Deck 8: Soft-Tissue Injury

Question 1

In one study of 1,000 wounds, 42% of traumatic wounds were ____.

A) due to sharp, nonglass objects
B) secondary to blunt trauma
C) due to glass
D) caused by bites

Answer 1

secondary to blunt trauma

Question 2

Skin glues are not used with pediatric patients.

Answer 2

False

Question 3

The scalp is not a common location for lacerations.

Answer 3

False

Question 4

During the ____ stage of wound healing bleeding is controlled.

A) proliferative
B) modeling
C) hemostasis
D) remodeling

Question 5

A traumatic force that tears, cuts, or rends the flesh, leaving a jagged wound, creates a(n) ____.

A) scrape
B) abrasion
C) laceration
D) puncture

Question 6

A(n) ____, by definition, is a wound that does not go below the epidermis.

A) laceration
B) felon
C) puncture
D) abrasion

Question 7

A(n) ____ is the separation of a limb or digit by a shearing force.

A) reperfusion
B) amputation
C) avulsion
D) felon

Question 8

A laceration that extends past the dermis will reach a layer of loose connective tissue called the ____.

A) deep fascia
B) superficial puncture
C) superficial fascia
D) deep puncture

Question 9

Etimodate is an ultra-long acting hypnotic, over fifteen minutes, which does not have a safe hemodynamic profile.

Question 10

Rabies has to be suspected whenever any mammal bites a human.

Question 11

A(n) ____ penetrates through the skin and can be either be superficial or full thickness.

A) puncture wound
B) avulsion
C) abrasion
D) scrape

Question 12

Tourniquets can produce direct trauma to the skin, including pressure necrosis and friction burns.

Question 13

A(n) ____ is usually caused by a tearing force that rends the limb from the body, often leaving a jagged or tattered stump behind.

A) avulsion
B) fasciitis
C) amputation
D) keloid

Question 14

Ordinarily, severe bleeding cannot be controlled with direct pressure.

Question 15

Both corticosteroids and anticoagulants can impair wound healing.

Question 16

Soft-tissue injuries are not life-threatening issues.

Question 17

A(n) ____ starts as a small abscess following a puncture wound from a nail or needle, but can become a life-threatening soft-tissue infection.

A) ulcer
B) hematoma
C) necrotizing fasciitis
D) pressure sore

Question 18

Poor nutrition can accelerate the development of pressure sores.

Question 19

Traumatic rhabdomyolysis is a secondary syndrome that sometimes occurs with crush injury.

Question 20

A ____ is a purulent infection that results when bacteria-laden foreign material is injected into the pulp of the finger, most commonly the thumb or index finger.

A) keloid
B) necrotizing fasciitis
C) pressure sore
D) felon

Question 21

____ are ulcerations of the skin that occur because of prolonged pressure along prominences of the body such as the sacrum, elbows, knees, and ankles.

A) Felons
B) Keloids
C) Blisters
D) Pressure sores

Question 22

A(n) ____ injury occurs when the genitals (in particular) and the perineum (in general) strike an object.

A) neovascularization
B) orbital
C) straddle
D) hypertrophic

Question 23

During wound healing, granulation starts on the inside and pushes the scab up and out, a process called ____.

A) neovascularization
B) wound contraction
C) vasoconstriction
D) angiogenesis

Question 24

____ are actually an ancient means of wound closure, as they appeared in ancient Hindu medicine.

A) Skin staples
B) Running sutures
C) Interrupted sutures
D) Adhesives

Question 25

The skin has folds, or static tension lines called ____ lines. In between these lines there is also tension.

A) hypertrophic
B) Langer's
C) dynamic tension
D) Kraissl's

Question 26

A ____ dressing is a thin, transparent, semipermeable membrane that permits moisture to escape and oxygen to enter.

A) film
B) silver
C) foam
D) cravat

Question 27

In a crush injury, massive forces compress the limb, causing extensive damage to muscle cells, leading to a condition called ____ syndrome.

A) dehiscence
B) crush
C) reperfusion
D) rhabdomyolysis

Question 28

During the ____ phase of wound healing, which starts on about day two and may last three weeks, fibroblasts start to form a bed of collagen and rudimentary tissue.

A) proliferative
B) remodeling
C) hemostasis
D) modeling

Question 29

During the healing process, new blood vessels are formed to provide the growing tissue with nutrients, a process called ____.

A) granulation
B) angiogenesis
C) photosynthesis
D) wound contraction

Question 30

____ wound healing, occurs when the wound is purposefully left open to air and the body is allowed to close the wound itself via granulation.

A) Primary
B) Secondary
C) Delayed primary
D) Delayed secondary

Question 31

____ dressings provide some antimicrobial action in addition to wound coverage.

A) Film
B) Gel
C) Foam
D) Silver

Question 32

Wounds initially weep fluids called ____.

A) pus
B) exudates
C) felons
D) lymph

Question 33

A(n) ____ agent facilitates the coagulation of blood to stop hemorrhage by collecting clotting factors.

A) sanguination
B) analgesic
C) tensile
D) hemostatic

Question 34

____ wound healing occurs within hours of an incision.

A) Primary
B) Delayed primary
C) Secondary
D) Delayed secondary

Question 35

____, lesions that can develop up to one year after an injury and are thought to be due to genetic influences, are the result of an overgrowth of scar tissue.

A) Blisters
B) Pressure sores
C) Keloids
D) Decubitus ulcers