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CWS Patient Management: Questions With Solutions
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CWS Patient Management: Questions With Solutions
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CWS Patient Management: Questions With SolutionsWhich of the following is a negative impact associated with wound bioburden?
Right Ans - Increased tissue metabolic requirements
Which of the following is the best method to assess adequacy of tissue
oxygenation near a wound? Right Ans - Transcutaneous oxygen
measurement
Which of the following pressures is most frequenly associated with threshold
value for occlusion of arterial capillary flow? Right Ans - 32 mm Hg
Rationale: external capillary presssure of greater than 32 mm is associated
with occlusion of blood flow so that underlying and surrounding tissues
become anoxic if the pressure continues for a critical duration.
Successful healing of a 45 day old venous wound by application of bilayer skin
substitute will most likely occur if the patient has Right Ans - Effective
compression therapy
Which of the following types of debridement is associated with removal of
necrotic tissue by means of moisture adendogenous enzymes? Right Ans -
Autolytic
Compression therapy for patients with chronic venous insufficieny is
indicated Right Ans - For the life of the affected individual
Which of the following agents is noted for its ability to penetrate escar in
burned individuals ? Right Ans - Mafenide acetate
Rationale:
Silver sulfadizine is usefule in the treatmetn of patients with infection, but has
limited ability to penetrate eschar. Most studies have demonstrated that
Mafenide acetate has the best penetration.
Steroids delay wound healing by Right Ans - interrupting the normal
inflammatory process
Pathergy is a well recognized form of injury in Right Ans - Certain
conditions such as pyoderma gragrenosum following debridement.
, A family memeber is commenting aobut a slight odor from the patient's
dressing. if infection has been ruled out , the most likely cause of the odor is
Right Ans - Poor personal hygiene
An 85 year old patient with alzheimer's disease has an ulcer over her greater
trochanter. The ulcer measures 6.8x7.6 cm and is 100% eschar covered. the
patient is confused , restless and easily agitated during your examination but
otherwise has no significant medical problem. which method of debridement
would be most effective for this patient? Right Ans - Surgical debridment
Rationale: surgical debridement is the fastest method for removing large
amounts of necrotic tissue. surgical debridement , in most cases is a one time
procedure carried out under anesthesia by a surgeon. with this confused ,
restless and agitated patient , surgical debridement is the best option to
remove necrotic tissue.
One week following debridement , the surgeon decides to surgically close a
post-operative wound. this would be termed what type of closure? Right
Ans - Delayed Primary
Rationale: Delayed primary intention closure is a combination of healing by
primary and secondary intention. if a wound is contaminated this technique
may be used to decrease the chance of infection. In general , delayed primary
closure is performed on surgical wounds or laceration once they are believed
to be free of infection.
Local wound care for a patient with venous insufficienccy ulcer consists of
once weekly application of moisturizing lotion to intact skin, an amorphous
hydrogel, and gauze covered with compression wrap. On the next clinic visit,
you notice edges of the wound are macerated causing the wound to increase
in size. to what do you attribute this finding? Right Ans - Dressing selection
Which of the following situations present a contraindication for
myocutaneous flap? Right Ans - Uncontrolled muscle spacitiy
A Patients wound is producting copious amounts of thick blue-green drainage.
what technique should you use for the most definative identification of the
offending organisms? Right Ans - Tissue Biopsy
Covering a wound with sterilized graft harvested from a pig would be an
example of which of the following types of grafts? Right Ans - Xenograft
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