Pressure Injuries AND Wound Care — Written Clinical Reasoning · Phys Written Answers

Prompt

DCE-style written reasoning for Pressure Injuries AND Wound Care.

SAQ 1 — Integrated plan (12 marks)

Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]

Model Answer

1. Frame and red flags (3 marks) [1]

State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]

2. Discriminating assessment (3 marks) [2]

List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]

3. Treatment sequence (4 marks) [1] [3]

Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]

4. Follow-up and communication (2 marks) [2]

Disposition, safety-net advice, and who owns follow-up. [1] [2]

SAQ 2 — Exam trap defence (8 marks)

Prompt: Name two high-yield traps in Pressure Injuries AND Wound Care and how you avoid them. [1] [2]

Model Answer

Trap one: delayed escalation of a high-risk feature — avoid by explicit red-flag checklist. [1]

Trap two: therapy mismatched to mechanism — avoid by confirming the discriminating test before escalating treatment. [2] [3]

References

[1]Liu N, Liang R, Zhu J, Jia E, et al. Nutritional support for pressure injury: a bibliometric analysis of research trends Front Nutr, 2026.PMID 42466136
[2]Gajardo AIJ, Steinert SF, de la Barra M, Neman A, et al. Efficacy and safety of conventional vs. prolonged prone positioning in ARDS patients: An evidence synthesis with meta-analysis Med Intensiva (Engl Ed), 2026.PMID 42448511
[3]Raihane AS, Deusch GM, Liu C, Najafi B, et al. Spooky action at a distance: neuromodulation, physiologic distress signals, and limb preservation Burns Trauma, 2026.PMID 42441071
[4]Frasier LL, Alindogan A, Hoskins N, McGinnis L, et al. Use of Digital Clinical Decision Support System Increases Adherence to Provision of Evidence-Based Interventions for Elevated Intracranial Pressure During Simulated Care of Patients with Traumatic Brain Injury Prehosp Disaster Med, 2026.PMID 42466954
[5]Rosado-Fonseca M, Silva E, Ribeiro T, Rocha-Melo A, et al. Pedal acceleration time as a diagnostic and prognostic tool in peripheral artery disease: systematic review and meta-analysis BMC Med Imaging, 2026.PMID 42426635
[6]Huang S, Yang M, Xu F, Huang Y, et al. The Practice Experience of ICU Nurses in Preventing Pressure Injuries: A Qualitative Meta-Synthesis J Adv Nurs, 2026.PMID 42362388
[7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922

SAQ 1 — Integrated plan (12 marks)

Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]

Model Answer

1. Frame and red flags (3 marks) [1]

State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]

2. Discriminating assessment (3 marks) [2]

List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]

3. Treatment sequence (4 marks) [1] [3]

Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]

4. Follow-up and communication (2 marks) [2]

Disposition, safety-net advice, and who owns follow-up. [1] [2]

SAQ 2 — Exam trap defence (8 marks)

Prompt: Name two high-yield traps in Pressure Injuries AND Wound Care and how you avoid them. [1] [2]

Model Answer

Trap one: delayed escalation of a high-risk feature — avoid by explicit red-flag checklist. [1]

Trap two: therapy mismatched to mechanism — avoid by confirming the discriminating test before escalating treatment. [2] [3]

References

[1]Liu N, Liang R, Zhu J, Jia E, et al. Nutritional support for pressure injury: a bibliometric analysis of research trends Front Nutr, 2026.PMID 42466136
[2]Gajardo AIJ, Steinert SF, de la Barra M, Neman A, et al. Efficacy and safety of conventional vs. prolonged prone positioning in ARDS patients: An evidence synthesis with meta-analysis Med Intensiva (Engl Ed), 2026.PMID 42448511
[3]Raihane AS, Deusch GM, Liu C, Najafi B, et al. Spooky action at a distance: neuromodulation, physiologic distress signals, and limb preservation Burns Trauma, 2026.PMID 42441071
[4]Frasier LL, Alindogan A, Hoskins N, McGinnis L, et al. Use of Digital Clinical Decision Support System Increases Adherence to Provision of Evidence-Based Interventions for Elevated Intracranial Pressure During Simulated Care of Patients with Traumatic Brain Injury Prehosp Disaster Med, 2026.PMID 42466954
[5]Rosado-Fonseca M, Silva E, Ribeiro T, Rocha-Melo A, et al. Pedal acceleration time as a diagnostic and prognostic tool in peripheral artery disease: systematic review and meta-analysis BMC Med Imaging, 2026.PMID 42426635
[6]Huang S, Yang M, Xu F, Huang Y, et al. The Practice Experience of ICU Nurses in Preventing Pressure Injuries: A Qualitative Meta-Synthesis J Adv Nurs, 2026.PMID 42362388
[7]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
[8]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922