Wound Healing

13-year-old male was brought to the emergency room due to incised wound on his right forearm. Physical examination shows a 3 x 1 cm actively bleeding wound, full and equal peripheral pulse, and no neurological deficit. Your choice of closure would be?
a. Primary closure
b. Secondary closure
c. Tertiary closure
d. Delayed primary closure

a. Primary closure

25-year-old male consulted due to his scar on his previous operation which extended beyond the wound margin with associated pain and pruritus:
a. Hypertrophic scar
b. Keloid
c. Contracture
d. Eschar

b. Keloid

56-year-old male with known diabetes consulted due to foul-smelling wound on his right toe. Physical examination shows necrotic wound on the plantar aspect of right big toe with purulent discharge. Your management would be?
a. Debridement then do primary closure to prevent contamination
b. Give antibiotics and pain reliever then discharge the patient
c. Refer first to Endocrinologist before treating the wound
d. Do emergency below knee amputation

d. Do emergency below knee amputation

Connective tissue disorder that required zinc for DNA polymerase:
a. Epidermolysis bullosa
b. Acrodermatitis enteropathica
c. Marfan syndrome
d. Osteogenesis imperfecta

b. Acrodermatitis enteropathica

Immediate sealed wounds with simple suturing:
a. Primary closure
b. Delayed primary closure
c. Tertiary closure
d. Secondary closure

a. Primary closure

Impaired wound healing is caused by:
a. Steroids
b. Antitetanus
c. Antibiotic
d. Age

a. Steroids

In Matrix synthesis, the collagen that is prominent in skin extracellular membrane:
a. Type I
b. Type III
c. Type I and III
d. Type IV

a. Type I

Ischemic arterial ulcers are characterized as:
a. Wounds usually shallow with smooth margins and pale base
b. Incompetence of deep venous system
c. Brownish pigmentation of skin
d. Common above the medial malleolus

a. Wounds usually shallow with smooth margins and pale base

Macrophages peak at this hour during acute inflammation:
a. 24–48 hours
b. 48–96 hours
c. 95–150 hours
d. 7 days

b. 48–96 hours

Metabolic disorders such as uncontrolled diabetes result in:
a. Increased inflammation
b. Decreased collagen
c. Increased collagen synthesis
d. Increased granulocyte function

b. Decreased collagen

Neurapraxia is:
a. Neurometsis
b. Axonotmesis
c. Focal demyelination
d. Transection of nerve

c. Focal demyelination

One of the following is not included in phases of wound healing:
a. Hemostasis
b. Inflammation
c. Remodeling
d. Contraction

d. Contraction

One of the following is not a factor that affects wound healing:
a. Age
b. Smoking
c. Surgical technique
d. Nutrition

c. Surgical Technique

One of the following managements with acute wound is not included:
a. Clean wound
b. Give antibiotic
c. Inject anti-tetanus
d. Avoid suturing

d. Avoid suturing

Provides watertight seal during repair of intestines:
a. Serosa
b. Mucosa
c. Submucosa
d. Muscularis

a. Serosa

Skin abscess can be classified as:
a. Clean wound
b. Clean contaminated
c. Contaminated
d. Dirty

d. Dirty

The recommended daily allowance of Vitamin C per day in a normal individual:
a. 30 mg
b. 60 mg
c. 90 mg
d. 500 mg

b. 60 mg

Thyroidectomy procedure can be classified as:
a. Clean wound
b. Clean contaminated
c. Contaminated
d. Dirty

a. Clean wound

Treatment of the above case (keloid):
a. Excision
b. Topical silicone with external compression
c. Oral steroid
d. Observation

b. Topical silicone with external compression

Type of collagen needed especially during repair:
a. Type I
b. Type III
c. Type I and III

c. Type I and III