CHT Wound Care & Edema Management

Question 1

What is the primary goal of edema management during the acute phase following hand injury?

Accepted Answer

Reduce swelling to prevent fibrosis and joint stiffness

Answer

Prevent wound infection

Answer

Promote scar formation

Answer

Increase arterial blood flow to the area

Question 2

Which measurement technique is considered the gold standard for quantifying overall hand and wrist edema volume?

Accepted Answer

Volumetric water displacement

Answer

Circumferential tape measure

Answer

Figure-8 tape method

Answer

Digital caliper measurement

Question 3

When performing retrograde massage for edema reduction, in which direction should strokes be applied?

Accepted Answer

Distal to proximal

Answer

Proximal to distal

Answer

Circular in alternating directions

Answer

Perpendicular to the long axis of the digit

Question 4

String wrapping (Coban self-adherent wrap) for digit edema should begin at the:

Accepted Answer

Fingertip, wrapping proximally

Answer

Proximal phalanx, wrapping distally

Answer

Middle phalanx, wrapping distally

Answer

MCP joint, wrapping distally

Question 5

Which clinical sign most strongly suggests wound infection requiring medical referral?

Accepted Answer

Increasing warmth, spreading erythema, and purulent drainage

Answer

Mild pink periwound skin

Answer

Serous wound exudate

Answer

Minimal wound edge approximation

Question 6

Elevation of the hand post-surgically is most effective when the hand is positioned at which level?

Accepted Answer

Above heart level

Answer

At heart level

Answer

Below heart level

Answer

At shoulder level only

Question 7

Which type of wound dressing is most appropriate for a clean, moist, granulating wound with minimal exudate?

Accepted Answer

Hydrocolloid

Answer

Dry gauze

Answer

Calcium alginate

Answer

Wet-to-dry gauze