* 1.) A patient presents with a painful leg ulceration that has been going on for 3 years and has not responded to numerous wound care interventions and leg compression, including 3 trials of Unna boots.

The edges of the ulceration are raised, violaceous, and overhanging. Which of the following should be obtained next?

• Wound Gram stain and culture
• Plain film radiograph
• Wound biopsy from the ulceration edge
• Sedimentation rate

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* 2.) Which of the following statements is correct regarding debridement of wounds?

• Enzymatic debridement is harmless to surrounding healthy tissue.
• Maggots are FDA approved in the United States.
• Autolytic debridement is the liquefying of fibromembranous debris and necrotic material by the body’s own fluids.
• Debridement of wounds has been shown in multiple studies to accelerate wound healing.

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* 3.) For an exudative wound, which of the following is the most effective, absorbant dressing class?

• Gauze
• Hydrocolloids
• Alginates
• Collagen

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* 4.) Which of the following is the most appropriate dressing class for a dry wound?

• Gauze
• Foam
• Silver
• Hydrogel

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* 5.) Pyoderma gangrenosum is most often associated with which of the following diseases?

• Inflammatory bowel disease
• Hematologic disorders
• Liver disorders
• Neurologic disorder

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