WoundSource Practice Accelerator: Chronic Wound Management Test your knowledge based on your learning from the materials provided in the WoundSource Practice Accelerator program on Chronic Wound Management.

Which of the following wound types heal within an expected, predictable time frame, usually resulting in durable closure?

Acute wounds

Subacute wounds

Chronic wounds

Terminal wounds

Which of the following is a contributing factor to stalled healing in chronic wounds?

Bacterial deficit

Insufficient matrix metalloproteinases (MMPs))

Inflammatory cytokines

Polymerase

Which of the following represents the proper sequence and phases of wound healing?

Fibrinolysis, Inflammation, Cell Migration, Maturation

Hemostasis, Proliferation, Inflammation, Maturation

Inflammation, Hemostasis, Proliferation, Maturation

Hemostasis, Inflammation, Proliferation, Maturation

In which of the following stages of wound healing do chronic wounds typically stall?

Maturation

Proliferation

Inflammation

Hemostasis

TRUE or FALSE: Unless a wound is infected, microorganisms do not pose a significant barrier to healing.

True

False

Which of the following is TRUE about biofilm?

It is a complex microbial community embedded in extracellular matrix.

It can cause impaired epithelialization and granulation tissue formation.

Compared with planktonic cells, biofilm is very weak and quickly responds to most antimicrobial agents.

Polymicrobial biofilms are rarely found in chronic wounds.

Which of the following is an important component of biofilm management?

Debridement

Intravenous antibiotics

Multilayer compression therapy

Injectable analgesia

Which of the following is a characteristic of cellular and tissue-based products (CTPs) in the treatment of chronic wounds?

Increasing risk for infection and injury

Impairing normal healing functions

Limited formats and compositions available

Serving as a scaffold within the wound bed

The “T” in the TIMERS framework represents what step in the evaluation and management of chronic wounds?

Time of wound presence

Tissue management

Tunneling

Tissue advancement

Which of the following is true about the “step up, step down” approach to chronic wounds?

It focuses most heavily on managing wound exudate.

It encourages early weight bearing for lower extremity wounds.

A downside is that it does not address biofilm disruption.

The “step down” part of the approach usually takes place around day 5 after initial intervention.