin plugging, vasodilation

Vasodilation, platelet aggregation, fibrin plugging, vasodilation

Vasoconstriction, platelet lysis, fibrin plugging, vasodilation

Vasodilation, platelet lysis, fibrin plugging, vasodilation

Vasoconstriction, platelet aggregation, fibrin plugging, vasodilation

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Which phase of wound healing is characterized by new tissue formation where the area of the tissue defect gets filled with healthy tissue?

Inflammation

Proliferation

Remodeling

Angiogenesis

Proliferation

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Which of the following wound beds will MOST likely result in the fastest re-epithelializatoin?

Photo #13

Photo of light beefy red

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Which shaped wound is MOST likely to heal the fastest?

Circular wound

Square wound

Linear wound

Irregularly shaped wound

Linear wound

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Which of the following options could delay wound healing?

Poor patient compliance

Smoking

Comorbidities

All of the choices

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Cathodal electrical stimulation in a wound bed results in which aspect of wound healing?

Promotes granulation tissue

Promotes wound edge closure

Decreases wound infection

Decreases wound edge closure

Decreases wound infection

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The Braden Scale for predicting pressure ulcers includes which of the following categories?

Sensation

Moisture

Activity

All of the choices

Which of the following diagnoses is the BEST choice to describe this picture?

Photo #3 on quiz 2: dark bumps on back

Keloid scars

This illustration of a sacral pressure ulcer should be classified as what stage?

Photo #4 on quiz 2: dark purple black color on butt

Suspected DTI

Sharp debridement should be avoided in which of the following wounds?

Bite Wound

Pressure Ulcer

Arterial Insufficiency Ulcer

Venous Insufficiency Ulcer

Arterial Insufficiency Ulcer

An individual with a wound pictured here is most likely going to have which of the following comorbidities?

Photo #6 on quiz 2: circular whole on big toe

Peripheral Neuropathy

Which of the following wounds is characterized by copious amounts of drainage and hemosiderin staining?

Pressure Ulcer

Neuropathic Ulcer

Arterial Insufficiency Ulcer

Venous Insufficiency Ulcer

Your patient reports a DECREASE in wound pain when they elevate their leg. This subjective report is MOST consistent with which of the following wounds?

Neuropathic Wound

Pressure Ulcer

Venous Insufficiency Ulcer

Arterial Insufficiency Ulcer

Venous Insufficiency Ulcer

Which of the following lab values could indicate wound infection?

High white blood cell count

Low white blood cell count

High red blood cell count

Low red blood cell count

High white blood cell count

Which of the following clinical presentations are consistent with wound infection? Well-defined erythemal border Swelling is disproportionate to the size of the wound Thin consistency of drainage Temporary decrease in function of the affected area

Swelling is disproportionate to the size of the wound

Which of the following classifications is the BEST option for the wound in bottom right corner of this picture? Photos #11 on quiz 2

Stage 4 Healing Pressure Ulcer (remember your reading the healing stage from top left to bottom right)

Which of the following options is a contraindication for using a paste Unna boot? Edema Infection Arterial Insufficency Both option B and C

Both option B and C (remember arterial insufficiency does not like compression and you wouldn't compress an infection)

Which of the following diagnoses require immediate emergent care including surgical debridement? Necrotizing fasciitis Stage 4 Pressure ulcer Dog bite Arterial ulcer

Necrotizing fasciitis

Which of the following descriptions of wound drainage indicates NORMAL tissue healing? Serosanguinous drainage Purlulent drainage Copious amounts of drainage Thick consistency of drainage

Serosanguinous drainage

Which of the following lab values indicates poor nutrition and wound healing? High BUN High Serum Albumin Low BUN Low Serum Albumin

Low Serum Albumin

Which of the following debridement techniques is considered non-selective? Mechanical debridement Sharp debridement Autolytic debridement

Mechanical debridement

How long should a typical sharp debridement treatment session last? 2-3 minutes 10-15 minutes 30-45 minutes 60-70 minutes

10-15 minutes

Which of the following wound dressings is appropriate for a dry, arterial insufficiency wound Calcium alginate Gauze Hydrogel Foam

Hydrogel

Which of the following wound dressings forms a yellow and malodorous soft gel mass in the wound bed when mixed with exudate? Hydrocolloid Calcium Alginate Impregnated gauze Semi-permeable film

Hydrocolloid

What is the optimal pressure for wound irrigation that promotes granulation but does not break down viable tissue? 35-40 psi 4-15 psi 100-104 psi 50-65 psi

4-15 psi

This picture illustrates which of the following wound characteristics? Photo #21 on quiz 2: q-tip going under whole.

Tunneling

Which of the following dressing choices is MOST appropriate for tunneling wounds with high amounts of exudate? Gauze Hydrogel sheet Hydrocolloid Calcium Alginate

Calcium Alginate

Which of the following examination techniques is the GOLD STANDARD for detecting deep vein thrombosis? Homan's Sign Well's Criteria Ankle Brachial Index Capillary Refill

Well's Criteria

Which of the following wound dressings is the BEST choice for a tracheostomy site characterized by sputum and drainage? Hydrogel Hydrocolloid Foam Film

Foam

Which of the following choices is a POSITIVE prognostic indicator for wound healing? 70-80% decrease in wound surface area within 2-3 weeks of treatment 10-20% decrease in wound surface area within 2-3 weeks of treatment 20-40% decrease in wound surface area within 2-3 weeks of treatment 0-10% decrease in wound surface area within 2-3 weeks of treatment

20-40% decrease in wound surface area within 2-3 weeks of treatment