CWCA Wound Bed Preparation 3

Question 1

Hypergranulation (proud flesh) in a wound bed is most commonly caused by:

Accepted Answer

Excessive moisture and continuous pressure on the wound

Answer

Wound desiccation and hypoxia

Answer

Inadequate removal of necrotic tissue

Answer

Systemic antibiotic overuse

Question 2

For a heavily exudating wound during wound bed preparation, the most appropriate dressing category is:

Accepted Answer

Highly absorptive dressings such as alginates or foam dressings

Answer

Thin transparent films to seal in moisture

Answer

Hydrogels to add moisture to the wound bed

Answer

Hydrocolloids to support autolytic debridement

Question 3

Epibole (rolled or curled wound edges) indicates:

Accepted Answer

Stalled healing where edge epithelial cells fail to migrate into the wound

Answer

Healthy epithelialization progressing normally toward wound center

Answer

Active wound infection requiring systemic antibiotics

Answer

Successful completion of wound bed preparation

Question 4

Topical antimicrobials are most appropriately used in wound bed preparation when:

Accepted Answer

The wound shows signs of critical colonization or localized infection

Answer

All colonized wounds require routine topical antimicrobial treatment

Answer

The patient has a contraindication to systemic antibiotics

Answer

The wound is actively in the proliferative healing phase

Question 5

The factor most responsible for wound chronicity that wound bed preparation directly aims to correct is:

Accepted Answer

Elevated wound proteases and senescent cells that impair the healing cascade

Answer

Inadequate systemic blood supply to the surrounding tissue

Answer

Poor patient adherence to dressing change schedules

Answer

Insufficient normal saline irrigation volume

Question 6

During wound bed preparation, wound contraction is primarily driven by:

Accepted Answer

Myofibroblast contractile activity pulling wound edges together

Answer

Epithelial cell migration from wound edges toward the center

Answer

Collagen fiber deposition in the wound base

Answer

Granulation tissue overgrowth above wound margins

Question 7

A wound that remains pale or grey in the wound bed despite adequate debridement and dressing management most likely indicates:

Accepted Answer

Poor tissue perfusion or ischemia compromising the healing response

Answer

Successful wound bed preparation with imminent closure

Answer

Adequate moisture balance in the wound environment

Answer

Normal appearance of a chronic wound in the inflammatory phase