Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What are fissures?

1. Areas of extreme callus formation

2. Swelling around the toe joints

3. Linear cracks in the skin

4. Soft spots due to excessive pressure

The correct answer is: Linear cracks in the skin

Fissures are defined as linear cracks in the skin, often occurring in areas where the skin is subjected to excessive stretching or dryness. They typically present as narrow, deep cuts that can be painful and may bleed if they extend into deeper layers of skin. Fissures can occur in various locations on the body, but they are most commonly found around the hands, feet, and areas affected by skin conditions or dryness. The presence of fissures can indicate underlying health issues, such as eczema or psoriasis, where the skin barrier is compromised. Additionally, they can be exacerbated by environmental factors or inappropriate skin care. Understanding what fissures are is essential for effective assessment and management of skin integrity in patients, especially in clinical settings related to wound care and dermatology.