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Treatment of Burns, Wounds, and Decubitus Ulcers
By Alaina Darby
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Into which of the following categories would you classify a sunburn that has started to blister?
Stage I Stage II Stage III Stage IV B
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Into which of the following categories would you classify a sunburn that is red and painful?
Stage I Stage II Stage III Stage IV A
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Into which of the following categories would you classify a pressure ulcer that extends to the muscle? Stage I Stage II Stage III Stage IV D
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Into which of the following categories would you classify a knife wound that extends to the epidermis? Stage I Stage II Stage III Stage IV B
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Into which of the following categories would you classify a child’s scraped knee?
Stage I Stage II Stage III Stage IV B
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Into which of the following categories would you classify a pencil puncture that extends to the dermis? Stage I Stage II Stage III Stage IV C
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Into which of the following categories would you classify a diabetic foot ulcer that extends to the dermis? Stage I Stage II Stage III Stage IV C
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Into which of the following categories would you classify a wound causing necrotizing fasciitis?
Stage I Stage II Stage III Stage IV D
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What is not addressed by the goals of treatment?
Minimize potential for scarring Refer all patients for dermatological follow up Reduce the potential for infection Minimize pain and swelling B
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Which of the following would not be referred?
Stage I with 5% of BSA involved Stage II with 3% of BSA involved Stage III with 2% of BSA involved Stage IV with 1% of BSA involved A
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What would you do for a stage II abrasion that covers 5% of BSA?
Remove debris Cover with dressing Recommend topical antibiotic All of the above None of the above E
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What would you do for a stage II abrasion that covers 1% of BSA?
Remove debris Cover with dressing Recommend topical antibiotic All of the above None of the above D
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What is the best course of action for a stage I sunburn?
Topical antibiotic Skin protectant Alcohol-containing antiseptic Saline irrigation B
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What is never indicated for wounds?
Topical antibiotic Skin protectant Alcohol-containing antiseptic Saline irrigation C
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What would be a product that should only be used on intact skin?
Topical antibiotic Skin protectant Topical antiseptic Saline irrigation C
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When would you seek medical attention if the skin injury has not improved?
5 days 7 days 10 days 14 days B
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What would be considered an infection?
175,029 bacteria per gram of tissue 175,029 bacteria per milligram of tissue 175,029 bacteria per square inch of tissue 175,029 bacteria per cubic millimeter of tissue A
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Which of the following patients might have atypical symptoms for skin conditions?
7 year old patient HIV patient Pregnant patient Elderly patient B
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What is not a sign of early infection?
Generalized pain Heat at wound Increased body temperature Purulent drainage C
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What should be done first?
Clean the wound Administer topical antibiotics Administer systemic antibiotics Obtain cultures D
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What best promotes removal of non-viable tissue?
Occlusive dressings Wound cleansing Antibiotics Antiseptic washes A
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What is the purpose of lightly scrubbing during wound cleansing?
Stimulate tissue Remove biofilm Promote cleanser penetration Remove dead skin B
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What is the purpose of a surfactant?
Help remove dirt Help kill bacteria Help moisturize wound Help decrease pain A
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What is generally not treated with topical therapy?
Impetigo around the mouth Scraped knee Cellulitis of the leg Excision of a mole C
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Which of the following is structurally similar to PABA?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine F
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Which of the following binds to the 30S ribosomal subunit?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine E
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Which of the following is often not recommended due to contact dermatitis?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine E
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Which of the following is a broad spectrum antibacterial?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine F
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Which of the following binds to isoleucyl-tRNA synthetase?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine A
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Which of the following interferes with dephosphorylation of lipid pyrophosphate?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine C
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Which of the following is often combined in triple antibiotic ointment
Which of the following is often combined in triple antibiotic ointment? (all that apply) Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine CDE
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Which of the following is limited to gram positives?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine A (B and C to some extent)
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Which of the following is drug of choice for localized impetigo in a 5 yo?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine A
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Which of the following binds to 50S ribosomal subunit?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine B
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Which of the following is often combined with zinc?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine C
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Which of the following treats only aerobic gram negatives?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine E
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Which of the following treats a wide range of gram negatives?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine D
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Which of the following is a detergent?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine D
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Which of the following is a topical aminoglycoside?
Mupirocin Retapamulin Bacitracin Polymixin Neomycin Silver Sulfadiazine E
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Which would likely be the most costly?
Ointment Cream Lotion Aerosol D
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Which would prevent you from having to touch the wound?
Ointment Cream Lotion Aerosol D
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Which is the most occlusive?
Ointment Cream Lotion Aerosol A
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Which of the following is best for broken skin?
Ointment Cream Lotion Aerosol B
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Which of the following spreads most easily?
Ointment Cream Lotion Aerosol C
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Which contains an oleaginous base?
Ointment Cream Lotion Aerosol A
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Which should be applied directly to the site with a clean hand or glove? (select all)
Ointment Cream Lotion Aerosol AB
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Which should only be used when skin is intact?
Ointment Cream Lotion Aerosol A
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Which is best for large surfaces?
Ointment Cream Lotion Aerosol C
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Which is least appropriate for minor wounds?
Topical vitamins Self-treatment Topical antibiotics Topical hydrocortisone
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Which is most appropriate for minor wounds?
Camphor Menthol Ibuprofen Ichthammol C
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Which is not a contributing factor for decubitus ulcers?
Peripheral vascular disease Hypertensive episodes Spasticity Diabetes B
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Which is the most serious type of ulcer?
II III IV D
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What is not a measure that helps to prevent ulcers?
Moving the patient at least every 2 hours Keeping skin clean and lubricated Inclining the bed to 45 degrees Using incontinence devices C
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What is not a method of treating an ulcer?
Antibiotics IV fluids Blood transfusions Drying the area D
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Which of the following is used for cleaning?
Hydrocolloids Alginate Sterile saline Hydrogel C
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Which stage of ulcer would most likely require surgery?
II III IV D
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Questions? C
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