Wound Management Overview

When removing a malignant tumor, a surgeon should excise the tumor plus a minimum of 2/3 cm of normal tissue in all directions (length, width, depth).

Which of the following tissues are NOT typically resected during tumor removal?

A ______ suture is a type of suture that is used to reduce tension on a wound by placing sutures further away from the skin edge.

What is the primary advantage of using axial pattern flaps over tissue expanders for large wounds?

Match the following methods of skin stretching with their descriptions:

Dog ears are more likely to occur with thin skin.

What is the purpose of relaxing incisions made adjacent to a wound?

Which of the following is NOT an appropriate method for wound debridement?

A horse with a wound involving the synovial joint should be prepared with sterile prep applied directly over the wound to avoid introducing new bacteria.

Which type of bandage is most commonly used?

What type of suture is preferred for closing wounds in horses, and at what distance from the cut edge should it be placed?

The preferred method for draining dead space in a wound is to use a ______ drain, placed ______.

When applying a secondary bandage layer, it is important to apply firm, even pressure, overlapping each layer by 50% as you move upwards.

What is the primary function of the tertiary bandage layer?

When applying a bandage, it is important to place ______ between the toes to prevent moisture buildup and potential complications.

Match the following bandage types with their primary uses:

Which of the following is NOT a key aspect to look for when checking a bandage?

Open fractures should be casted in a similar way to closed fractures.

What is the primary step in wound management for large animal?

What is the most common form of surgical site infection (SSI)?

Antisepsis can completely sterilize the skin without affecting the natural protective function.

What is the time frame within which a surgical site infection must occur for it to be classified as such?

___________ is preferred over Povidone Iodine for surgical site preparation.

Match the following terms with their definitions:

Which surgical wound classification involves a major break in technique with gross spillage from the GI tract?

Antibiotics are always necessary after surgery, regardless of the procedure.

What is the recommended fasting period for equines before surgery?

IV fluids may be needed for a patient with ______ due to dehydration.

Match the following conditions with their interventions:

What technique involves undermining wound edges with scissors?

What should be used to avoid tissue trauma when performing procedures on male dogs?

Camelids require a 24-hour fast without water prior to surgery.

The tips of towel clamps are considered sterile when placed through the skin.

What is the most important question to consider when working in the field?

What type of sutures are typically used for skin closures in male dogs?

Ultrasound adds __________ but is not definitive.

Match the healing types with their characteristics:

What is the recommended method for treating a wound for 7 days?

Soiled sponges should not be placed back onto the __________.

Saline lavage is irrelevant in the management of wounds.

What type of suture is preferred for closing wounds in horses?

It is recommended to apply a sterile prep directly over a wound to avoid introducing bacteria.

What is the most common complication arising from improper bandaging in equine medicine, specifically related to granulation tissue?

Before taking a horse to surgery or euthanizing, the most important thing to ensure is __________ between the referring veterinarian, owner, and insurance company.

Match the following wound terms with their definitions:

What is the preferred method of draining dead space in a wound?

A horse that has been vaccinated for more than 2 months does not require a booster.

What is the primary risk of local anesthesia in large animals?

The 'golden period' for wound management refers to the first 6-8 hours after injury, during which bacterial multiplication is minimal.

Which of the following are primary areas addressed in patient preparation for surgical procedures? (Select all that apply)

It is possible to completely sterilize the skin without impairing its natural protective function.

What is the most common form of surgical site infection?

For surgical site preparation, ______ Gluconate is preferred over Povidone Iodine.

Which of the following are considered risk factors for colic in broodmares?

Antibiotics are always necessary after equine surgery.

What is the primary consideration when working in the field, according to the provided content?

In order to minimize tension when surgically closing a wound, wound edges can be ______ with scissors.

Match the surgical wound classifications with their descriptions:

Which of the following is NOT a method to reduce tension when surgically closing a wound?

Surgical incisions should always be made perpendicular to the tension lines of the skin.

What type of fluids should be administered to a dehydrated patient?

A ______ is a protein that helps expand blood volume.

Camelids require a 24-hour fast with no water access before surgery.

Which of the following wound classifications are characterized by microbial levels greater than 10^5 CFU, indicating an infection?

Puncture wounds are characterized by a small skin opening but can cause deep tissue damage.

What is the term used for extensive skin loss, where the skin surface remains intact but is separated from the underlying subcutaneous tissue and blood supply, leading to tissue necrosis?

The ______ is a type of wound closure where the wound edges are brought together within 3-5 days, before granulation tissue forms.

Match the following wound closure techniques with their corresponding healing intent:

Which of the following wound types is commonly associated with HIGH risk of sepsis and infection?

Decubital ulcers are also known as pressure sores, and they typically develop in areas where skin and subcutaneous tissue are compressed between bony prominences and hard surfaces.

What is the primary goal of lavage in wound management?

The ______ is a type of wound closure used when the wound is left open to heal by contraction and epithelialization, often employed in cases where tissue loss is extensive or infection is a concern.

The old method for initial trauma assessment, known as ABCs, prioritized airway, breathing, and circulation.

What is the primary reason for the shift from the ABCs method to the M^2ARCH^2E method for initial trauma assessment?

The ______ is a technique used to remove foreign objects or debris from the airway.

What is the primary concern with cyanotic gums (blue gums) in a trauma patient?

Match the breathing patterns with their potential causes:

Tourniquets are commonly used in veterinary medicine to control bleeding.

When assessing circulation, what is the significance of a rapid heart rate with a prolonged capillary refill time (CRT)?

An open pneumothorax requires covering the wound to prevent further ______ into the chest cavity.

What is the primary purpose of immobilizing a fracture above and below the affected joint?

Which of the following is a common method for draining dead space in a wound?

What is the difference between the primary layers: adherant, non-adherant, occlusive, and semi-occlusive?

What is an antimicrobial agent commonly used for burn wounds?

What is an antimicrobial agent that has broad-spectrum hydrophilic properties?

What is an antimicrobial agent that is effective against gram-negative bacteria, and which specific bacteria does it target?

What is an antimicrobial agent that is effective against gram-positive and some gram-negative bacteria?

What antimicrobial agent is commonly used to treat severe wounds?

What are the characteristics of honey in wound management?

What is the primary difference between clean, clean-contaminated, contaminated, and dirty wound classifications?

What are the most common electrolyte imbalances?