Pressure-induced skin and soft tissue injury Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 73-year-old man is brought to the emergency department after family members noticed a new skin lesion. The patient has been nonverbal and mostly bed bound since suffering a right middle cerebral artery ischemic stroke two years ago. The patient’s daughter is his primary caregiver, and she states that she first noticed the lesion on the patient’s buttocks the day prior to admission. Additional past medical history is notable for Type 2 diabetes mellitus and left hip fracture status-post-internal fixation. Temperature is 37.5°C (99.5°F), blood pressure is 137/82 mmHg, pulse is 90/min, and oxygen saturation is 99% on room air.. Physical examination reveals an area of skin necrosis overlying the sacrum. Which of the following findings would lead to classifying the patient’s lesion as a stage III pressure ulcer?

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Lesion with internal debris and eschar where depth cannot be measured

Shallow ulcer with partial erosion of the dermis

Full-thickness skin loss with exposure of subcutaneous fat

Full thickness skin loss with exposure of underlying muscle

Intact and erythematous skin