Oral Surgery · single question

Examining the same trauma patient who struck their chin on the floor, which injury in the image below is a skin ABRASION?

Image for the question
  1. Raised fluid-filled vesicular lesion
  2. Diffuse area of roughened or scraped skin surface
  3. Full-thickness irregular wound with disrupted skin edges
  4. Subcutaneous hematoma with intact overlying skin
Show answer and explanation

Correct answer: B. Diffuse area of roughened or scraped skin surface

  • A. A raised fluid-filled vesicular lesion describes a blister or vesicle, not an abrasion caused by friction trauma.
  • B. CORRECT. An abrasion is a superficial injury caused by friction against a rough surface, resulting in loss of the outer skin layer (epidermis) over a broad area. The surface appears raw, roughened, or scraped but does not penetrate the full skin thickness. This is the typical injury from sliding across a hard floor.
  • C. A full-thickness irregular wound with disrupted edges describes a laceration, not an abrasion. Lacerations penetrate deeper than abrasions.
  • D. A subcutaneous hematoma (bruise/ecchymosis) involves bleeding beneath intact skin, resulting in discoloration rather than surface skin loss.

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