QUESTIONS AND VERIFIED ANSWERS (DETAILED &
ELABORATED) ACTUAL EXAM 2026 -2027 || LATEST
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PREPARATION
Which debridement methods are selective?
autolysis, enzymatic (collagenase, Dakins, silver nitrate), conservative sharp
debridement, biosurgical, and ultrasonic mist
what is the difference between selective and nonselective debridement?
in selective, only necrotic tissue is removed
what are some things to consider when using Dakin's solution?
It is used for cleaning, debriding, and controling odor; but it should be
used short- term; stop use when infection and odor is under control;
viable tissue exposed; used 2x/day; use barrier ointment over
periwound
what caution should you take in considering conservative sharp or surgical
sharp wound debridement?
there is potential for transient bacteremia after debridement, particularly
wounds that are infected; risk for bleeding, pain
,what are the 3 general parameter guides for selecting appropriate wound
debridement?
overall condition and goal of patient; status of wound and urgency in need of
debridment; skill level of care provider
what product is used for tx of very dry, scaly skin?
hyaluronic acid cream
when should petrolatum jelly-based products not be used?
for prevention or treatment of radiation dermatitis
,what are some ways to manage radiation dermatitis?
use lanolin-free hydrophillic moisturizer, normal saline soaks to provide
cooling sensation and loosen crusting, nonadherent dressings
What are the characteristic manifestation of Herpes Zoster?
begins w/buring pain, followed by erythema that evolves into a grouped
unilateral vesicular rash along one or two dermatomes. Pustules form,
rupture, and then becomes crusty. Of note, dermatomes are specific skin
surface areas innervated by a single spinal nerve group
what kind of lesion is an important diagnostic feature in Candidiasis?
satellite lesion
what are the 2 mechanims for wound healing?
regeneration (replacement of damaged or lost tissue with more of the same)
or scar formation (replacement of damaged or lost tissue by connective
tissue that lacks some fx of original tissue
wounds that are confined to epidermal and superficial dermal layers heal by
what mechanism and why?
regeneration; epithelial, endothelial, and connective tissue can be
reproduced
, wounds that occur deep in the dermal structures, SQ tissue, muscle,
tendon, ligaments, and bone heal by what mechanism and why?
scar formation; these layers lack capacity to regenerate and therefore loss of
these structures are permanent
Explain wound healing by primary intention and give an example?
In primary intention, wound edges are well approximated and heals by
epithealization and connective tissue deposition. surgical incision secured
w/staples, surtures, or adhesive tape
explain wound healing by secondary intention and give and example?
wound edges are not approximated and healing occurs by granulation
tissue formation, contraction of wound edges, and epithelialization.
chronic wounds such as PU and dehisced incisions
explain wound healing by tertiary intentions and give examples?
aka delayed primary intention. wound is kept open for several days.
superficial wound eges then are approximated, and center of wound
heals by granulation tissue formation. abdominla incision complicated
by significant infection (deep tissue is healing by graulation and
superficial layer of skin is sutured)
"red islets" represent what part of the skin layer?
basement membrance of the epidermis, which projects deep into the
dermis to line the epidermal appendages. Each islets serves as a source
of new epithelium