Principles Of Wound Management – Questions With
Correct Answers
What are the 3 phases of cutaneous wound healing? Right Ans -
Inflammatory phase, proliferative phase, and remodeling phase
What occurs in the inflammatory phase of cutaneous wound healing? Right
Ans - Following injury, damage to local blood vessels -> platelet aggregation
and clot formation; recruitment of neutrophils and macrophages
What occurs during the proliferative phase of cutaneous wound healing?
Right Ans - Granulation tissue is formed as fibroblasts proliferate and secrete
collagen; re-epithelialization over new granulation tissue also occurs
What occurs during the remodeling phase of cutaneous wound healing?
Right Ans - Occurs over weeks to months, granulation tissue is replaced by
mature connective tissue scar
What are life-threatening problems associated with wounds? Right Ans -
Shock, hemorrhage, tracheal injury, pneumothorax, pulmonary trauma,
contusions, visceral organ damage, herniation
With cervical wounds (esp. bites), what should you be sure to evaluate?
Right Ans - Airway, major vessels, esophagus, laryngeal paralysis, infection
How can you create a temporary band-aid if you need to evaluate/stabilize the
patient before addressing the wound? Right Ans - Cover the wound, if large
flap, pack saline-soaked 4x4s in the defect and temporarily staple the skin
over it; administer analgesia after neuro evaluation
What are causes of incisional wounds? Right Ans - Surgical scalpel, knife
blade, needles, arrow, nails, glass
What are features of incisional wounds? Right Ans - Varied depth, deep
tissue damage possible, increased blood loss, minimal tissue trauma,
relatively clean injury
, What are treatment approaches for incisional wounds? Right Ans - May be
closed primarily if early wounding, usually minimal debridement needed,
inspection of deeper tissue important
What are causes of puncture wounds? Right Ans - Fight injury, knife blade,
needles, arrows, nails, glass, plant parts
What are features of puncture wounds? Right Ans - Can be extensive deep
injuries, can have vascular compromise, contamination, body cavity
penetration, retained foreign body
What are treatment approaches for puncture wounds? Right Ans - Delayed
closure is beneficial, deep exploration is beneficial, systemic anti-infective
agents are benefitical, thorough patient assessment is essential
What are examples of causes of abrasions? Right Ans - Automobile trauma,
pad trauma
What are features of abrasions? Right Ans - Heavy contamination common,
deep penetration of debris and organisms, potential skin loss
What are treatment approaches for abrasions? Right Ans - Extensive
cleaning and debridement needed, delayed closure is beneficial, if epidermis is
intact, heal without surgery
What are causes of traumatic degloving or shearing injuries? Right Ans -
Automobile trauma, fight injury
What are features of traumatic degloving/shearing injuries? Right Ans -
Vascular damage possible, may be associated with orthopedic injury, minimal
to moderate contamination
What are treatment approaches for traumatic degloving or shearing injury?
Right Ans - Stabilization/treatment of orthopedic injury, delayed or secondary
closure beneficial, may require flaps/grafts
What are causes of physiologic degloving? Right Ans - Vascular injury
Correct Answers
What are the 3 phases of cutaneous wound healing? Right Ans -
Inflammatory phase, proliferative phase, and remodeling phase
What occurs in the inflammatory phase of cutaneous wound healing? Right
Ans - Following injury, damage to local blood vessels -> platelet aggregation
and clot formation; recruitment of neutrophils and macrophages
What occurs during the proliferative phase of cutaneous wound healing?
Right Ans - Granulation tissue is formed as fibroblasts proliferate and secrete
collagen; re-epithelialization over new granulation tissue also occurs
What occurs during the remodeling phase of cutaneous wound healing?
Right Ans - Occurs over weeks to months, granulation tissue is replaced by
mature connective tissue scar
What are life-threatening problems associated with wounds? Right Ans -
Shock, hemorrhage, tracheal injury, pneumothorax, pulmonary trauma,
contusions, visceral organ damage, herniation
With cervical wounds (esp. bites), what should you be sure to evaluate?
Right Ans - Airway, major vessels, esophagus, laryngeal paralysis, infection
How can you create a temporary band-aid if you need to evaluate/stabilize the
patient before addressing the wound? Right Ans - Cover the wound, if large
flap, pack saline-soaked 4x4s in the defect and temporarily staple the skin
over it; administer analgesia after neuro evaluation
What are causes of incisional wounds? Right Ans - Surgical scalpel, knife
blade, needles, arrow, nails, glass
What are features of incisional wounds? Right Ans - Varied depth, deep
tissue damage possible, increased blood loss, minimal tissue trauma,
relatively clean injury
, What are treatment approaches for incisional wounds? Right Ans - May be
closed primarily if early wounding, usually minimal debridement needed,
inspection of deeper tissue important
What are causes of puncture wounds? Right Ans - Fight injury, knife blade,
needles, arrows, nails, glass, plant parts
What are features of puncture wounds? Right Ans - Can be extensive deep
injuries, can have vascular compromise, contamination, body cavity
penetration, retained foreign body
What are treatment approaches for puncture wounds? Right Ans - Delayed
closure is beneficial, deep exploration is beneficial, systemic anti-infective
agents are benefitical, thorough patient assessment is essential
What are examples of causes of abrasions? Right Ans - Automobile trauma,
pad trauma
What are features of abrasions? Right Ans - Heavy contamination common,
deep penetration of debris and organisms, potential skin loss
What are treatment approaches for abrasions? Right Ans - Extensive
cleaning and debridement needed, delayed closure is beneficial, if epidermis is
intact, heal without surgery
What are causes of traumatic degloving or shearing injuries? Right Ans -
Automobile trauma, fight injury
What are features of traumatic degloving/shearing injuries? Right Ans -
Vascular damage possible, may be associated with orthopedic injury, minimal
to moderate contamination
What are treatment approaches for traumatic degloving or shearing injury?
Right Ans - Stabilization/treatment of orthopedic injury, delayed or secondary
closure beneficial, may require flaps/grafts
What are causes of physiologic degloving? Right Ans - Vascular injury
