OSCE OSCE Wound Care and Dressings 5

Question 1

A patient with a venous leg ulcer has an ankle-brachial pressure index (ABPI) of 0.6. What does this result indicate about wound management?

Accepted Answer

Compression therapy is contraindicated due to arterial insufficiency

Answer

An ABPI below 0.8 suggests significant arterial disease, making compression therapy contraindicated as it could further compromise arterial perfusion.

Question 2

When is hydrogel dressing MOST appropriately used?

Accepted Answer

On a dry, necrotic wound to rehydrate and soften eschar

Answer

Hydrogels donate moisture to dry wounds and help rehydrate and soften necrotic tissue, facilitating autolytic debridement.

Question 3

Which action is MOST important before applying a new wound dressing in the OSCE?

Accepted Answer

Perform hand hygiene and don appropriate PPE

Answer

Hand hygiene before and after wound care is the most critical step to prevent healthcare-associated infection.

Question 4

A postoperative patient develops a wound that is red, warm, and has purulent discharge on Day 5. The FIRST step in management is:

Accepted Answer

Notify the physician, obtain a wound culture, and document findings

Answer

Signs of wound infection require immediate physician notification, wound culture collection to identify the causative organism, and thorough documentation.

Question 5

Which nutritional deficiency MOST significantly impairs wound healing by reducing collagen synthesis?

Accepted Answer

Vitamin C deficiency

Answer

Vitamin C (ascorbic acid) is essential for collagen cross-linking and synthesis; its deficiency leads to impaired wound healing and wound breakdown.

OSCE Practice Test

OSCE Practice Test

OSCE OSCE Wound Care and Dressings 5