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CHAPTER ELEVEN. Factors That Impede Wound Healing

A wound has pathogens on the surface that are replicating and interfering with the normal healing response. The wound is said to be

a. Contaminated

b. Colonized

c. Critically colonized

d. Infected

Which of the following disorders is most likely to result in a wound that bleeds easily with resulting loss of growth factors and failure to progress from inflammation to proliferation?

a. Abnormally low platelets

b. Protein energy malnutrition

c. Increased neutrophil count

d. Hyperglycemia

Which of the following conditions will require the highest calorie count for effective healing?

a. Diabetic foot wound

b. Post-operative incision with infection

c. Protein energy malnutrition

d. 30% total body surface of burns

Which of the following symptoms is most likely to occur 6 weeks after initiation of radiation on the chest for a recurrent squamous cell carcinoma?

a. Superficial erythema

b. Wet desquamation

c. Dyspigmentation

d. Nonhealing traumatic wound

Chemotherapy affects healing by which of the following mechanisms?

a. Destruction of the DNA of the affected tissue

b. Lack of available neutrophils to migrate to the wound

c. Myelosuppression, or decreased production of red blood cells in the bone marrow

d. Dehydration as a side effect of the chemotherapy

Of the following factors that can impede wound healing, which one has effects that are reversible?

a. Smoking

b. Chemotherapy

c. Radiation

d. Autoimmune disorders

One of the primary reasons that obese patients have higher rates of surgical site infections is

a. Higher rates of drug resistance.

b. Adipose is poorly vascularized ...

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