Module 1 Polls Wound Management
Anesthesia and Abscess Management
1. Local anesthesia – direct infiltration is used for ANY painful SKIN procedure
o True
o False
2 . 1% lidocaine and 2% lidocaine are interchangeable
o True
o False
3. Regarding abscesses: “When in doubt, let it out”
o True
o False
4. A “loculation” is best described as:
o a pus pocket
o a location where the abscess should be cut
o a procedure for locating the size of the abscess
5. Who of these patients should have their abscess material cultured?
o Healthy 39 year old no comorbidities, tobacco and vape user
o 65 year old Diabetic under control, hypertensive under control,
overweight, no fever, hemodynamically stable
o 59 year old alcoholic recent diagnosis Hepatitis C, recent pancreatitis,
fever, severe local infection
6. Which of these medications BEST cover MRSA infections?
o Doxycycline, Bactrim, Clindamycin, Minocycline, Linezolid
o Amoxicillin, Zithromax, Biaxin, Macrobid
Digital Block, Nail Procedures
1. Digital blockade of the dorsal side of the finger is less painful than injecting
anesthesia into the palmar surfaces of the finger
o True
o False
2. Digital Blocks may take 10-15 minutes to fully anesthetize the finger
o True
o False
3. Which group of patients is more likely to have a paronychia?
o Nailbiters, thumbsuckers
o Frequent nail salon clients
o Immunocompromised
o Auto mechanics
4. Fingernail trephination to relieve a subungual hematoma is able to be
accomplished until 48 hrs after the injury
o True
o False
5. When is the procedure of fingernail trephination considered “complete”?
o When the patient starts to cry
o When a “spurt” of blood appears after nail pierced by needle or
cautery
o When a fire starts on the nail due to provider use of alcohol instead of
betadine
Staples, Tissue Adhesives
1. Use staples where cosmetic outcome really matters, use tissue adhesives
where cosmetic outcome does not matter:
o True
o False
2. The same wound care concepts of assessment, anesthesia, cleaning,
irrigating, more assessment applies to staples just as much as any other
wound care management
o False
o True
3. Choose the action NOT included in patient teaching about tissue adhesives:
o Keep dry 24 hrs then may shower over
o No topical meds to wound
o Extreme sweating and soaking the skin is advised
o Report pain, redness, swelling
4. Superglue has been shown to be safe and effective in closing wound edges
o True
o False
5. Choose the FALSE statement:
o Apply staples close enough to avoid poor approximation – if well
approximated, use fewer staples
o Apply with varied pressure so staples are at different levels when
finished
o Remove the ones you are not happy with and reapply
o Rare complications
o Remove usually in 8-10 days
Sutures
1. The larger the number (4-0, 5-0, 6-0) the larger the suture strand
o True
o False
2. Skin lacerations generally use Ethilon or prolene non-absorbable sutures
o False
o True
3. Choose the True statement out of the following statements:
o Anesthetize first – before cleaning and debridement of the wound
o Irrigation has been shown to not change outcomes in wound
preparation
o Hair should always be removed from the suture area
o Never instill lidocaine directly into the wound prior to closure
4. For fingers, a digital block may be helpful to avoid distorting the tissue
needing repair
o True
o False
5. Tetanus immunization is necessary for all who cannot remember completion
of their primary series, and within 5 years for dirty wounds, within 10 years
for clean minor wounds
o False
o True