Integumentary Conditions

Question 1

a therapist is treating an acute full-thickness burn on the entire lower extremity of a 27 yo man. what movements need to be stressed with splinting, positioning, and exercise to avoid contractures?

Answer 1

hip extension, knee extension, and ankle dorsiflexion

Question 2

according to the updated NPIAP pressure injury staging, the ff. are true except

Answer 2

epibole or rolled edges, undermining and tunneling often occur in full thickness skin loss.

Question 3

a patient is referred to physical therapy services for care of a burn wound on the left foot. the majority of the wound is anesthetic. there is a significant eschar formation over the dorsum f the involved foot, and moderate subcutaneous tissue damage is present. what is the most likely classification of this burn?

Answer 3

full thickness

Question 4

a patient had a split-thickness skin graft for a partial-thickness burn injury to the upper extremity. the surgeon has requested range of motion exercises for the patient. currently, the patient is able to actively move the upper extremity through one third of the range of motion for shoulder flexion. based on this finding, what is the most appropriate action for the physical therapist to take at this time?

Answer 4

begin active assistive range of motion exercises

Question 5

you are inspecting a patient’s wound and notice there is an excessive accumulation of exudate and a white appearance to the skin. what term would you use to describe this?

Answer 5

maceration

Question 6

a patient is referred to physical therapy services for care of a burn wound on the left foot. the majority of the wound is anesthetic. there is a significant eschar formation over the dorsum of the involved foot, and moderate subcutaneous tissue damage is present. what is most likely the classification of this burn?

Answer 6

full thickness

Question 7

a therapist examining a wound in a patient with the following signs: the right foot has a toe that is gangrenous, the skin on the dorsum of the foot is shiny in appearance, and no calluses are present. The patient has what type of ulcer?

Answer 7

Arterial insufficiency ulcer

Question 8

A therapist is asked to estimate the percentage of a patient’s body that has been burned. The patient is a 32-year-old man of normal size. Burns are located along the entire anterior surface of the face. The patient also burned the entire anterior portion of the right upper extremity in an attempt to guard himself from flames. Using the rule of nines, what percentage of the patient’s body is burned?

Answer 8

9%

Question 9

A patient sustains a deep partial thickness burn to the anterior surface of the right upper
extremity and a superficial partial thickness burn to the anterior surface of the trunk. According to the Rule of Nines, the patient has burns over:

Answer 9

22.5 percent of the body

Question 10

Upon removal of a wet-to-dry dressing from a patient’s draining wound, a physical therapist observes that the skin immediately surrounding the wound is macerated. What should the therapist recommend for future wound care?

Answer 10

Make the dressing more absorbent.

Question 11

A physical therapist is examining the integumentary system of a patient with dark skin pigmentation and notices a deepening of the skin color over the left posterior aspect of the calcaneus. Which of the following findings would indicate a Stage I pressure ulcer at that site?

Answer 11

Decreased skin temperature, compared to the surrounding tissue

Question 12

A physical therapist is examining a 70-year-old patient who reports left knee pain. The therapist notes mild edema, brownish discoloration, and skin contraction in the ankle region bilaterally. The patient’s skin is flaky, dry, and scaling. The patient MOST likely has which of the following conditions?

Answer 12

Venous insufficiency

Question 13

A physical therapist examines a patient with burns over 30 percent of his body. The burns
range from superficial to full-thickness. Which classification of burns would be the most painful?

Answer 13

superficial partial-thickness burn

Question 14

Hyperbaric oxygen therapy is contraindicated in patients with arterial/venous ulcers.

Answer 14

false

Question 15

Hyperbaric oxygen therapy is contraindicated in patients with untreated pneumothorax or patients receiving anti-neoplastic medications.

Answer 15

true

Question 16

What is the name given to the type of skin graft that uses cadaver skin?

Answer 16

Allograft

Question 17

A 72 year old man presents with hot, red and edematous skin over the shins of both lower extremities and a mild fever. The MOST likely cause of his symptoms is?

Answer 17

cellulitis

Question 18

The condition depicted in the picture describes: (itchy circular patch)

Answer 18

Psoriasis

Question 19

The picture describes what primary lesion? (murag napaso?)

Answer 19

bullae

Question 20

Which phrase best decribes the skin lesion in the picture? (kanang naas tiguwang na skin)

Answer 20

round red or purple, 1-3mm and normal age related skin lesion

Question 21

The skin condition here is? (perfect circle patch)

Answer 21

Tinea Corporis

Question 22

A line drawn down the middle of a skin lesion with two different halves suggests?

Answer 22

a malignant lesion

Question 23

ABCDEs to assess skin lesions for cancer detection stands forImmersive Reader
(1/1 Point)

Answer 23

Asymmetry, Border, Color, Diameter, Evolving

Question 24

This skin condition is associated with neurofibromatosis

Answer 24

Cafe au Lait spot

Question 25

Dermatomyositis presents as skin rash and distal muscle weakness

Answer 25

false

Question 26

This topical medication is effective against gram-negative or gram-positive organisms; diffuses easily through eschar.

Answer 26

Mafenide acetate

Question 27

Which statement is false about the burn zone of stasis?

Answer 27

Splints or compression bandages, if applied too tightly, cannot compromise this area

Question 28

What is the suggested approach in positioning for a burn patient with an intrinsic minus deformity?

Answer 28

Position in wrist in extension, metacarpophalangeal in flexion, proximal interphalangeal and distal interphalangeal in extension, thumb in abduction with large web space

Question 29

The picture describes what nail bed change? (spoon nails)

Answer 29

Koilonychia

Question 30

The following statements describes a venous insufficiency ulceration except?

Answer 30

Patient is seen having decreased leg and foot hair, dry skin and an abnormal nail growth.

Question 31

A wet to dry dressing can be classified as a tool for mechanical debridement and is classified under selective debridement.

Answer 31

false

Question 32

What type of dressing is suitable for exudative Stage II and shallow Stage III, painful pressure ulcers?

Answer 32

semi permeable foam

Question 33

This type of dressing is used for? (murag cotton/thick soft cloth)

Answer 33

Highly exudative wounds

Question 34

A 58 year old female patient has superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned?

Answer 34

63%

Question 35

A 35 year old patient sustained full thickness burns to the front and back of the left and right arm. This scenario will be classified as what burn type according to severity?

Answer 35

Major