Question 1

When evaluating a 17-year-old girl 4 months after burn injury to the anterior torso,the physical therapist notes that she has a hypertrophic scar on her sternum between her developed breasts.What is the BEST means of nonsurgical scar management in this area?

Accepted Answer

A)  Silicone insert sheet material applied under pressure garment device
B)  Pressure garment vest with posterior zipper
C)  Scar massage in conjunction with range of motion exercises
D)  Positioning the patient with torso extension and chest expansionE) B) and D)
F) A) and C) A

Question 2

Which one of the following should be the MOST immediate burn team intervention for a patient who sustained circumferential full-thickness burns to the left leg 24 hours ago who presents with limited range of motion,yellow eschar on the wound,and decreased foot temperature?

Accepted Answer

A)  Evaluation for escharotomy
B)  Wound care to remove eschar
C)  Passive range of motion to prevent contracture
D)  Skin grafting to attain wound closureE) A) and B)
F) A) and C)

Question 3

Which of the following processes does NOT occur during the proliferative stage of dermal healing?

Accepted Answer

A)  Wound contraction until it meets opposing forces
B)  Formation of granulation tissue
C)  Remodeling of collagen into parallel arrangement
D)  Increased tensile strength of the woundE) C) and D)
F) A) and B)

Question 4

Which of the following is NOT a clinical sign of a superficial partial-thickness burn?

Accepted Answer

A)  Diminished sensation of deep pressure
B)  Tissue blanching with applied pressure
C)  Intact blisters over the injured area
D)  Spontaneous healing and minimal scarringE) All of the above
F) None of the above

Question 5

Upon evaluation of an African American patient 13 months after experiencing a deep partial-thickness burn to the upper back,the physical therapist notes extensive scar tissue.Which one of the following descriptors is MORE consistent with a keloid scar compared to a hypertrophic scar?

Accepted Answer

A)  Raised greater than 2 mm above the surface of the skin and rigid
B)  Extends beyond the boundaries of the initial injury
C)  Contracts and pulls on the surrounding skin
D)  Takes a prolonged amount of time to matureE) B) and C)
F) B) and D)

Question 6

A patient underwent split thickness skin grafting to bilateral lower legs 5 days ago and is now cleared for mobility and ambulation.Which one of the following goals justifies the use of figure-of-eight pattern elastic bandages to the lower extremities prior to ambulation?

Accepted Answer

A)  Prevent orthostatic hypertension.
B)  Decrease pain in the dependent lower extremities.
C)  Apply pressure for early scar management.
D)  Support new grafts and promote venous return.Chapter 24: BurnsE) B) and D)
F) All of the above D

Question 7

A patient sustained burns to the anterior neck,right anterior axilla,and right antecubital fossa.Which one of the following contractures is MOST likely to occur?

Accepted Answer

A)  Neck flexion,right shoulder abduction,right elbow flexion
B)  Neck flexion,right shoulder adduction,right elbow extension
C)  Neck flexion,right shoulder adduction,right elbow flexion
D)  Neck lateral flexion,right shoulder abduction,right elbow flexionE) A) and B)
F) B) and C) C

Question 8

Which one of the following is the BEST physical therapy course of action for a patient who sustained superficial partial-thickness burns to bilateral hands and forearms and presents with good hand function,no limitation in range of motion,and good compliance with home exercise program?

Accepted Answer

A)  Encouraging active use of hands and monitor range of motion
B)  Splinting the hands at night to prevent contracture and allow active motion during the day
C)  Fitting the patient with pressure garment gloves to use 23 to 24 hours each day
D)  Splint in one hand while leaving the other hand free for function,alternating every 2 hoursE) B) and D)
F) A) and B)

Exam 24: Burns

When evaluating a 17-year-old girl 4 months after burn injury to the anterior torso,the physical therapist notes that she has a hypertrophic scar on her sternum between her developed breasts.What is the BEST means of nonsurgical scar management in this area?

Correct Answer
verified
A

Which one of the following should be the MOST immediate burn team intervention for a patient who sustained circumferential full-thickness burns to the left leg 24 hours ago who presents with limited range of motion,yellow eschar on the wound,and decreased foot temperature?

Correct Answer
verified

Which of the following processes does NOT occur during the proliferative stage of dermal healing?

Correct Answer
verified

Which of the following is NOT a clinical sign of a superficial partial-thickness burn?

Correct Answer
verified

Upon evaluation of an African American patient 13 months after experiencing a deep partial-thickness burn to the upper back,the physical therapist notes extensive scar tissue.Which one of the following descriptors is MORE consistent with a keloid scar compared to a hypertrophic scar?

Correct Answer
verified

A patient underwent split thickness skin grafting to bilateral lower legs 5 days ago and is now cleared for mobility and ambulation.Which one of the following goals justifies the use of figure-of-eight pattern elastic bandages to the lower extremities prior to ambulation?

Correct Answer
verified
D

A patient sustained burns to the anterior neck,right anterior axilla,and right antecubital fossa.Which one of the following contractures is MOST likely to occur?

Correct Answer
verified
C

Which one of the following is the BEST physical therapy course of action for a patient who sustained superficial partial-thickness burns to bilateral hands and forearms and presents with good hand function,no limitation in range of motion,and good compliance with home exercise program?

Correct Answer
verified

Exam 24: Burns

When evaluating a 17-year-old girl 4 months after burn injury to the anterior torso,the physical therapist notes that she has a hypertrophic scar on her sternum between her developed breasts.What is the BEST means of nonsurgical scar management in this area?

Correct AnswerverifiedA

Which one of the following should be the MOST immediate burn team intervention for a patient who sustained circumferential full-thickness burns to the left leg 24 hours ago who presents with limited range of motion,yellow eschar on the wound,and decreased foot temperature?

Correct AnswerverifiedShow Answer

Which of the following processes does NOT occur during the proliferative stage of dermal healing?

Correct AnswerverifiedShow Answer

Which of the following is NOT a clinical sign of a superficial partial-thickness burn?

Correct AnswerverifiedShow Answer

Upon evaluation of an African American patient 13 months after experiencing a deep partial-thickness burn to the upper back,the physical therapist notes extensive scar tissue.Which one of the following descriptors is MORE consistent with a keloid scar compared to a hypertrophic scar?

Correct AnswerverifiedShow Answer

A patient underwent split thickness skin grafting to bilateral lower legs 5 days ago and is now cleared for mobility and ambulation.Which one of the following goals justifies the use of figure-of-eight pattern elastic bandages to the lower extremities prior to ambulation?

Correct AnswerverifiedD

A patient sustained burns to the anterior neck,right anterior axilla,and right antecubital fossa.Which one of the following contractures is MOST likely to occur?

Correct AnswerverifiedC

Which one of the following is the BEST physical therapy course of action for a patient who sustained superficial partial-thickness burns to bilateral hands and forearms and presents with good hand function,no limitation in range of motion,and good compliance with home exercise program?

Correct AnswerverifiedShow Answer

Correct Answer
verified
A

Correct Answer
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Correct Answer
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Correct Answer
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D

Correct Answer
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C

Correct Answer
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