Skip to Main Content

++

CHAPTER FOUR. Vascular Wounds

++
++
++

The most common cause of peripheral arterial occlusive disease is

++
++
++

a. Trauma

++
++

b. Hypertension

++
++

c. Arteriosclerosis

++
++

d. Smoking

++
++
++

Where are arterial wounds usually located?

++
++
++

a. On bony prominences of the lower extremity

++
++

b. On the plantar foot

++
++

c. On the malleoli

++
++

d. On the distal digits

++
++
++

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?

++
++
++

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

++
++

b. Blanching of the periwound skin

++
++

c. Ankle-brachial index of 0.6

++
++

d. Detached edges with seropurulent drainage and mild odor

++
++
++

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?

++
++
++

a. Ankle-brachial index

++
++

b. Transcutaneous oxygen tension

++
++

c. Exercise stress test

++
++

d. Duplex with color flow imagining

++
++
++

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

++
++
++

a. Rest pain

++
++

b. Mild rubor of dependency

++
++

c. Delayed but adequate wound healing

++
++

d. Impaired sensation

++
++
++

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

++
++
++

a. Family history

++
++

b. Hormonal changes during pregnancy

++
++

c. Diabetes

++
++

d. Prior DVT

++
++
++

Symptoms of venous insufficiency include

++
++
++

a. Ulcers of the distal toes

++
++

b. Pain relieved by standing

++
++

c. Diminished pulses

++
++

d. Feelings of ...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.