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

Human bites to the hand carry a high risk of Eikenella corrodens infection and require prophylactic antibiotics and close follow-up.

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

Deep, contaminated wounds provide the anaerobic environment required for Clostridium tetani to produce toxin, significantly increasing tetanus risk.

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

Deep absorbable sutures close dead space to prevent hematoma/seroma formation and reduce tension on the skin closure.

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

Tissue adhesive should never be used on infected wounds, as trapping infection beneath the adhesive worsens outcomes.

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

Progressive redness, warmth, and swelling 48 hours post-suture indicate wound infection requiring suture removal, culture, and antibiotic therapy.

Urgent Care Practice Test