Wounds Pt. 2 // AI-GENERATED!!

TRUE

True or False: The Photographic Wound Assessment Tool (PWAT) was adapted from the BWAT and can be used for telemedicine and electronic consultation.

5

The Cardiff Wound Impact Schedule has 45 items using a _____-level Likert scale across 3 domains

24

Sterile saline has a maximum use time of _____ hours once opened

FALSE — Hydrogen peroxide is a cytotoxic agent that should be AVOIDED. It doesn't really do anything and will slow down healing if used longer than just to clean a wound immediately after injury

True or False: Hydrogen peroxide is a safe and effective wound cleanser for long-term use

Hypochlorous Acid (HOCl)

_______ solution has a pH of 3.5 to 6.75, making it compatible with skin.

FALSE — Betadine gets INACTIVATED within the wound bed, so it should be avoided as a wound cleanser.

True or False: Betadine is an effective wound cleanser because it remains active in the wound bed

mechanical

Pulsed Lavage with Suction is a form of _____ debridement indicated for grossly infected or contaminated wounds with thick exudate.

tunneling, undermining

A contraindication for pulsed lavage with suction is long ________ or _____

Autolytic

_____ debridement is "Mother Nature's process" — it is selective but slow, and benefits from moist wound healing.

FALSE — Enzymatic debridement is SELECTIVE. It involves topical application of an enzyme to break down necrotic tissue and is faster than autolytic debridement

True or False: Enzymatic debridement is non-selective and can damage healthy tissue.

iodine

Enzymatic debridement should NOT be used with silver or _____ dressings.

painful

Wet-to-dry dressings are considered old school and not standard of care because they are very _____

FALSE — NO LONGER standard of care due to infection risk, uncontrolled pressures, and drying of skin

True or False: Whirlpool is currently considered the standard of care for mechanical debridement.

22.5

Ultrasonic debridement uses a low frequency contact ultrasound at _____ kHz

Selective debridement

________ uses sharp instruments such as scalpel, scissors, forceps, and curette

2.0

Selective debridement should be used with caution when INR is between 1.0 and _____.

3.0

Selective debridement is contraindicated when INR is greater than _____ or there is uncontrolled bleeding.

TRUE

True or False: Biologic debridement, also known as maggot therapy, uses sterile medical fly larvae and is painless

Nonhealing

Exudative

Red and bleeding granulation

Debris

Smell

The acronym NERDS represents the clinical signs of critical colonization:

Size bigger

Temp increased

Os (probe to bone)

New breakdown

Exudate/erythema/edema

Smell

The acronym STONES represents the clinical signs of deep infection:

1.0 x 10⁶ / 1 million

The medical "gold" standard for diagnosing a wound infection is tissue biopsy with _____ colony forming organisms per 1 gram of tissue

topical treatment, systemic treatment

Critical colonization (NERDS) is managed with _________ using antimicrobial dressings, while deep infection (STONES) requires __________ or surgical intervention

TRUE

True or False: If there is no change in a wound after treating for bioburden, you should assume inflammation

Silver

_____ is a broad spectrum antimicrobial dressing with concern for bacterial resistance, released from modern products over 3-7 days.

Cadexomer

_____ iodine is a broad-spectrum antimicrobial effective against biofilms, with iodine encased in beads of starch

FALSE — should NOT be combined with collagenase. The iodine would interfere with the enzymatic debridement activity

True or False: Cadexomer iodine can be safely combined with collagenase for enzymatic debridement.

manuka

Sterilized _____ honey is a non-prescription antimicrobial dressing that also provides autolytic debridement and helps with wound odor.

FALSE — Biofilm CANNOT be rinsed or wiped away. It must be physically removed by scraping, and treatment is disruption and prevention

True or False: Biofilm can form in 6-12 hours and can be easily wiped away with wound cleansing.

much greater

The prevalence of Biofilm in chronic wounds is ________ than acute wounds

FALSE — Biofilm does NOT respond to antibiotics because most bacteria in biofilm are senescent (not metabolically active)

True or False: Antibiotics are highly effective at treating biofilm because the bacteria are metabolically active.

O2

When a wound dries out, cells desiccate and die, cytokines and nutrients denature or evaporate, and there is no diffusion of _____.

granulation

A dry dressing sticks to dry _____ tissue, causing pain with removal.

moist

Outcomes of _____ wound healing include faster closure, less scarring, lower infection risk, and less pain/cost/caregiver time

hydrogel, impregnated gauze

For a dry wound, moisture-donating dressings such as _______ or ___________ should be selected.

copious drainage

For a wound with _______, moisture-absorbing dressings such as calcium alginate, foams, or hydrofiber should be selected

Hydrocolloids

_____ were the ORIGINAL advanced dressings, appropriate for minimal-to-moderate exudate on partial thickness or shallow full thickness wounds.

FALSE — CONTRAINDICATED for highly exudating, infected, or undermining wounds, as well as for thin, fragile, or damaged periwound skin

True or False: Hydrocolloid dressings are appropriate for highly exudating, infected, or undermining wounds

seaweed

Calcium alginate is a moisture-absorbing dressing derived from _____.

fluffy/filled

When filling a wound with depth including tunnels and undermining, the dressing should be _____, not packed

pack

The rule is: Don't _____ the wound, FILL the wound

above

Hypergranulation tissue is granulation tissue that extends (above/below) the edge of the skin and must be removed.

Negative Pressure Wound Therapy (NPWT)

_____________ works by removing extracellular debris and fluid, increasing perfusion, stabilizing the wound, active wound contraction, and increasing cell proliferation

Atypical wounds

__________account for 5-20% of chronic wounds and show no healing with conventional care, with pain out of proportion to clinical presentation

Bull’s Eye

A Brown Recluse spider bite characteristically has a "_____ _____" appearance with a visible puncture site

FALSE — Squamous Cell Carcinoma (SCC) arises from epidermal KERATINOCYTES and forms malignant tumors.

True or False: Squamous Cell Carcinoma arises from basal layer cells of the epidermis and has low metastatic potential