Lymphology Association of North America (LANA) Practice Exam

Which statement is TRUE regarding wounds caused by venous insufficiency?

1. All are true

2. It is contraindicated to bandage over venous wounds

3. Venous wounds are shallow and occur on the medial ankle

4. Venous wounds typically require antibiotic treatment

The correct answer is: Venous wounds are shallow and occur on the medial ankle

The assertion that venous wounds are shallow and occur on the medial ankle is accurate and reflects the typical characteristics of wounds related to venous insufficiency. Venous ulcers often develop as a result of prolonged elevation of venous pressure, leading to damage to the skin and surrounding tissues. These wounds commonly appear on the lower extremities and are most frequently seen on the medial aspect of the ankle, also known as the gaiter area. Their shallow nature is a result of the underlying pathophysiology of venous stasis, where the skin may become damaged but does not penetrate deeply into the tissue. Other options, while they may contain elements of truth, do not wholly reflect the characteristics or best management practices for venous wounds. For instance, bandaging over venous wounds is often utilized to provide compression and support, which is critical in managing venous ulcers. Moreover, while antibiotic treatment may be necessary if there is evidence of infection, it is not a standard requirement for all venous wounds since many can heal effectively without one. Lastly, the choice stating that all statements are true cannot be correct, as not all available statements are valid in the context of venous insufficiency.