WOCN WOUND EXAM EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS
◉ Define atrophie blanche? Answer: smooth, white plaques of think
speckled atrophic tissue with tortous vessels on ankle or foot with
hemosiderin pigmented border
◉ Define venous dermatitis? Answer: characterized by scaling,
crusting, weeping, erythema, erosions, and intense itching.
◉ Differentiate dermatitis from cellulitis? Answer: In cellulitis,
patients will often exhibit pain, fever, tenderness, one or few bullae,
no relevent history, no crusting, blood cxs usually negative, no
lesions anywhere else other than localized area, and high WBC count
◉ What factors impede healing in venous ulcers? Answer: DM,
tobacco, malnutrition, umplanned weight loss, and meds
(corticosteroids)
◉ What is the most effective managment of CVI? Answer:
therapeutic compressions (30-40mmHg)
◉ What should you do before deciding to tx with compressions?
Answer: rule out LEAD, by obtaing an ABI
,◉ What are the interpretations of ABI? Answer: ABI of 1.0 is pure
LEVD
ABI of 0.9 or less is LEAD
ABI of 0.5 or less is ischemia
◉ When should you obtain an TBI? Answer: when ABI is >1.3
indicating calcification of vessels which in turn reflects invalid data.
A TBI of < 0.7 indicates LEAD
◉ What is the gold standard for evaluating valve failure and extent
of reflux? Answer: duplex ultra sound
◉ What are some methods for manaing venous ulcers and CVI
Answer: limb elevation- >heart level for 1-2 hours/daily and during
sleep, calf pump exercises or referral to PT for shuffling gait, weight
control, medications (diuretics, topical corticosteroids,
Pentoxifylline (Trental), and compression therapy
◉ How does Pentoxifylline work and when is it appropriate?
Answer: reduces aggregation of platelets and WBC, reducing
capillary plugging and enhances blood flow. ordered when standard
therapy is not effective
, ◉ When are elastic or inelastic compressions indicated? Answer:
elastic for patients who are sedenatary vs. inelastic for patients who
are amublatory
◉ When are high pressure compressions (30-40mmgHg) indicated,
when assessing ABI? Answer: ABI>0.8 can use high compressions
◉ when are compressions contraindicated? Answer: venous
thrombosis in LE w/ulcers and uncompensated heart failure
◉ when is sustained (continuous) compression contraindicated?
Answer: in the presene of PVD with an ABI that is < or =0.6 or when
ABI is >0.5 but <0.8 is more appropriate
◉ when is IPC (intermittent pneumatic compression)-dynamic
compression indicated? Answer: for patients with venous
insufficiency and ABI< or =0.5, for those who cannot tolerate
sustained compression, as an adjunct therapy to sustained therapy,
those who are immobile
◉ when is modified or lower compressions appropriate (23-
30mmHg)? Answer: when coexisting arterial disease is present
QUESTIONS WITH ANSWERS
◉ Define atrophie blanche? Answer: smooth, white plaques of think
speckled atrophic tissue with tortous vessels on ankle or foot with
hemosiderin pigmented border
◉ Define venous dermatitis? Answer: characterized by scaling,
crusting, weeping, erythema, erosions, and intense itching.
◉ Differentiate dermatitis from cellulitis? Answer: In cellulitis,
patients will often exhibit pain, fever, tenderness, one or few bullae,
no relevent history, no crusting, blood cxs usually negative, no
lesions anywhere else other than localized area, and high WBC count
◉ What factors impede healing in venous ulcers? Answer: DM,
tobacco, malnutrition, umplanned weight loss, and meds
(corticosteroids)
◉ What is the most effective managment of CVI? Answer:
therapeutic compressions (30-40mmHg)
◉ What should you do before deciding to tx with compressions?
Answer: rule out LEAD, by obtaing an ABI
,◉ What are the interpretations of ABI? Answer: ABI of 1.0 is pure
LEVD
ABI of 0.9 or less is LEAD
ABI of 0.5 or less is ischemia
◉ When should you obtain an TBI? Answer: when ABI is >1.3
indicating calcification of vessels which in turn reflects invalid data.
A TBI of < 0.7 indicates LEAD
◉ What is the gold standard for evaluating valve failure and extent
of reflux? Answer: duplex ultra sound
◉ What are some methods for manaing venous ulcers and CVI
Answer: limb elevation- >heart level for 1-2 hours/daily and during
sleep, calf pump exercises or referral to PT for shuffling gait, weight
control, medications (diuretics, topical corticosteroids,
Pentoxifylline (Trental), and compression therapy
◉ How does Pentoxifylline work and when is it appropriate?
Answer: reduces aggregation of platelets and WBC, reducing
capillary plugging and enhances blood flow. ordered when standard
therapy is not effective
, ◉ When are elastic or inelastic compressions indicated? Answer:
elastic for patients who are sedenatary vs. inelastic for patients who
are amublatory
◉ When are high pressure compressions (30-40mmgHg) indicated,
when assessing ABI? Answer: ABI>0.8 can use high compressions
◉ when are compressions contraindicated? Answer: venous
thrombosis in LE w/ulcers and uncompensated heart failure
◉ when is sustained (continuous) compression contraindicated?
Answer: in the presene of PVD with an ABI that is < or =0.6 or when
ABI is >0.5 but <0.8 is more appropriate
◉ when is IPC (intermittent pneumatic compression)-dynamic
compression indicated? Answer: for patients with venous
insufficiency and ABI< or =0.5, for those who cannot tolerate
sustained compression, as an adjunct therapy to sustained therapy,
those who are immobile
◉ when is modified or lower compressions appropriate (23-
30mmHg)? Answer: when coexisting arterial disease is present
