CWS Certified Wound Specialist MCQ 2 — Questions and Answers
Question 1: A patient presents with a wound exhibiting a PaO2 below 40 mmHg in the wound tissue. Which consequence is most directly associated with this finding?
- Impaired collagen synthesis (Correct answer)
- Accelerated epithelialization
- Increased angiogenesis
- Enhanced macrophage recruitment
Correct answer: Impaired collagen synthesis
Tissue hypoxia impairs collagen synthesis because prolyl hydroxylase, the enzyme required for collagen crosslinking, is oxygen-dependent.
Question 2: Which wound bed preparation principle does the TIME acronym NOT include?
- Hydration (Correct answer)
- Tissue management
- Infection or inflammation control
- Moisture balance
Correct answer: Hydration
TIME stands for Tissue management, Infection/inflammation control, Moisture balance, and Edge of wound advancement — hydration is not a standalone TIME component.
Question 3: A venous leg ulcer patient refuses compression therapy. The MOST appropriate next step is to:
- Explore barriers and provide education on its critical role (Correct answer)
- Document refusal and continue dressing changes only
- Apply an arterial Doppler study before discussing further
- Refer immediately to vascular surgery
Correct answer: Explore barriers and provide education on its critical role
Exploring barriers and educating the patient about compression's role in venous ulcer healing addresses the root cause of non-adherence before escalating care.
Question 4: When using the PUSH tool to monitor a pressure injury, which three parameters are scored?
- Surface area, exudate amount, tissue type (Correct answer)
- Depth, odor, periwound skin
- Color, undermining, pain level
- Stage, temperature, exudate type
Correct answer: Surface area, exudate amount, tissue type
The Pressure Ulcer Scale for Healing (PUSH) tool scores surface area, exudate amount, and tissue type to track healing over time.
Question 5: Hypergranulation tissue (proud flesh) in a wound is BEST managed by:
- Applying topical corticosteroids or foam dressings with compression (Correct answer)
- Debridement with a scalpel to baseline tissue
- Increasing wound moisture with hydrogel
- Initiating systemic antibiotics
Correct answer: Applying topical corticosteroids or foam dressings with compression
Topical steroids reduce inflammation driving hypergranulation, while foam dressings with compression physically flatten the tissue.
Question 6: Which ankle-brachial index (ABI) range indicates moderate peripheral arterial disease and warrants modified compression use?
- 0.5–0.79 (Correct answer)
- 0.8–1.0
- 1.0–1.3
- Below 0.4
Correct answer: 0.5–0.79
An ABI of 0.5–0.79 indicates moderate PAD; compression may be applied cautiously at reduced pressures with vascular specialist guidance.
Question 7: A wound culture obtained by swabbing the wound surface most commonly identifies:
- Surface colonizers rather than true pathogens (Correct answer)
- Biofilm-embedded organisms
- Deep tissue infection agents
- Anaerobic bacteria accurately
Correct answer: Surface colonizers rather than true pathogens
Surface swab cultures primarily capture surface colonizers and may not reflect the causative organisms of deep infection, making tissue biopsy more accurate.
CWS Certified Wound Specialist MCQ 2
A patient presents with a wound exhibiting a PaO2 below 40 mmHg in the wound tissue.
Which consequence is most directly associated with this finding?