Certified Surgical First Assistant (CSFA) Practice Test

Which of the following factors can affect normal wound healing?

1. Increased physical activity

2. Peripheral vascular disease

3. Proper nutrition

4. Effective blood circulation

The correct answer is: Peripheral vascular disease

Peripheral vascular disease is indeed a significant factor that can adversely affect normal wound healing. This condition involves the narrowing or blockage of blood vessels, which impairs blood flow to the peripheral areas, typically the limbs. Proper blood flow is essential for delivering oxygen and nutrients necessary for tissue repair and regeneration. Furthermore, reduced circulation can lead to inadequate removal of waste products from the wound site, prolonging inflammation and potentially leading to infection, which can further complicate the healing process. In contrast, increased physical activity generally promotes better blood circulation and helps facilitate the healing process, while proper nutrition provides the necessary vitamins and minerals that support tissue repair. Effective blood circulation, as well, is crucial for maintaining the health and function of healing tissues. Thus, the presence of peripheral vascular disease creates a scenario where these other positive factors are undermined, making it a critical factor in the wound healing process.