WOUND CARE EXAM 1 (1ST HALF) EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
Systematic Factors (Age) - ANSWERS--Delayed in elderly
-Decreased collagen synthesis
-Decreased inflammatory response
-Decreased blood supply to skin
Systematic Factors (Nutrtion) - ANSWERS--Protein
-Carbs
-Fats
-Ascrobic Acid
-Iron
-Zinc
,Systematic Factors (Comorbidities) - ANSWERS--Diabetes
mellitus
-Blood sugar >180 makes WBCs ineffective
-compromises fibroblast activity
-reduces growth factors and impairs collagen sythesis
-should be 70-99
-Chronic Lung Disease
-Imapairs oxygenation
-Discourage smoking
Systematic Factors (Depressed Immune Function) -
ANSWERS--HIV/AIDS
-Corticosteroids
-Dose of 40mg/day affects angogenesis, inflammation,
contraction
epithelialziation. (20-40 has modest effect0
-Topical Vitamin A enhances macrophage migration
-NSAIDs in normal dose dont affect wound healing
,Epidermis (Layers--superficial to deep) - ANSWERS--Stratum
corneum
-stratum lucidum
-stratum granulosum
stratum spinosum
-stratum basle
Epidermis - ANSWERS--Outermost layer
-uniform thickness (except palms/soles = 0.06-0.6 mm)
-Stratified squamos epithelial cells ( 20 cells thick; Very
young/old have only 12)--> leads to more wounds
-5 Layers
Stratum Corneum - ANSWERS--Top horny Layer
-cells elongate
-dead keratinized cells
-sloughs off and is replaced by cells below
Stratum Lucidum - ANSWERS--Few Layers of dead
keratinocytes
, Stratum Granulosum - ANSWERS--3-5 layers of cells
-Diamond Shaped Cells
Stratum Spinosum - ANSWERS--Prickly Layer
-Cells have active nuclei
Stratum Basale - ANSWERS--AKA- Basal Layer (Stratum
Germinativum)
-Attached to dermis by basement membrane
-Takes 2-4 weeks to migrate upward
-Melanocytes
Basement Membrane - ANSWERS--Separates epidermis
from dermis
-Rete pegs - point up
-Rete ridges - point down
-Ancer epidermis to dermis
-Flattens with age (leads to ski tears)
Langerhans Cells - ANSWERS--Produced in bone marrow
-migrate to epidermis
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 – 2026
Systematic Factors (Age) - ANSWERS--Delayed in elderly
-Decreased collagen synthesis
-Decreased inflammatory response
-Decreased blood supply to skin
Systematic Factors (Nutrtion) - ANSWERS--Protein
-Carbs
-Fats
-Ascrobic Acid
-Iron
-Zinc
,Systematic Factors (Comorbidities) - ANSWERS--Diabetes
mellitus
-Blood sugar >180 makes WBCs ineffective
-compromises fibroblast activity
-reduces growth factors and impairs collagen sythesis
-should be 70-99
-Chronic Lung Disease
-Imapairs oxygenation
-Discourage smoking
Systematic Factors (Depressed Immune Function) -
ANSWERS--HIV/AIDS
-Corticosteroids
-Dose of 40mg/day affects angogenesis, inflammation,
contraction
epithelialziation. (20-40 has modest effect0
-Topical Vitamin A enhances macrophage migration
-NSAIDs in normal dose dont affect wound healing
,Epidermis (Layers--superficial to deep) - ANSWERS--Stratum
corneum
-stratum lucidum
-stratum granulosum
stratum spinosum
-stratum basle
Epidermis - ANSWERS--Outermost layer
-uniform thickness (except palms/soles = 0.06-0.6 mm)
-Stratified squamos epithelial cells ( 20 cells thick; Very
young/old have only 12)--> leads to more wounds
-5 Layers
Stratum Corneum - ANSWERS--Top horny Layer
-cells elongate
-dead keratinized cells
-sloughs off and is replaced by cells below
Stratum Lucidum - ANSWERS--Few Layers of dead
keratinocytes
, Stratum Granulosum - ANSWERS--3-5 layers of cells
-Diamond Shaped Cells
Stratum Spinosum - ANSWERS--Prickly Layer
-Cells have active nuclei
Stratum Basale - ANSWERS--AKA- Basal Layer (Stratum
Germinativum)
-Attached to dermis by basement membrane
-Takes 2-4 weeks to migrate upward
-Melanocytes
Basement Membrane - ANSWERS--Separates epidermis
from dermis
-Rete pegs - point up
-Rete ridges - point down
-Ancer epidermis to dermis
-Flattens with age (leads to ski tears)
Langerhans Cells - ANSWERS--Produced in bone marrow
-migrate to epidermis
