Wound Final Exam Questions with
100% Correct Answers
Wounds involving joints, hands or feet - Who do you consult? - Answer-plastics for flap
closure
Wound edges failing to epithelialize or epithelialization unlikely due to size - Who do you
consult? - Answer-plastics for excision of edges or graft or application of human skin
equivalent
Arterial insufficiency or unclear of contribution of venous and arterial insufficiency - Who
do you consult? - Answer-Vascular surgery for workup and possible revascularization
Candidates for HBOT - Answer-ischemic component AND viable non-healing wound
AND revascularization not an option AND goal is wound healing
NPWT action on wound healing - Answer-controls exudate, enhances perfusion,
maintains moist wound surface, activates neoangiogenesis and collagen synthesis
Contraindications for NPWT - Answer--Malignancy in wound
-Untreated osteomyelitis
-Necrotic tissue
-contact layer or white foam over exposed blood vessels or organs
Candidates for Growth Factor Therapy (i.e. Regranex) - Answer-nonhealing diabetic
foot ulcer when offloaded, infection and necrosis controlled, BG controlled
Signs an MMP dressing may be appropriate - Answer-failure to granulate despite
removal of necrotic tissue and bacterial loads controlled and persistently high volumes
of exudate
indications for acellular matrix dressings - Answer-clean non-granulating wounds
example of an acellular matrix dressing - Answer-prisma, promogran, collagen
dressings
Human skin equivalents criteria - Answer-shallow, well-perfused wound that fails to
epithelialize
Chair time for patient unable to shift weight every 15-30 minutes - Answer-1 hour
, CLP Bed Features - Answer-immersion and envelopment to provide constant, even
pressure redistribution
CLP bed materials - Answer--foam
-air
-gel
Reactive bed surfaces - Answer-CLP
AP surfaces features - Answer-air chambers that alternately inflate and deflate
Active bed surfaces - Answer-AP
Low air loss bed features - Answer-low volume air flow against the patient's skin to keep
skin cool and dry
Support surfaces appropriate for moisture braden score of 1-2 - Answer-Low air loss
Air fluidized surface features - Answer-silicone glass beads and a pump that circulates
air through the tank providing high level immersion and envelopment
Negatives to Air fluidized therapy - Answer--expensive
-can contribute to dehydration and drying of dressings
-disorienting to some patinets
-difficult to maintain HOB elevated
Appropriate patients to use air fluidized therapy on - Answer--flap procedure
-multiple wounds
-nonhealing pressure injuries
Continuous lateral rotation therapy features - Answer-designed to counteract pulmonary
effects of immobility. continual oscillation of upper body
Is a pressure injury to the trunk an indication for indwelling catheter? - Answer-yes!
Normal venous filling time - Answer-<20 seconds
Normal capillary refill time - Answer-<3 seconds
How long should patient be supine prior to ABI - Answer-10 minutes
Normal ABI Range - Answer-0.9-1.3
ABI indicative of mild to moderate LEAD disease - Answer-0.8-0.9
ABI indicative of borderline perfusion LEAD disease - Answer-0.6-0.8
100% Correct Answers
Wounds involving joints, hands or feet - Who do you consult? - Answer-plastics for flap
closure
Wound edges failing to epithelialize or epithelialization unlikely due to size - Who do you
consult? - Answer-plastics for excision of edges or graft or application of human skin
equivalent
Arterial insufficiency or unclear of contribution of venous and arterial insufficiency - Who
do you consult? - Answer-Vascular surgery for workup and possible revascularization
Candidates for HBOT - Answer-ischemic component AND viable non-healing wound
AND revascularization not an option AND goal is wound healing
NPWT action on wound healing - Answer-controls exudate, enhances perfusion,
maintains moist wound surface, activates neoangiogenesis and collagen synthesis
Contraindications for NPWT - Answer--Malignancy in wound
-Untreated osteomyelitis
-Necrotic tissue
-contact layer or white foam over exposed blood vessels or organs
Candidates for Growth Factor Therapy (i.e. Regranex) - Answer-nonhealing diabetic
foot ulcer when offloaded, infection and necrosis controlled, BG controlled
Signs an MMP dressing may be appropriate - Answer-failure to granulate despite
removal of necrotic tissue and bacterial loads controlled and persistently high volumes
of exudate
indications for acellular matrix dressings - Answer-clean non-granulating wounds
example of an acellular matrix dressing - Answer-prisma, promogran, collagen
dressings
Human skin equivalents criteria - Answer-shallow, well-perfused wound that fails to
epithelialize
Chair time for patient unable to shift weight every 15-30 minutes - Answer-1 hour
, CLP Bed Features - Answer-immersion and envelopment to provide constant, even
pressure redistribution
CLP bed materials - Answer--foam
-air
-gel
Reactive bed surfaces - Answer-CLP
AP surfaces features - Answer-air chambers that alternately inflate and deflate
Active bed surfaces - Answer-AP
Low air loss bed features - Answer-low volume air flow against the patient's skin to keep
skin cool and dry
Support surfaces appropriate for moisture braden score of 1-2 - Answer-Low air loss
Air fluidized surface features - Answer-silicone glass beads and a pump that circulates
air through the tank providing high level immersion and envelopment
Negatives to Air fluidized therapy - Answer--expensive
-can contribute to dehydration and drying of dressings
-disorienting to some patinets
-difficult to maintain HOB elevated
Appropriate patients to use air fluidized therapy on - Answer--flap procedure
-multiple wounds
-nonhealing pressure injuries
Continuous lateral rotation therapy features - Answer-designed to counteract pulmonary
effects of immobility. continual oscillation of upper body
Is a pressure injury to the trunk an indication for indwelling catheter? - Answer-yes!
Normal venous filling time - Answer-<20 seconds
Normal capillary refill time - Answer-<3 seconds
How long should patient be supine prior to ABI - Answer-10 minutes
Normal ABI Range - Answer-0.9-1.3
ABI indicative of mild to moderate LEAD disease - Answer-0.8-0.9
ABI indicative of borderline perfusion LEAD disease - Answer-0.6-0.8
