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General Surgery · Trauma and burns: pressure ulcer staging
Sample itemA bedridden patient has a sacral pressure ulcer with full-thickness skin loss exposing subcutaneous fat but no muscle or bone. Which NPUAP stage is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Stage 3
Stage 1 is non-blanching erythema, stage 2 partial-thickness loss with dermis, stage 3 full-thickness loss with visible fat, and stage 4 exposed muscle, tendon or bone. Management includes pressure relief, nutrition, debridement and sometimes flap cover.
Option by option
A. Stage 4
Stage 4 shows muscle or bone.
B. Stage 1
Stage 1 has intact skin.
C. Stage 3 (correct)
Correct. Visible fat means stage 3.
D. Stage 2
Stage 2 is partial thickness only.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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