ADVANCED WOUND CARE EXAM | FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What is a wound Answer: A wound can be defined as any disruption to the integrity of the skin,
mucous membrane or organ tissue. A wound can be caused by trauma, surgery, chemical or
thermal damage or disease. It can be acute or chronic
Repair stage of wound healing Answer: inflammation, reconstruction and maturation
reconstruction phase of wound healing Answer: Granulation: macrophages will continue to
clean up the wound and stimulate the fibroblasts to create connective tissue. A red collage type
tissue which eventually becomes scar tissue. This is healing and pink tissue
Contraction: the body is trying to make the wound smaller and the wound edges are being drawn
together
Epitheliasation: where the new skin is growing across the wound
Primary intention healing Answer: Closure of surgical or traumatic wound where edges held in
close apposition by sutures, staples, tape or glue. Minimal tissue loss or scarring
Delayed primary intention healing Answer: Wound kept open for intensive cleaning. Closed
when no signs of infection or foreign bodies.
Secondary intention healing Answer: Too much tissue loss and you cannot pull the edges
together. The rapid phase will occur and will take longer and more scarring. Chronic and longer
term wounds
Tissue loss. Wound healing delayed. Occurs by granulation, contraction and epitheliasation.
Greater scarring
Acute wound Answer: a wound with an aetiology that occurs suddenly, either with or without
intention, but then heals in a timely manner. Usually within 4-12 weeks depending on the size,
depth and extent of damage to the epidermis and dermis layer of the skin
Chronic wound Answer: a wound that has slow progression through the healing phases, or
shows delayed, interrupted or stalled healing due to instructing and extrinsic factors that impact
on the individual and their wound. Often complicated by underlying intrinsic factors.
Hypergrannulation Answer: Granulation which has gone on too long. Typically granulation
should stop when the wound fills the cavity, hypergrannulation occurs when it goes beyond the
wound bed. Granulation tissue beyond the wound surface which interferes with epitheliasation
Contracture Answer: Where there is excess hydroblast activity. Scar tissue over contracts,
cosmetic and functional deformity. Helped by splints, exercises, grafts, pressure garments and
incision location
Hypertrophic scarring Answer: Still within the original boundaries of the wound. Too much
collagen in the healed wound, leaving it red, raised, firm, itchy scar within the boundary of the
wound.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, What is a wound Answer: A wound can be defined as any disruption to the integrity of the skin,
mucous membrane or organ tissue. A wound can be caused by trauma, surgery, chemical or
thermal damage or disease. It can be acute or chronic
Repair stage of wound healing Answer: inflammation, reconstruction and maturation
reconstruction phase of wound healing Answer: Granulation: macrophages will continue to
clean up the wound and stimulate the fibroblasts to create connective tissue. A red collage type
tissue which eventually becomes scar tissue. This is healing and pink tissue
Contraction: the body is trying to make the wound smaller and the wound edges are being drawn
together
Epitheliasation: where the new skin is growing across the wound
Primary intention healing Answer: Closure of surgical or traumatic wound where edges held in
close apposition by sutures, staples, tape or glue. Minimal tissue loss or scarring
Delayed primary intention healing Answer: Wound kept open for intensive cleaning. Closed
when no signs of infection or foreign bodies.
Secondary intention healing Answer: Too much tissue loss and you cannot pull the edges
together. The rapid phase will occur and will take longer and more scarring. Chronic and longer
term wounds
Tissue loss. Wound healing delayed. Occurs by granulation, contraction and epitheliasation.
Greater scarring
Acute wound Answer: a wound with an aetiology that occurs suddenly, either with or without
intention, but then heals in a timely manner. Usually within 4-12 weeks depending on the size,
depth and extent of damage to the epidermis and dermis layer of the skin
Chronic wound Answer: a wound that has slow progression through the healing phases, or
shows delayed, interrupted or stalled healing due to instructing and extrinsic factors that impact
on the individual and their wound. Often complicated by underlying intrinsic factors.
Hypergrannulation Answer: Granulation which has gone on too long. Typically granulation
should stop when the wound fills the cavity, hypergrannulation occurs when it goes beyond the
wound bed. Granulation tissue beyond the wound surface which interferes with epitheliasation
Contracture Answer: Where there is excess hydroblast activity. Scar tissue over contracts,
cosmetic and functional deformity. Helped by splints, exercises, grafts, pressure garments and
incision location
Hypertrophic scarring Answer: Still within the original boundaries of the wound. Too much
collagen in the healed wound, leaving it red, raised, firm, itchy scar within the boundary of the
wound.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
