CBM Wound Care & Dressing Selection 3

Question 1

Negative pressure wound therapy (NPWT) in burn care is MOST commonly used to:

Accepted Answer

Secure skin grafts and bolster adherence

Answer

NPWT (wound VAC) is widely used post-grafting to immobilize the graft, remove exudate, and promote graft take.

Question 2

Which dressing is typically used for small, superficial partial-thickness burns in an outpatient setting due to its ease of use and reduced dressing change frequency?

Accepted Answer

Silver-impregnated contact layer changed every 7–14 days

Answer

Silver-impregnated contact layers like Mepilex Ag or Aquacel Ag allow infrequent changes while providing antimicrobial protection.

Question 3

Enzymatic debridement agents such as collagenase (Santyl) work by:

Accepted Answer

Selectively digesting necrotic collagen while sparing viable tissue

Answer

Collagenase selectively cleaves denatured collagen in necrotic tissue, facilitating debridement without harming viable surrounding tissue.

Question 4

When assessing a burn wound for signs of local infection versus normal healing, which finding is MOST concerning for infection?

Accepted Answer

Conversion of partial-thickness wound to full-thickness appearance

Answer

Wound conversion from partial-thickness to full-thickness is a hallmark sign of local infection and bacterial invasion.

Question 5

In pediatric burn patients, which factor most significantly increases the risk of dressing-related complications?

Accepted Answer

Higher body surface area to weight ratio affecting fluid evaporation

Answer

Children have a high BSA-to-weight ratio, leading to greater transepidermal water loss and heat loss through dressings.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Wound Care & Dressing Selection 3