OSCE Wound Care and Dressings 5

Question 1

A patient with a burn injury has a wound that is painful, moist, red, and blistering with blanching on pressure. This is classified as:

Accepted Answer

Superficial partial-thickness (second-degree) burn

Answer

Superficial partial-thickness burns affect the epidermis and superficial dermis, presenting with blistering, moist appearance, redness, and blanching with preserved pain sensation.

Question 2

Which sign is MOST specific for identifying wound infection rather than simple colonization?

Accepted Answer

Erythema, warmth, and purulent discharge with delayed healing

Answer

Classic signs of wound infection include erythema, warmth, edema, pain, purulent discharge, and wound breakdown, distinguishing infection from colonization.

Question 3

A patient has a wound with hypergranulation (proud flesh) above the wound surface level. The appropriate management is:

Accepted Answer

Apply foam dressing to compress and reduce the hypergranulation

Answer

Hypergranulation is managed by applying gentle pressure with foam or silicone dressings, or topical corticosteroids, to allow epithelialization to occur over the wound surface.

Question 4

When documenting a wound using the PUSH tool (Pressure Ulcer Scale for Healing), which THREE parameters are assessed?

Accepted Answer

Surface area, exudate amount, and tissue type

Answer

The PUSH tool scores wound surface area (length × width), exudate amount (none/light/moderate/heavy), and tissue type (closed to necrotic) to track healing progression.

Question 5

A patient has a wound with a low-adherent dressing in place. The PRIMARY advantage of low-adherent dressings is:

Accepted Answer

Prevention of wound desiccation and trauma-free removal

Answer

Low-adherent dressings minimize trauma to new tissue on removal while reducing pain, making them suitable for wounds where trauma-free dressing changes are a priority.

OSCE Practice Test

OSCE Practice Test

OSCE Wound Care and Dressings 5