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CHAPTER FOUR. Vascular Wounds

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The most common cause of peripheral arterial occlusive disease is

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a. Trauma

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b. Hypertension

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c. Arteriosclerosis

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d. Smoking

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Where are arterial wounds usually located?

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a. On bony prominences of the lower extremity

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b. On the plantar foot

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c. On the malleoli

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d. On the distal digits

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A 79-year-old male with a non-healing wound on the lateral heel is referred for wound care. Which of the following characteristics is a criterion for urgent debridement?

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a. 2+ dorsalis pedis and 1+ posterior tibialis pulses

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b. Blanching of the periwound skin

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c. Ankle-brachial index of 0.6

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d. Detached edges with seropurulent drainage and mild odor

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During an assessment of a patient with a non-healing wound on the great toe, it is noted that the capillary refill is 6 seconds. Which of the following tests would be most appropriate to determine if the patient has adequate perfusion for healing?

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a. Ankle-brachial index

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b. Transcutaneous oxygen tension

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c. Exercise stress test

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d. Duplex with color flow imagining

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Which clinical sign is associated with a TcPO2 less than 20 mmHg?

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a. Rest pain

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b. Mild rubor of dependency

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c. Delayed but adequate wound healing

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d. Impaired sensation

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Which of the following does not modify risk or contribute to venous ulcers?

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a. Family history

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b. Hormonal changes during pregnancy

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c. Diabetes

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d. Prior DVT

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Symptoms of venous insufficiency include

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a. Ulcers of the distal toes

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b. Pain relieved by standing

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c. Diminished pulses

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d. Feelings of ...

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