Wound Care Certification Exam Wound Care Certification Lower Extremity Wound Management 2

Question 1

Which compression system is considered the gold standard for venous leg ulcer treatment?

Accepted Answer

Four-layer compression bandage system (Charing Cross regimen)

Answer

The four-layer compression bandage system delivers sustained 40 mmHg compression at the ankle and has the strongest evidence base for venous leg ulcer healing.

Question 2

Compression therapy is CONTRAINDICATED in which clinical scenario?

Accepted Answer

ABI of 0.45 with a venous leg ulcer and significant edema

Answer

Compression is contraindicated when ABI is below 0.5–0.6 because the arterial perfusion pressure is too compromised; added external pressure would critically worsen ischemia.

Question 3

What is the primary therapeutic mechanism of compression therapy in venous leg ulcer management?

Accepted Answer

Counteracting venous hypertension by promoting venous return and reducing edema

Answer

Compression therapy directly addresses the underlying pathophysiology by countering venous hypertension, improving venous return, and reducing edema that impairs wound healing.

Question 4

Which wound characteristic best differentiates a diabetic neuropathic ulcer from an arterial ulcer?

Accepted Answer

Located on the plantar surface at bony pressure points with surrounding callus

Answer

Neuropathic diabetic ulcers characteristically occur on plantar pressure points and are surrounded by callus from undetected repetitive trauma due to loss of protective sensation.

Question 5

The Semmes-Weinstein 5.07 (10-gram) monofilament test is used to assess which clinical finding in diabetic patients?

Accepted Answer

Presence or absence of protective sensation

Answer

The 5.07 monofilament test detects loss of protective sensation (LOPS); inability to feel the 10-gram filament identifies patients at high risk for neuropathic ulcers.

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Practice Test

Wound Care Certification Exam Wound Care Certification Lower Extremity Wound Management 2