CWCA Exam With Quizs and Verified
Answers
Steps to heal by Secondary Intention - ANSWER Formation of granulation tissue, contraction of the
wound bed edges, and epithelialization
Partial thickness repair - ANSWER Inflammatory response, epithelial proliferation and migration,
epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - ANSWER Low levels of growth factors and
receptor sites. They are needed to move cells out of the inflammatory phase and into the
proliferative/Rebuilding Phase
What Vitamin assists in collagen/fibroplasia formation? - ANSWER Vitamin C
Normal protein intake - ANSWER .8 g/kg/24
Protein intake for injury - ANSWER increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - ANSWER dehiscence, infection, delayed wound healing, adipose tissue poorly
perfused and heals at a slower rate
Keloid Scars are formed how? - ANSWER Overgrowth of collagen within scar tissue, seen with pigmented
skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - ANSWER scar with thickened epidermal layer contained within the
original incision area. Formed from prolonged inflammatory phase.
, Fast/rapid weight loss produces what type of malnutrition? - ANSWER Protein & mixed protein
malnutrition: marasmus-kwashiorkor
Marjoin ulcer - ANSWER chronic wounds in malignant wound
Candidiasis - ANSWER Pustules and satellite lesions with red base
Incontinence associated dermatitis - ANSWER blisters with red base
Radiation Dermatitis - ANSWER Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - ANSWER Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - ANSWER Ulcer with irregular shape and violaceous (purple) raised edges.
Sharp debridement is contraindicated.
Calciphylaxix - ANSWER Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present
similar to Pyoderma. Aggressive sharp debridement for necrotic tissue.
Partial thickness wound - ANSWER shallow ,.2 cm, moist, pink/red wound base, exposure of basement
membrane and of nerve endings. Epidermal/Dermal Loss
- Heal by reepithelialization
- No scar or loss of function
Epibole - ANSWER rolled skin edge that indicates slow healing. Prevents epithelialization and closure.
Cauterization (silver nitrate) or surgical debridement
Answers
Steps to heal by Secondary Intention - ANSWER Formation of granulation tissue, contraction of the
wound bed edges, and epithelialization
Partial thickness repair - ANSWER Inflammatory response, epithelial proliferation and migration,
epidermal reestablishment and differentiation
What characterizes a chronic wound healing environment - ANSWER Low levels of growth factors and
receptor sites. They are needed to move cells out of the inflammatory phase and into the
proliferative/Rebuilding Phase
What Vitamin assists in collagen/fibroplasia formation? - ANSWER Vitamin C
Normal protein intake - ANSWER .8 g/kg/24
Protein intake for injury - ANSWER increased 1.25 - 1.5 /kg/24 hours
BMI >25 increases - ANSWER dehiscence, infection, delayed wound healing, adipose tissue poorly
perfused and heals at a slower rate
Keloid Scars are formed how? - ANSWER Overgrowth of collagen within scar tissue, seen with pigmented
skin. Trauma. May ulcerate. Genetic.
Hypertrophic Scar are formed how? - ANSWER scar with thickened epidermal layer contained within the
original incision area. Formed from prolonged inflammatory phase.
, Fast/rapid weight loss produces what type of malnutrition? - ANSWER Protein & mixed protein
malnutrition: marasmus-kwashiorkor
Marjoin ulcer - ANSWER chronic wounds in malignant wound
Candidiasis - ANSWER Pustules and satellite lesions with red base
Incontinence associated dermatitis - ANSWER blisters with red base
Radiation Dermatitis - ANSWER Grade 1: Dry desquamation (Peeling)
Grade 2: erythema, moist desquamation (partial thickness), mod edema
Grade 3: Bleeding skin
Wheal skin lesion - ANSWER Itching, burning, red, elevated, irregular
Pyoderma Gangrenosum - ANSWER Ulcer with irregular shape and violaceous (purple) raised edges.
Sharp debridement is contraindicated.
Calciphylaxix - ANSWER Calcific uremic arteriolopathy elevated calcium/phosphate. Dialysis. may present
similar to Pyoderma. Aggressive sharp debridement for necrotic tissue.
Partial thickness wound - ANSWER shallow ,.2 cm, moist, pink/red wound base, exposure of basement
membrane and of nerve endings. Epidermal/Dermal Loss
- Heal by reepithelialization
- No scar or loss of function
Epibole - ANSWER rolled skin edge that indicates slow healing. Prevents epithelialization and closure.
Cauterization (silver nitrate) or surgical debridement
