Which term describes tearing of tissue with a flap?

• A. Avulsion
• B. Puncture
• C. Contusion
• D. Abrasion

Answer: (A)

Tearing of tissue with a flap is avulsion. An avulsion involves tearing away tissue so a portion remains attached as a flap at the base, and it can involve skin or deeper structures. This type of injury often bleeds heavily and carries a risk of contamination. It is different from a puncture (a small hole made by a sharp object), a contusion (a bruise under intact skin), and an abrasion (a superficial scrape). In first aid, control bleeding and cover the wound with a sterile dressing. If a flap is present, don’t remove it or force it back into place; if possible, rinse gently around the wound, keep the flap moist with a sterile dressing, and protect it during transport for medical care, since avulsions may require surgical repair and carry infection risks.