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WorksheetsQuickfire!
Total questions: 80
Worksheet time: 13mins
Which layer is the most superficial layer of the epidermis?
Stratum granulosum
Stratum corneum
Stratum basale
Stratum spinosum
Which of the following is not a key cellular actor during the inflammation stage of normal wound healing?
Neutrophils
Macrophages
Keratinocytes
Platelets
Which of the following would not contribute to a slowed wound closure speed?
Smoking
Sufficient protein
Dehydration
Radiation
In classification of wound thickness, a superficial partial-thickness wound involves what tissues?
Epidermis only
Epidermis, dermis, and subcutaneous tissues
Epidermis and papillary dermis
Epidermis, papillary dermis, and reticular dermis
Which therapeutic modality is considered the “gold standard” of wound cleansing?
Pulsatile Lavage with Suction
Hydrotherapy
Wound irrigation
Electrical stimulation
Which of the following dressings is the most occlusive?
Hydrocolloid
Fine weave gauze
Semi-permeable foam
Calcium alginate
What form of debridement is best used to describe the application of sterile larvae (maggots) to remove necrotic tissue from an infected wound bed?
Sharp debridement
Enzymatic debridement
Biological debridement/pet therapy
Autolytic debridement
Which of the following is a common characteristic of arterial wounds?
Mild to no pain
Small, “punched out” wound appearance
Irregular shape with high drainage
Increased temperature
Which of these is not a characteristic of venous insufficiency?
Commonly positioned on the medial malleolus of medial lower leg
Minimal to no amount of drainage
Superficial, irregular shape
Normal temperature or slight warmth from hypertension
What type of wound has the following characteristics: round, punch-out lesion with little to no drainage, peripheral edema, with a dry, callused, thickened periwound?
Venous wounds
Arterial wounds
Pressure wound
Neuropathic wounds
Pressure injuries occur when external pressure exceeds the capillary closing pressure, leading to tissue ischemia and ultimately tissue necrosis. What level of external pressure is required to obstruct capillary blood flow?
5–15 mmHg
15–35 mmHg
35–50 mmHg
<50 mmHg
A burn wound that presents with white/pale skin, presence of eschar, and is non-painful would be classified as what depth of burn?
Superficial
Superficial partial-thickness
Deep partial-thickness
Full-thickness
What kind of traumatic wound is caused by abrasion due to friction from scratching, traumatic injury, chemicals, or burns?
Lacerations
Puncture
Degloving
Excoriation
The accumulation of ‘too many Luigis’ due to a low transport capacity ultimately leads to an accumulation of protein-rich fluid outside of the lymphatic system (lymphedema). This form of lymphedema results from what type of lymphatic insufficiency?
Mechanical insufficiency
Dynamic insufficiency
Combined insufficiency
Venous insufficiency
What level of the skin is the junction where blisters develop?
Rete Pegs
Reticular Dermis
Dermis Ground Substance
Stratum Corneum
What cell type is considered the “first responder” in the inflammation stage of wound healing?
Macrophages
Mast cells
Neutrophils
Platelets
What source of skin graft material is non-meshed and preferred for improved cosmetic outcome?
Porcine xenografts
Cultured epithelial autografts
Cadaver grafts
What type of exudate is characterized by thick consistency, white or yellow color, and is considered a sign of infection?
Sanguinous
Serous
Serosanguinous
Purulent
Hydrotherapy has many benefits; all of the following are related to hydrotherapy except?
Moistens/softens eschar
Increases circulation to wound bed
Selective debridement
Decreases pain and trauma of dressing removal
Which dressing method is bad (and yet somehow commonly used)?
Wet-to-dry gauze
Wound pillows
Semi-permeable film
Alginates
How is the effectiveness of debridement measured? Select all that apply.
Amount of necrotic tissue remaining, type of necrotic tissue remaining, adherence of necrotic tissue to wound after debridement
Size and depth of wound remaining after debridement
Color of the periwound 10 minutes after debridement
Patient reported subjective satisfaction with debridement
What does a textbook periwound look like in an arterial ulcer?
Thin, pale/dusky/cyanotic skin with minimal to no hair, and thick yellow nails
Bright red, moist, and risen, hot
Dry, calloused, flaky, and black
Indifferent to normal healthy skin throughout the body
What are recommended patient instructions for venous wounds? Select all that apply.
Compression and elevation of body segment
Self-debridement when necrotic tissue is spotted
Inspect legs/feet 1–2 times per month
Wear loose shoes that are 2 sizes up from normal to give more room for comfort
What is the textbook expected pain and position/location of neuropathic wounds?
High levels of pain, located on the plantar surface of the foot
Moderate levels of pain, located on the medial malleolus
Minimal to no pain, located on the high-pressure points of the plantar foot
High levels of pain, located on the medial malleolus
Which NPIAP stage of pressure injuries is marked by partial thickness loss of skin with exposed dermis, red, moist, and shallow wound, with no exposed granulation tissue, slough, or eschar?
Stage 1
Stage 2
Stage 3
Stage 4
What are the 3 phases of burn care?
Emergent, Acute, Rehabilitative
Inflammation, proliferation, remodeling
Inflammation, neovascularization, collagen deposition
Vasoconstriction, necrosis, vasodilation
How many lymph nodes does an adult have on average?
100–200
400–500
600–700
900–1000
What is the average pH of the skin?
6 – 7.5
4 – 6.5
3.5 – 5
2 – 3.5
Proliferation accounts for what percent of wound closure?
25%
60%
40%
A skin graft from a relative is considered a(n):
Allograft
Autograft
Xenograft
Synthetic Graft
What type of wound edge is often seen with diabetes?
Hyperkeratosis
Fibrotic
Hypokeratosis
Scarred
Which of the following is not a contraindication for the use of ultrasound?
Osteomyelitis
Acute DVT
Infected Chronic Wound
Severe Arterial Insufficiency
Which of the following adds the most moisture to the wound?
Hydrocolloid
Calcium Alginate
Hydrogel
Wet-to-Dry Dressings
Which is not a type of devitalized tissue?
Eschar
Slough
Callous
Hyperpigmentation
How will an arterial wound affect a pedal pulse?
Increase
Decrease
Stay the same
Pulses are contraindicated
What will lead to the best prognosis for a venous wound?
Smaller then 10 cm
Present for 3 years
Decrease in size of wound after 6 months of treatment
BMI > 30
The gold standard for neuropathic wound assessment is:
Pulse
Capillary refill
Monofilament sensory testing
Gait analysis
Which is the most common locations for pressure wounds in adults?
Sacrum
Occiput
Elbow
3rd metatarsal head
Burns are the ___ most common cause of unintentional death
10th
1st
3rd
6th
A glass cut causes what type of traumatic laceration?
Shear
Tension
Lymph nodes are palpable
Always
Never
Only at the neck
It depends
How many layers are in the stratum corneum?
1–2
7–10
20–30
50–70
During the cellular response of the inflammation phase, which cells are the first responders?
Neutrophils
Macrophages
Mast cells
Angioblasts
What is NOT true about primary wound healing?
Fastest and most simple
Wound can be contaminated
Wound edges are approximated
Many times, can use sutures, steri-strips, glue
What is NOT included in the triangle of wound assessment?
Wound bed
Exudate type
Wound edge
Periwound skin
What must the pressure be under for wound irrigation in the PT scope of practice?
3 psi
8 psi
15 psi
30 psi
What type of dressing is most effective at removing moisture from a wound?
Calcium alginate
Hydrocolloid
Impregnated gauze
Semi-permeable film
What grade on the Wagner scale for neuropathic wounds matches this description "a superficial ulcer without subcutaneous tissue involvement"?
0
1
2
3
What factor does NOT increase a patient with spinal cord injuries risk of developing a pressure injury?
Alcohol abuse
Complete spinal cord injury
Younger at time of injury
Currently being under age 40
Which of the following is a selective form of debridement?
Mechanical
Surgical
Autolytic
Chemical
What is a normal ABI range?
0.3–0.5
1.1–1.3
0.9–1.1
0.5–0.7
Where do venous wounds commonly occur?
Medial malleolus
Head
Thigh
Thumb
What is the most common type of bite wound?
Cat
Human
Snake
Dog
Which describes the properties of a short stretch bandage?
High resting pressure, low working pressure
High resting pressure, high working pressure
Low resting pressure, high working pressure
Low resting pressure, low working pressure
Which layer of epidermis holds melanocytes?
Stratum basale
Stratum spinosum
Stratum corneum
Stratum lucidum
Which cell is the first responder to inflammation?
Neutrophils
Macrophages
Monocytes
Mast cells
What is the main driving force of wound contraction?
Fibroblasts → myofibroblasts
Angiogenesis
Growth factors
None of the above
How do you NOT measure wounds?
In centimeters
By comparing it to a well known object like a quarter
Clock method
Perpendicular method
What is NOT a benefit to meshed split-thickness grafts?
Expands 1.5x to 9x its original size
Increases fluid collection under graft for moisture
Decreases hematoma size
Allows room for expansion
Which debridement method might be chosen for a patient with severe pain or bleeding disorders?
Autolytic Debridement
Surgical Debridement
Mechanical Debridement
Sharp Debridement
What percentage of lower extremity wounds are due to arterial insufficiency?
0.6–5%
5–10%
20–30%
75%
The main issue that causes venous insufficiency wounds is:
Lack of veins
Malfunctioning bicuspid valves
Blockage of capillaries
Lack of smooth muscles surrounding veins
Which of the following does NOT apply to neuropathic ulcers?
Usually painless
On plantar surface of foot
Punched-out lesion
Macerated rim
How much of the periwound is at risk of spreading of pressure injuries?
5 mm
9 mm
12 mm
15 mm
Which is not a characteristic of the zone of stasis?
Permanently loses blood supply
Can be restored
Can turn into coagulation state
All of the above describe the zone of stasis
Which should NOT be done on a pin site?
Saline rinse
Alcohol on pin to remove crust
Ointments around the pins
All of the above should be done
Which is the main cause of lymphedema globally?
Filariasis
Obesity
Trauma/surgery
Cancer
Which of the following does not belong in the dermis?
Type 3 and 4 collagen
Rete pegs
Hair
Fascia
What are some characteristics of the Proliferation stage of normal wound healing? Select all that apply.
Re-epithelialization
Collagen deposition by fibroblasts
Angiogenesis and granulation tissue formation
Predominant neutrophil infiltration and hemostasis
What is a type of wound closure error that involves insufficient collagen lysis?
Hypergranulation
Maceration
Keloids
What does the Vancouver scar scale assess?
Vascularity, pigmentation, pliability, height
Viability, pigmentation, pliability, heat
Viability, color, stretch, height
Vascularity, redness, pliability, heat
What is a contraindication for pulsatile lavage with suction?
Venous insufficiency
Diabetes
Tunnels
Exposed tendon or bone
Debridement: During debridement, which layer is the "stop and think layer?"
Epidermis
Dermis
Fascia
How would you interpret an ABI of >1.1?
Severe arterial insufficiency
Moderate insufficiency and intermediate claudication
Normal
Vessel calcification
Which presentation is NOT consistent with venous wounds?
Located on the lateral malleolus
High amounts of drainage
Superficial and irregular shape
Fragile and macerated wound borders
Which of the following is FALSE about neuropathy?
It is symmetrical
It affects distal nerves initially
There are sensory, motor, and autonomic forms
It is not a common complication of diabetes
Which of the following is NOT associated with stage 3 pressure injuries?
Full thickness loss of skin
Exposed bone
May extend down to, but not through fascia
Possible undermining/tunneling
Which of the following is NOT a type of burn injury?
Chemical
Thermal
Physical
Electrical
Which is not always a traumatic wound?
Gunshot
Laceration
Amputation
Which is the correct evaluation for a stage 3 lymphedema patient?
Severe tissue and skin changes (fibrotic and adipose)
Fibrotic changes only
Only subjective findings
Pitting edema and response to elevation
