Submitted by Jeffrey A. Niezgoda, MD, FACHM, MAPWCA, CHWS

This open wound shows granulation tissue developing on exposed bone. What is BEST explanation for this physiology?

A. Indicates the presence of malignancy
B. Suggests active osteomyelitis
C. Occurs only with an intact viable periosteum
D. Represents a genetic aberranc
E. Likely due to prior grafting with CTP

April 6, 2021
Submitted by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA

What types of skin manifestations have been reported in frontline workers due to wearing PPE for extended periods of time?

A. Acne, rash
B. Aggravation of dermatoses
C. Skin breakdown nasal bridge, ears, and face
D. All the above

March 30, 2021
Submitted by Christopher L. Barrett, DPM, CWS, FAPWCA

Patient is a 90-year-old female with a non-contributory PMH who initially presented to the outpatient wound department with a trauma-induced right anterior leg wound in January of 2017. Non-invasive arterial testing demonstrated and right ABI of 1.07, a TBI of .48 and mild dampening of the pulse volume tracings. The wound required six months of compression and local care, including cellular and/or tissue-based products (CTP) to heal. The patient returned two months after initial discharge complaining that the wound appeared healed but was still painful and somewhat pruritic. Venous reflux study was negative and she was referred to her PCP for follow-up. The patient again returned to the outpatient wound department in August of 2020 after suffering mild trauma to the same location as the previously healed wound. After four months of care the wound appeared healed only to have the patient return one month later in January of 2021 stating the wound had gradually reappeared.

A. Compression therapy
B. Repeat non-invasive arterial studies
C. Wound biopsy
D. Debridement and CTP application(s)

  

March 23, 2021
Submitted by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA

Wounds connected with infection can include:

A. Necrotizing Fasciitis
B. Fournier’s gangrene
C. Actinomycosis
D. Cellulitis
E. All the above

March 16, 2021

Submitted by Richard E. Schlanger, MD, PhD, FAPWCA, CWSP, FACS

A. Septic emboli
B. Soft tissue necrosis
C. Compartment syndrome
D. Rattlesnake bite

March 9, 2021

Submitted by Nancy Collins, PhD, RDN, LD, NWCC, FAND

Patients with wounds should consume a food high in vitamin C every day. Which food is best to meet this goal?

A. Fresh orange
B. Bowl of oatmeal
C. Grilled skinless chicken breast
D. Bran muffin

March 2, 2021

Submitted by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA

What type of preventional goals should be considered in patients at risk for pressure injury wounds?

A. Risk management
B. Nutritional management
C. Medical devices
D. Interventional methods
E. Skin management
F. All the above
G. 1, 4, 5

February 23, 2021
Submitted by Frank Aviles Jr, PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA, MLD/CDT Instr

70 year old patient presents to your clinic with left lower extremity swelling. Hx of prolonged standing, fall sustained 4 months prior, and limited mobility.

Based on your assessment, which treatment intervention is recommended:

A. Diuretics
B. Compression
C. Pumps
D. Complete Decongestive Therapy
E. Venous ablation

February 16, 2021
Submitted by Frank Aviles Jr, PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA, MLD/CDT Instr

70 year old patient presents to your clinic with left lower extremity swelling. Hx of prolonged standing, fall sustained 4 months prior, and limited mobility.

Based on the presentation, what could be the cause of the swelling:

A. Cardiac related condition
B. Chronic venous insufficiency
C. Primary lymphedema
D. Secondary lymphedema
E. Lipedema

February 9, 2021
Submitted by Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

This patient presents with color changes to their toes after extended cold exposure. What is the most appropriate treatment?

A. Femoral - popliteal artery bypass
B. Forefoot amputation
C. Sharp debridement
D. Hyperbaric oxygen

February 2, 2021
Submitted by Nancy Collins, PhD, RDN, LD, NWCC, FAND

A patient is diagnosed with heart failure and a wound and must follow a specific diet. Which spices are okay for the patient to use daily?

A. Onion salt and garlic powder
B. Ginger and bay leaves
C. Sea salt and pepper
D. Garlic salt and nutmeg

January 26, 2021
Submitted by Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

What is the most appropriate surgical procedure to offload this 5th toe #ulcer?

A. Remove the head of the 5th toe proximal phalanx
B. Remove the 5th metatarsal head
C. Flexor tenotomy
D. Extensor tenotomy

January 12, 2021
Submitted by Nancy Collins, PhD, RDN, LD, NWCC, FAND

All of the following are needed for strong bones except:

A. Calcium
B. Magnesium
C. Thiamine
D. Vitamin D

January 5, 2021
Submitted by Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

What is the most appropriate modality to offload this plantar 1st metatarsal head diabetic foot ulcer?

A. Surgical shoe
B. Total contact cast
C. Forefoot wedge shoe
D. Rearfoot wedge shoe

December 29, 2020
Submitted by Nancy Collins, PhD, RDN, LD, NWCC, FAND

What is the medical term to mean an age related shift in body composition that is a major cause of frailty and loss of independence in the elderly? 

A. Cachexia
B. Sarcopenia
C. Anorexia
D. Obesity

December 22, 2020
Submitted by Christopher L. Barrett, DPM, CWS, FAPWCA

If subscribing to the Angiosome Concept of Endovascular Therapy, which of the six angiosomes of the foot supplies the most direct flow to this wound on the right lateral malleolus and what primary vessel does that angiosome originate from?

A. Anterior perforating; Peroneal
B. Lateral plantar; Posterior tibial
C. Dorsalis pedis; Anterior tibial
D. Calcaneal branch; Peroneal