16th AWS 2023

A pressure ulcer that is superficial and presents as a blister with partial

thickness skin loss involving epidermis and dermis is graded as a

• a. stage III

• b. stage II

• c. stage I

• d. stage IV

The cardinal rule when determining a dressing change for a pressure ulcer is

a. keep the ulcer tissue dry and the surrounding intact skin moist

b. keep the ulcer tissue moist and the surrounding intact skin dry

c. keep the ulcer tissue and surrounding intact skin moist

d. keep the ulcer tissue and surrounding intact skin dry

• keep the ulcer tissue dry and the surrounding intact skin moist

• keep the ulcer tissue moist and the surrounding intact skin dry

• keep the ulcer tissue and surrounding intact skin moist

• keep the ulcer tissue and surrounding intact skin dry

According to Wagner Classification, which is the  best grade for the picture shown below?

• Grade 1

• Grade 3

• Grade 4

• Grade 5

Patient was referred to the burn unit for severe burn injury. What is the likely diagnosis of this patient?

• a. 1^st degree burn injury

• b. Superficial partial thickness burn (2^nd degree)

• c. Full thickness burn injury (3^rd degree)

• d. 4^th degree burn injury

Below is a large necrotizing fasciitis wound post debridement, which was put on negative pressure wound therapy (NPWT). What are benefits of NPWT?

i. NPWT could be used as a wound bed preparation method before application of split thickness skin grafting or free flap transfer.

ii. As a method of promoting granulation tissues in wound bed by stimulating cell proliferation and micro-angiogenesis

iii. NPWT could be applied directly onto exposed vital organs

iv. Promoting wound closure by application of negative pressure to draw the wound edges closer

• a. i, ii, iii

• b. i, ii, iv

• c. i, iii, iv

• d. All of the above

When dealing with patients with infected chronic diabetic foot ulcers, when should you consider a treatment regime containing a combination of topical and systemic antibiotics?

• a. Wound with spreading infection

• b. Wounds with colonization

• c. Wound with local infection

• d. Contaminated wounds

Pressure ulcers are categorized in stages I, II, III, and IV. Some pressure ulcers are unstageable due to coverage by slough or necrotic tissue. Initial pressure injury is classified as deep tissue injury. What is the likely stage of sacral pressure ulcer/injury illustrated in the picture below?

• a. Stage IV pressure ulcer

• b. Stage III pressure ulcer

• c. Unstageable pressure ulcer

• d. Stage II pressure ulcer

A patient had undergone wound debridement for deep degloving wound of the right foot. What is the appropriate dressing regime for this post operative wound that would prevent desiccation of the tendons and promote granulation tissues?

• a. Diluted povidone packing

• b. Wet to dry dressing with wet normal saline and gauze

• c. Medicated honey dressing

• d. Superoxide solution cleansing, hydrogel application onto tendons, tulle/ foam dressing

To prevent pressure ulcers, which of the following interventions are

appropriate?

• a. Frequency of skin assessments may need to be increased if the patient

  status deteriorates.

• b. Keep the head of the bed above a 30 degree angle at all times to reduce

  pressure and shearing force on the sacral area.

• c. When positioning or lifting up the patient in bed, health care providers

  should not drag skin across linens to prevent skin injury cause by friction

  and shearing

• d. Both a and b

• e. Both a and c

Systemic antibiotic therapy should be initiated for patients with all except:

• a. bacteremia

• b. sepsis

• c. osteomyelitis

• d. colonization