WND 580 Final Exam (Modules 1-3 Quizzes) – Q’s & A’s
Intermittent claudication leg pain is characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the leg in a dependent position.
d. When the leg is elevated such as when the patient is lying supine. Right
Ans - a. With activity and is relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry
skin and very little hair; the ABI is 0.5. From this data, what condition would
you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer. Right Ans - a. Arterial insufficiency.
Which of the following statements about inelastic compression bandages is
accurate?
a. They are only effective in the ambulatory patient.
b. They may be used when the ABI = 0.5 or less.
c. They can only be used after edema is reduced.
d. They provide sustained compression whether the patient is ambulatory or
immobile. Right Ans - a. They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom
appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis. Right Ans - b. Charcot's joint.
Which of the following statements about contact casting is correct?
a. The contact cast is a multi-layer graduated compression wrap.
b. The patient can be instructed to replace the contact cast every 7 days.
c. It may be used when the ulcer is infected.
,d. The contact cast redistributes the weight of the diabetic foot. Right Ans -
d. The contact cast redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower
extremity. The systolic pressure in her R. arm is 170 mmHg; L arm is 165
mmHg, R. dorsal pedis systolic pressure was 100 mmHg and the posterior
tibial pressure was 95 mmHg. What is Mrs. Anderson's ABI for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65 Right Ans - c. 0.59
An ambulatory patient with insulin dependent diabetes has an ulcer located
on the plantar surface of the left foot over the third metatarsal head. The ulcer
is 1 cm in diameter, with a dry, red surface. The patient denies any pain in the
ulcer. What type of wound does this most likely represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer. Right Ans - b. Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
d. Absence of a ruddy, red wound bed. Right Ans - c. An ABI of 0.7.
Which of the following statements is TRUE? Venous dermatitis:
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling skin of the leg.
d. is best managed with topical antimicrobial creams. Right Ans - c. results
in erythema, crusting, scaling skin of the leg.
, Which of the following statements concerning the management of a mixed
venous/arterial ulcer with an ABI of .75 is TRUE?
a. Graduated compression is contraindicated.
b. Graduated compression can be provided at a modified level of support.
c. Graduated compression should be used temporarily to reduce edema and
then discontinued.
d. Graduated compression should be provided only with compression
stockings Right Ans - b. Graduated compression can be provided at a
modified level of support.
Mrs. James has an eschar covered heel ulcer and you decide that the best
approach to management is NOT to debride but to keep the eschar covered,
dry and intact. The rationale for your decision is that the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0. Right Ans - b. TcPO2 (transcutaneous oxygen) is 15
mmHg.
A patient in the outpatient wound clinic has a venous ulcer and with
palpation, the skin around the ulcer feels firm and woody or hardened. This
describes what condition?
a. Lipodermatosclerosis.
b. Atrophie blanche.
c. Hemosiderin deposition.
d. Venous dermatitis. Right Ans - a. Lipodermatosclerosis.
Mrs. Jones has an ulcer located on the dorsal surface of the third toe on the left
foot. The ulcer is 1 cm in diameter, with a dry, pale pink wound bed. She
reports significant pain in the ulcer and denies any history of diabetes. What is
the MOST likely cause of this ulcer?
a. Venous hypertension.
b. Neuropathy.
c. Pressure.
d. Arterial insufficiency. Right Ans - d. Arterial insufficiency.
Intermittent claudication leg pain is characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the leg in a dependent position.
d. When the leg is elevated such as when the patient is lying supine. Right
Ans - a. With activity and is relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry
skin and very little hair; the ABI is 0.5. From this data, what condition would
you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer. Right Ans - a. Arterial insufficiency.
Which of the following statements about inelastic compression bandages is
accurate?
a. They are only effective in the ambulatory patient.
b. They may be used when the ABI = 0.5 or less.
c. They can only be used after edema is reduced.
d. They provide sustained compression whether the patient is ambulatory or
immobile. Right Ans - a. They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom
appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis. Right Ans - b. Charcot's joint.
Which of the following statements about contact casting is correct?
a. The contact cast is a multi-layer graduated compression wrap.
b. The patient can be instructed to replace the contact cast every 7 days.
c. It may be used when the ulcer is infected.
,d. The contact cast redistributes the weight of the diabetic foot. Right Ans -
d. The contact cast redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower
extremity. The systolic pressure in her R. arm is 170 mmHg; L arm is 165
mmHg, R. dorsal pedis systolic pressure was 100 mmHg and the posterior
tibial pressure was 95 mmHg. What is Mrs. Anderson's ABI for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65 Right Ans - c. 0.59
An ambulatory patient with insulin dependent diabetes has an ulcer located
on the plantar surface of the left foot over the third metatarsal head. The ulcer
is 1 cm in diameter, with a dry, red surface. The patient denies any pain in the
ulcer. What type of wound does this most likely represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer. Right Ans - b. Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.
d. Absence of a ruddy, red wound bed. Right Ans - c. An ABI of 0.7.
Which of the following statements is TRUE? Venous dermatitis:
a. indicates a wound infection.
b. is characterized by hemosiderosis.
c. results in erythema, crusting, scaling skin of the leg.
d. is best managed with topical antimicrobial creams. Right Ans - c. results
in erythema, crusting, scaling skin of the leg.
, Which of the following statements concerning the management of a mixed
venous/arterial ulcer with an ABI of .75 is TRUE?
a. Graduated compression is contraindicated.
b. Graduated compression can be provided at a modified level of support.
c. Graduated compression should be used temporarily to reduce edema and
then discontinued.
d. Graduated compression should be provided only with compression
stockings Right Ans - b. Graduated compression can be provided at a
modified level of support.
Mrs. James has an eschar covered heel ulcer and you decide that the best
approach to management is NOT to debride but to keep the eschar covered,
dry and intact. The rationale for your decision is that the:
a. wound is clinically infected.
b. TcPO2 (transcutaneous oxygen) is 15 mmHg.
c. peri-wound is erythematous.
d. albumin level is 3.0. Right Ans - b. TcPO2 (transcutaneous oxygen) is 15
mmHg.
A patient in the outpatient wound clinic has a venous ulcer and with
palpation, the skin around the ulcer feels firm and woody or hardened. This
describes what condition?
a. Lipodermatosclerosis.
b. Atrophie blanche.
c. Hemosiderin deposition.
d. Venous dermatitis. Right Ans - a. Lipodermatosclerosis.
Mrs. Jones has an ulcer located on the dorsal surface of the third toe on the left
foot. The ulcer is 1 cm in diameter, with a dry, pale pink wound bed. She
reports significant pain in the ulcer and denies any history of diabetes. What is
the MOST likely cause of this ulcer?
a. Venous hypertension.
b. Neuropathy.
c. Pressure.
d. Arterial insufficiency. Right Ans - d. Arterial insufficiency.
