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Text and Atlas of Wound Diagnosis and Treatment

CHAPTER FOUR: Vascular Wounds

CHAPTER FOUR. Vascular Wounds

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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 aching heaviness in the lower extremity

The thickened, brawny edema and skin discoloration caused by backup and leakage of fibrin and hemosiderin is called

a. Telangiectasia

b. Lipodermatosclerosis

c. May-Thurner Syndrome

d. Dermatomyofibrosis

The diagnostic method of choice for venous insufficiency is

a. The Brodie-Trendelenburg test

b. MRI

c. Venography

d. Doppler ultrasound

Most venous ulcers will respond fully to compression therapy.

a. True

b. False

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CHAPTER FOUR: Vascular Wounds

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