Urgent Care Urgent Care for Lacerations and Wound Care 3

Question 1

A patient presents with a human bite wound to the knuckle. What is the primary concern?

Accepted Answer

High risk of Eikenella corrodens infection

Answer

Viral transmission risk

Answer

Low infection risk due to saliva enzymes

Answer

Immediate tetanus prophylaxis as the only concern

Question 2

Which wound characteristic increases the risk of tetanus in a patient with an unknown immunization history?

Accepted Answer

Deep, contaminated puncture wound

Answer

Clean, superficial abrasion

Answer

Fresh surgical incision

Answer

Superficial burn with intact skin

Question 3

What is the purpose of deep absorbable sutures placed in a laceration before skin closure?

Accepted Answer

To eliminate dead space and reduce tension on skin edges

Answer

To reduce cosmetic scarring only

Answer

To anchor the wound to underlying bone

Answer

To deliver antibiotics locally

Question 4

Which of the following is a contraindication to using tissue adhesive for wound closure?

Accepted Answer

A wound with signs of infection

Answer

A superficial facial laceration

Answer

A dry linear laceration on the chin

Answer

A clean scalp laceration

Question 5

A patient returns 48 hours after suture placement with increasing redness, warmth, and swelling around the wound. What is the next step?

Accepted Answer

Remove sutures, culture wound, and start antibiotics

Answer

Add a compression dressing and recheck in 5 days

Answer

Apply topical corticosteroid cream

Answer

Reassure the patient that this is normal healing

Question 6

What is the maximum wound age (golden period) typically accepted for primary closure of a facial laceration?

Accepted Answer

24 hours

Answer

6 hours

Answer

12 hours

Answer

48 hours