Wound Care Certification Exam Wound Care Certification Debridement Methods and Indications 3

Question 1

Which dressing type BEST supports autolytic debridement?

Accepted Answer

Hydrocolloid or hydrogel dressings

Answer

Dry gauze

Answer

Calcium alginate

Answer

Foam dressing

Question 2

Autolytic debridement is CONTRAINDICATED in which situation?

Accepted Answer

Clinically infected wound requiring rapid debridement

Answer

Dry eschar on a venous ulcer

Answer

Partial thickness wound with slough

Answer

Chronic wound with fibrinous debris

Question 3

Which enzymatic debriding agent is currently FDA-approved for wound debridement in the United States?

Accepted Answer

Collagenase (Santyl)

Answer

Papain-urea

Answer

Streptokinase-streptodornase

Answer

Fibrinolysin

Question 4

Collagenase (Santyl) should NOT be used concurrently with:

Accepted Answer

Silver-containing dressings or povidone-iodine

Answer

Saline irrigation

Answer

Hydrogel dressings

Answer

Transparent film dressings

Question 5

Wet-to-dry gauze debridement is classified as which type of debridement?

Accepted Answer

Non-selective mechanical debridement

Answer

Selective debridement

Answer

Enzymatic debridement

Answer

Biological debridement

Question 6

Larval (maggot) therapy works primarily through which mechanism?

Accepted Answer

Secretion of proteolytic enzymes that selectively digest necrotic tissue

Answer

Physical disruption of tissue by larval movement

Answer

Creation of a hyperosmotic wound environment

Answer

Generation of heat to liquefy eschar