EMORY WOUND EVALUATION EXAM 2026 QUESTIONS
AND SOLUTIONS GRADED A+
✔✔LEND appearance - ✔✔-mod/heavy exudate
-red
- may be surrounded by callus
✔✔LEND location - ✔✔- plantar surface of the foot
-metatarsal head of great toe
- dorsal/distal aspects of toes
- interdigital areas
✔✔LEND management: - ✔✔- topical therapy
- tight glucose control
- offloading/ removal of focal pressure from area
- elimination of repetitive trauma (TCC, RCW, half shoe, adhesive felt)
- eliminate necrotic tissue/treat infx
- patient edu
- appropriate footwear
✔✔when should we use modified compression (23-30 mmHg) - ✔✔ABI>0.5 and <0.8
✔✔Normal ABI - ✔✔0.9-1.3
✔✔ABI score 0.5-0.8 - ✔✔moderate ischemia; vascular consult; modified compression
✔✔ABI score <0.5 - ✔✔severe ischemia
urgent vascular consult
✔✔Cornerstone for venous ulcer management - ✔✔compression and elevation
✔✔4 layer compression wrap - ✔✔-appropriate for both active and sedentary patient
-provides sustained therapeutic level compression
- omit layer 3 for modified compression (ABI 0.5-0.8)
✔✔Unna boots - ✔✔- intended only for patient who is actively ambulating
✔✔Lymphedema - ✔✔reversible accumulation of fluid that responds at lease partly to
elevation and compression
-pitting edema
-no significant fibrosis
- foot involvement
✔✔Phase 2 lymphedema - ✔✔spontaneously irreversible
, -nonpitting edema
- papillomatosis
- positive stemmer sign
- elvation ineffective
✔✔Phase 3 lymphedema - ✔✔- lymphostatic elephantiasis
- severe papillomatosis (cobblestone)
- severe edema
- ulceration
✔✔sensory neuropathy - ✔✔-loss of vibratory sense
-loss of protective sensation
-loss of proprioceptive sense (position)
✔✔Motor neuropathy - ✔✔- causes foot and toe deformities (hammer toes/clawfoot)
-altered weight bearing (plantar surface ulcers)
✔✔Autonomic Neuropathy - ✔✔-damage to nerves controlling sweat glands/blood
vessels
- dry cracked feet/fissures
- persistent vasodilation (charcot foot deformity)
✔✔Vasculitic ulcer - ✔✔-around malleoli or anterior surface of leg
- full thickness
-EXTREMELY PAINFUL
- pale or necrotic wound base
- minimal exudate
- petechial/purpuric rash
✔✔Vasculitic ulcer management - ✔✔- address underlying disorder ( infx/autoimmune)
- antiinflammatory agent
- plasmapharesis
- pain management
✔✔Pyoderma Gengrenosum: - ✔✔ulcers or pustular lesions with purplish borders
Acutely painful
-causes dermal destruction and scarring
✔✔Pyoderma treatment - ✔✔-anti-inflamatory
-pain management
- alginate/hydrofiber/non adherent
✔✔Calciphylaxis - ✔✔painful mottled lesions that progress to necrotic nodules and
ulcerations
- common site: thighs/buttocks/abd/legs
AND SOLUTIONS GRADED A+
✔✔LEND appearance - ✔✔-mod/heavy exudate
-red
- may be surrounded by callus
✔✔LEND location - ✔✔- plantar surface of the foot
-metatarsal head of great toe
- dorsal/distal aspects of toes
- interdigital areas
✔✔LEND management: - ✔✔- topical therapy
- tight glucose control
- offloading/ removal of focal pressure from area
- elimination of repetitive trauma (TCC, RCW, half shoe, adhesive felt)
- eliminate necrotic tissue/treat infx
- patient edu
- appropriate footwear
✔✔when should we use modified compression (23-30 mmHg) - ✔✔ABI>0.5 and <0.8
✔✔Normal ABI - ✔✔0.9-1.3
✔✔ABI score 0.5-0.8 - ✔✔moderate ischemia; vascular consult; modified compression
✔✔ABI score <0.5 - ✔✔severe ischemia
urgent vascular consult
✔✔Cornerstone for venous ulcer management - ✔✔compression and elevation
✔✔4 layer compression wrap - ✔✔-appropriate for both active and sedentary patient
-provides sustained therapeutic level compression
- omit layer 3 for modified compression (ABI 0.5-0.8)
✔✔Unna boots - ✔✔- intended only for patient who is actively ambulating
✔✔Lymphedema - ✔✔reversible accumulation of fluid that responds at lease partly to
elevation and compression
-pitting edema
-no significant fibrosis
- foot involvement
✔✔Phase 2 lymphedema - ✔✔spontaneously irreversible
, -nonpitting edema
- papillomatosis
- positive stemmer sign
- elvation ineffective
✔✔Phase 3 lymphedema - ✔✔- lymphostatic elephantiasis
- severe papillomatosis (cobblestone)
- severe edema
- ulceration
✔✔sensory neuropathy - ✔✔-loss of vibratory sense
-loss of protective sensation
-loss of proprioceptive sense (position)
✔✔Motor neuropathy - ✔✔- causes foot and toe deformities (hammer toes/clawfoot)
-altered weight bearing (plantar surface ulcers)
✔✔Autonomic Neuropathy - ✔✔-damage to nerves controlling sweat glands/blood
vessels
- dry cracked feet/fissures
- persistent vasodilation (charcot foot deformity)
✔✔Vasculitic ulcer - ✔✔-around malleoli or anterior surface of leg
- full thickness
-EXTREMELY PAINFUL
- pale or necrotic wound base
- minimal exudate
- petechial/purpuric rash
✔✔Vasculitic ulcer management - ✔✔- address underlying disorder ( infx/autoimmune)
- antiinflammatory agent
- plasmapharesis
- pain management
✔✔Pyoderma Gengrenosum: - ✔✔ulcers or pustular lesions with purplish borders
Acutely painful
-causes dermal destruction and scarring
✔✔Pyoderma treatment - ✔✔-anti-inflamatory
-pain management
- alginate/hydrofiber/non adherent
✔✔Calciphylaxis - ✔✔painful mottled lesions that progress to necrotic nodules and
ulcerations
- common site: thighs/buttocks/abd/legs
