OSCE Wound Care and Dressings 3

Question 1

A patient develops periwound maceration. The BEST intervention is to:

Accepted Answer

Apply a more absorbent dressing and use skin barrier cream periwound

Answer

Managing maceration requires both increasing moisture absorption with a more absorbent dressing and protecting periwound skin with a barrier product.

Question 2

Which type of debridement uses the body's own enzymes and moisture to break down necrotic tissue?

Accepted Answer

Autolytic debridement

Answer

Autolytic debridement harnesses the body's natural proteolytic enzymes and phagocytic cells, facilitated by moist wound dressings like hydrogels or hydrocolloids.

Question 3

A patient presents with a wound showing bright red, moist tissue that bleeds easily when touched. This describes:

Accepted Answer

Granulation tissue

Answer

Granulation tissue is healthy, vascular tissue that appears bright red, cobblestone-like, moist, and bleeds readily when touched during assessment.

Question 4

A diabetic patient has a neuropathic foot ulcer with a classic 'punched out' appearance and surrounding callus. The PRIORITY initial treatment is:

Accepted Answer

Debride the callus and offload pressure from the wound

Answer

Neuropathic diabetic foot ulcers require callus debridement to assess true wound depth and offloading to remove the causative pressure.

Question 5

When applying a wound dressing, you note the wound tunnel (sinus tract) extends 3 cm. The CORRECT approach is to:

Accepted Answer

Pack the sinus loosely with appropriate material to prevent premature closure

Answer

Tunnels must be gently packed loosely with appropriate material (ribbon gauze, alginate rope) to prevent abscess formation while allowing drainage.

OSCE Practice Test

OSCE Practice Test

OSCE Wound Care and Dressings 3