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WorksheetsPreTest Wound Debridement
Total questions: 10
Worksheet time: 5mins
Which of the following best defines wound debridement?
Closure of a wound using sutures
Removal of non-viable tissue and contaminants from a wound
Application of antiseptic solutions to a wound
Application of negative pressure therapy
Covering a wound with a sterile dressing
The main objective of surgical wound debridement is to:
Reduce scar formation
Remove viable tissue to accelerate closure
Remove necrotic tissue and reduce bacterial load
Increase wound exudate to aid healing
Avoid the need for antibiotics
Which of the following types of debridement involves the use of sterile instruments to excise necrotic tissue?
Enzymatic debridement
Autolytic debridement
Surgical/sharp debridement
Mechanical debridement
Biological debridement
A 56-year-old man with diabetes presents with a foot ulcer containing black eschar and foul-smelling exudate. The most appropriate first step in management is:
Apply a hydrocolloid dressing
Perform sharp surgical debridement
Prescribe only oral antibiotics
Apply enzymatic ointment immediately
Allow the wound to heal spontaneously
In assessing a wound prior to debridement, the most important factor to evaluate is:
Patient's social background
Presence of viable versus non-viable tissue
Size of the dressing material available
Availability of surgical instruments
Cost of treatment
Which of the following is a contraindication to aggressive surgical debridement?
Necrotic tissue in a burn wound
Stable, dry eschar in an ischemic limb with poor perfusion
Infected diabetic foot ulcer
Contaminated open fracture wound
Pressure sore with slough
Which instrument is most commonly used for sharp wound debridement in the operating theatre?
Toothed forceps
Scalpel and surgical scissors
Suction catheter
Retractor
Bone saw
Which of the following is an advantage of autolytic debridement?
Immediate removal of necrotic tissue
Selective action on non-viable tissue
No requirement for moisture balance
No risk of infection
Suitable for unstable patients with sepsis
In the context of open fracture wounds, surgical debridement should ideally be performed:
After 72 hours to allow demarcation of tissue
Immediately, within 6-8 hours of injury
Only if infection develops
Once soft tissue swelling subsides
After wound cultures are available
Success of wound debridement is best assessed by:
Absence of pain at the wound site
Reduction in cost of dressings
Presence of healthy granulation tissue
Decrease in wound size within 24 hours
Patient’s satisfaction with appearance
