WorksheetsMCQs on Chronic Wound Management
Total questions: 10
Worksheet time: 3mins
Which timeframe is commonly used by the Ministry of Health Malaysia (KKM) to define a wound as chronic?
More than 1 week
2-4 weeks
8-10 weeks
More than 6 months
Which systemic disease is a known risk factor that can delay wound healing?
Migraine
Poorly controlled diabetes mellitus
Myopia
Asthma
Which type of debridement involves the use of Lucilia sericata maggots to digest necrotic tissue?
Autolytic debridement
Mechanical debridement
Biological debridement
Enzymatic debridement
Why should autolytic debridement be used with caution in diabetic or arterial insufficiency wounds?
It is too expensive
It may encourage growth of anaerobic bacteria
It requires surgical theatre facilities
It always causes excessive bleeding
What is a key feature of wound biofilm?
It enhances oxygen supply to tissue
It is easily eradicated by normal antibiotics
It promotes chronic inflammation and delays healing
It always causes systemic sepsis
Which intervention helps to eliminate dead space in wound management?
Warm compress
Autolytic debridement
Suturing techniques and drains
Charcoal dressings
What is the main risk of frequent dressing changes in chronic wounds?
Improved thermoregulation
Loss of wound moisture and temperature → delayed healing
Reduced risk of infection
Faster angiogenesis
Which malignant change is associated with chronic wounds, especially old burn scars and osteomyelitis sinuses?
Kaposi's sarcoma
Basal cell carcinoma
Marjolin's ulcer (Squamous cell carcinoma)
Adenocarcinoma
Which of the following is a common clinical sign of Marjolin's ulcer?
Painless ulcer with smooth margins
Rolled or everted wound margins with exuberant granulation tissue
Central umbilication and pearly edges
Hyperpigmented patch with scaling
Which palliative approach (PALCARE) component focuses on caregiver availability, environment, and home support?
Prognosis
Advance care planning
Living situation
Education
