CHAPTER EIGHT: Atypical Wounds

CHAPTER EIGHT. Atypical Wounds

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Which of the following symptoms is not an indication that the patient has an atypical wound?

a. Fungating growth of abnormal tissue

b. Mild-to-moderate pain

c. Unusual location for the apparent wound diagnosis

d. Failure to respond to standard care for the apparent diagnosis

A patient with diabetes presents with systemic signs of fever, malaise, and weakness with erythema of the lower extremity after getting a scratch while doing yard work. The erythema is quickly spreading and small blisters are forming in the area. The recommended initial treatment for a wound of this type is

a. Anti-inflammatory medications

b. Local wound care and compression

c. Referral to infectious disease specialist and surgical debridement

d. Antiviral medications

Irritant contact dermatitis is caused by

a. Allergic reaction to an oral medication

b. Contact with a caustic substance such as cleaning fluids or poison ivy

c. Allergic reaction to a specific substance such as latex or perfume

d. Psychological response to a stressful event

An elevated lesion less than 10 mm in diameter that contains clear fluid is termed a

a. Vesicle

b. Bulla

c. Pustule

d. Macule

The first and most important treatment of toxic epidermal necrolysis is

a. Determining and giving the correct antibiotic

b. Identifying and halting the causative medication

c. Isolation of the patient to prevent spread of the disease

d. Topical steroids to treat the epidermal inflammation

Which of the following vasculitic disorders is most likely to have cutaneous lesions?

a. Giant cell arteritis

b. Microscopic polyangiitis

c. Polyarteritis nodosa

d. Takayasu arteritis

For which of the following diseases is sharp or selective debridement contraindicated?

a. Cryoglobulinemia

b. Necrotizing fasciitis

c. Pyoderma gangrenosum

d. Wegener granulosum

Squamous cell carcinoma, Merkel cell carcinoma, and basal cell carcinoma are found in patients who

a. Have a history of other types of cancers

b. Are less than 50 years old

c. Have a history of drug abuse

d. Have had prolonged exposure to ultraviolet light

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CHAPTER EIGHT: Atypical Wounds

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CHAPTER EIGHT. Atypical Wounds

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