Wound Quiz

Question 1

What is a Marjolin’s Ulcer?

Marjolin’s ulcer is a malignant cancer that can occur from a site of chronic inflammation. It is fairly rare and may have a latent period typically of some 30 years. It can occur in burns (95%), osteomyelitis, leg ulcers, pressure ulcers and fistulae. Typically in 95% of cases histology is consistent with a SCC. BCC, melanoma and sarcomas make up the remaining 5%

Answer 1

Marjolin’s ulcer is a malignant cancer that can occur from a site of chronic inflammation.

• Fairly rare
• May have a latent period typically of some 30 years.
• It can occur in burns (95%), osteomyelitis, leg ulcers, pressure ulcers and fistulae. Typically in 95% of cases histology is consistent with a SCC. BCC, melanoma and sarcomas make up the remaining 5%

Question 2

90% of Marjolin’s Ulcers develop from:
A.Diabetes Mellitus
B. Scars from burns
C. Wound lacerations
D. Infections

Answer 2

Scars from burns

Question 3

Which statement is most true for Marjolin’s Ulcers: This had more than one answer. The exam will be more specific than this question.

A. Occurs mostly on Trunk
B. Occurs mostly on lower Extremities
C. Wounds are present for 30 years or more

Answer 3

B. Occurs mostly on lower Extremities

C. Wounds are present for 30 years or more

Question 4

Histological examination of a Marjolin’s Ulcer are  shown in 95% of cases to be related to:

A. BCC
B. SCC 
C. Osteomyelitis
D. Melanoma

Answer 4

B. SCC

Question 5

Marjolin’s Ulcers generally have the following characteristics:

A. Well defined margins
B. Lots of granulation tissue
C. Poorly defined margins

Answer 5

A. Well defined margins

B. Lots of granulation tissue

Question 6

How is a diagnosis of Marjolin’s Ulcer reached?

A. Wide excision of ulcer
B. Multiple core biopsies
C. Wound swabs
D. Wound scrapings

Answer 6

B. Multiple core biopsies

Question 7

First Line Treatment (depending on size and location of Ulcer) would generally be:This had more than one answer. The exam will be more specific than this question.

A. Wide excision of lesion
B. Split Skin Graft (SSG)
C. Chemotherapy

Answer 7

A. Wide excision of lesion

B. Split Skin Graft (SSG)

Question 8

When Osteomyelitis is present or a Marjolin’s Ulcer reoccurs, what might be the recommended treatment?

A. Vacuum Dressings
B. Amputation of extremity
C. Silver nitrate dressings
D. Hydrocolloid dressings
E. Identify characteristic as either Squamous Cell   Carcinoma (SCC)or Basal Cell Carcinoma (BCC)

Answer 8

B. Amputation of extremity