15SS60: Strategies in Wound

Coverage

Accreditation Statement:
The American College of Foot and Ankle Surgeons is approved by the Council on Podiatric Medical
Education as a provider of continuing education in podiatric medicine.

Designation Statement:
The American College of Foot and Ankle Surgeons designates these educational activities for CPME
Continuing Education Contact Hours. Physicians should only claim credit commensurate with the extent
of their participation in the activity.

Learning Objectives:
At the conclusion of this activity, the participant will be able to:

1. Understand the research and evidence regarding angiosomes.

2. Identify the different techniques and geometrics of flaps for wound coverage.
3. Discuss and assess the efficacy of various skin graft substitutes and techniques through case based
presentations.
4. Review the Regional Test Centers recommendations for Hyperbaric Oxygen profusion and other
adjunctive wound care therapies.

Instructions
1. Watch the online video presentations.

2. Fill in your contact information on the CE Test.

3. Complete the CE Test.

4. Complete the Evaluation form.

5. E-Mail your CE Test and Evaluation form to: eLearning@acfas.org

Submit by E-mail
OR

Mail your CE Test and Evaluation form to

American College of Foot & Ankle Surgeons Print Form
Education Curriculum & Alliances Department
8725 W. Higgins Road, Suite 555
Chicago, IL 60631-2724

6. Please allow 6 - 8 weeks to receive your CE confirmation.

* Please note: the minimum passing score is 70%.

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Questions
1. Which of the following is not a correct statement?

a. Angiosomes depict an overlying soft tissue correlation to the blood supply.

b. Angiosomes can be used for incision planning.
c. Angiosomes are related to muscle strength testing and range of motion.
d. Angiosomes have been studied through cadaveric dye studies.
e. Angiosomes can be predictive of area of ischemia.

2. Which of the following is true regarding the arterial supply to the lower extremity?

a. There are two major arteries that perfuse the foot.

b. There are no redundancies in the arterial supply to the foot.
c. Perfusion does not impact healing.
d. There are arterial-to arterial-connections in the foot and ankle.
e. There is no anatomical arterial variation in the foot and ankle.

3. Which of the following is not true regarding the lower extremity vascular anatomy?

a. There is typically a trifurcation distal to the knee.

b. The medial heel pad is fed by the posterior tibial artery.
c. The dorsal foot is only directly or indirectly fed by the anterior tibial artery.
d. The lateral foot is fed by the peroneal artery.
e. There is redundancy in perfusion of many different locations on the foot.

4. Factors that contribute to appropriate flap-healing include all of the following except:

a. Atraumatic tissue handling

b. Adequate perfusion
c. Lack of infection
d. Appropriate length to width ratios
e. All of the above

5. The bilobed flap requires which of the following dimensions for rotation?

a. The first lobe is created at 75% of the width of the defect.

b. The second lobe is created at 50% of the width of the defect.
c. The first and second lobe are 90 to each other.
d. The second lobe is developed several millimeters below the level of the defect.
e. All of the above

6. Which of the following are indications for the bilobed flap?

a. Coverage of a diabetic ulcer

b. Closure of a mucoid cyst
c. Reorientation of scar tissue
d. Local flap excision of a soft tissue mass
e. All of the above

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Questions (Contd.)
7. What steps must be included in any treatment plan for a diabetic foot ulceration?

a. Offloading
b. Debridement
c. Moist wound healing
d. Evaluation for infection
e. All of the above

8. Cellular- and tissue-based products for wounds (skin substitutes) address what aspect of
wound healing impairment?

a. Biologic template for healing

b. Treatment of deep infection
c. Offloading of chronic pressure
d. Osteomyelitis
e. Renal failure edema to the wound

9. Radiographs should be obtained at what interval to monitor for osteomyelitis during

chronic wound care?

a. Daily
b. Weekly
c. Monthly
d. Yearly
e. Never

10. Split-thickness skin grafts all contain which of the following?

a. Epidermis
b. Subcutaneous tissue
c. Nerve tissue
d. Vascular tissue
e. All of the above

11. Split-thickness skin grafts are more commonly used than full-thickness grafts because they:

a. Are less expensive to harvest

b. Require less ideal conditions for survival
c. Are less fragile
d. Support hair growth better
e. None of the above

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Questions (Contd.)
12. Split-thickness skin grafts may be safely harvested from:

a. The lower legs only

b. The abdomen only
c. The entire truncal region
d. The hairless areas of the body only
e. Any surface of the body

CE Test
Please type your information.

ACFAS ID #

Name:

Company:

Address 1:

Address 2:

City:

State: Zip Code:

Daytime Phone:

E-mail:

Signature:

Please select your answer.

Question Answers
1 a b c d e
2 a b c d e
3 a b c d e
4 a b c d e
5 a b c d e
6 a b c d e
7 a b c d e
8 a b c d e
9 a b c d e
10 a b c d e
11 a b c d e
12 a b c d e

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Evaluation
1. The course achieved its learning objectives.

strongly agree agree neutral disagree strongly disagree

2. The course was relevant to my clinical learning needs.

strongly agree agree neutral disagree strongly disagree

3. The course was relevant to my personal learning needs.

strongly agree agree neutral disagree strongly disagree

4. The electronic method of instruction was conducive to learning.

strongly agree agree neutral disagree strongly disagree

5. The course validated my current practice.

strongly agree agree neutral disagree strongly disagree

6. I plan to change my practice based on what I learned in the course.

strongly agree agree neutral disagree strongly disagree

7. Any suggestions for the ACFAS e-Learning program?

_______________________________________________________________________________

E-Mail your CE Test and Evaluation form to: eLearning@acfas.org

Submit by E-mail
OR

Mail your CE Test and Evaluation form to:

American College of Foot & Ankle Surgeons Print Form
Education Curriculum & Alliances Department
8725 W. Higgins Road, Suite 555
Chicago, IL 60631-2724

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