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Physiology > Wound Healing, Burns and Rehabilitation > Flashcards

Wound Healing, Burns and Rehabilitation Flashcards

1
Q

Path of electrical resistance (least to greatest)

A

Nerve - Artery - Vein - Bone

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2
Q

Three Zones of Burn Injury

A

Coagulation, Stasis, Hyperemia

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3
Q

Zone of irreversible damage; (+) Necrosis

A

Zone of Coagulation

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4
Q

Zone of reversible cell damage; (+) Ischemia

A

Zone of Stasis

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5
Q

Zone of minimal cell damage; (+) Inflammation

A

Zone of Hyperemia

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6
Q

If the Zone of Stasisis not treated, how long before the cell death happens?

A

24-48 hours

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7
Q

Burn Classification: 3-4 days

A

Superficial Epidermal Thickness Burn Injury

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8
Q

Burn Classification: 7-21 days

A

Superficial Partial Thickness Burn Injury

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9
Q

Burn Classification: 21-35 days

A

Deep Partial Thickness Burn Injury

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10
Q

Burn Classification: (+) red/pink with slight edema, delayed pain, and without blister and scar

A

Superficial Epidermal Thickness Burn Injury

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11
Q

Burn Classification: Epidermis and Upper Dermis Affectation

A

Superficial Partial Thickness Burn Injury

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12
Q

Burn Classification: (+) bright red with intact moist weeping blister, and severe pain.

A

Superficial Partial Thickness Burn Injury

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13
Q

Burn Classification: (+) waxy white/red with marked edema and hypertrophic/keloid scars

A

Deep Partial Thickness Burn Injury

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14
Q

Burn Classification: no definitive time

A

Full Thickness Burn Injury

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15
Q

Burn Classification: (+) blacked with dry surface anesthetic pain and skin grafting

A

Full Thickness Burn Injury

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16
Q

Burn Classification: (+) osteitis, osteomyelitis, and the damage is up until the bone

A

Subdermal Burn Injury

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17
Q

Burn Classification: Electrical burn & Prolonged contact with flame

A

Subdermal Burn Injury

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18
Q

Fourth Degree Burn

A

Subdermal Burn Injury

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19
Q

Third Degree Burn

A

Full Thickness Burn Injury

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20
Q

What degree is a chemical burn?

A

Third Degree or Full Thickness Burn Injury

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21
Q

Severity of Burn Injury: 15-30% TBSA

A

Second Degree, Moderate

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22
Q

Severity of Burn Injury: <3%

A

Third Degree, Minor

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23
Q

Severity of Burn Injury: >30%

A

Second Degree, Major

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24
Q

Severity of Burn Injury: 2-10%

A

Third Degree, Moderate

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25
Q

Severity of Burn Injury: <15%

A

Second Degree, Minor

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26
Q

Severity of Burn Injury: >10%

A

Third Degree, Major

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27
Q

Five other major or critical burn injury

A

Smoke Inhalation Injury, Electrical Burn, Burn with complication, Burn with fracture and Burn at the face, hands, feet, and perineum.

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28
Q

A scar that goes beyond the boundary

A

Keloid

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29
Q

A scar that stays at the boundary

A

Hypertrophic

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30
Q

Rules of Nine (Adult): Trunk

A

36%

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31
Q

Rules of Nine (Adult): Head and Neck

A

9%

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32
Q

Rules of Nine (Adult): 1 UE

A

9%

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33
Q

Rules of Nine (Adult): 1 LE

A

18%

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34
Q

Rules of Nine: Perineum

A

1%

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35
Q

Rules of Nine (Child): Head and Neck

A

18%

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36
Q

Rules of Nine (Child): 1 LE

A

14%

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37
Q

Rules of Nine (Child): Trunk

A

36%

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38
Q

Rules of Nine (Child): 1 UE

A

9%

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39
Q

The most common cause of death in burn patients

A

Infection

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40
Q

The most significant cause of loss of function in burn patients

A

Infection

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41
Q

Abnormal bone growth at the joint

A

Heterotrophic Ossificans

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42
Q

The most common site of HO in burn patients

A

Posterior Elbow

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43
Q

Cause of HO in burn patients

A

Immobility and Sepsis

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44
Q

The most common site of MO in UE

A

Brachialis

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45
Q

The most common site of MO in LE

A

Quadriceps Femoris

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46
Q

Management for MO

A

Gentle active ROM exercise

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47
Q

The common deformity of the Neck and Knee

A

Flexion

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48
Q

The common deformity of the Shoulder

A

Shoulder ABIR

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49
Q

The common deformity of the Hand

A

Claw Hand: Wrist and IP flexed, MCP extended and Thumb adducted

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50
Q

The common deformity of the Hip

A

Hip FADIR

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51
Q

The common deformity of the Ankle

A

Plantarflexion

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52
Q

The common deformity of the Elbow

A

Elbow Flexion and Pronation

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53
Q

Intrinsic Plus Position

A

Wrist: 15-20 degrees extension, MCP: 70 degrees flexion, IP: extension, Thumb: slight abduction

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54
Q

Intrinsic Minus

A

Claw Hand

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55
Q

Orthosis for Shoulder Deformity

A

Airplane Splint

56
Q

Orthosis for Claw Hand Deformity

A

Resting Hand Splint

57
Q

Position for Hip Deformity Stress

A

Extension, Abduction and Neutral Rotation

58
Q

Position of Shoulder Deformity Stress

A

Slight flexion, 90 degrees abduction and ER

59
Q

Topical drug for skin grafting to prevent infection

A

Furacin/Nitrofurazone

60
Q

Topical drug for surface organism

A

Silver Nitrate

61
Q

A topical drug used against pseudomonas

A

Silver Sulfadiazine/Silvadine

62
Q

A topical drug used for penetration of thick eschar

A

Sulfamylon/Manefide Acetate

63
Q

A topical drug used to liquify eschar

A

Travase/Elase

64
Q

Topical drug for debridement of necrotic tissue with green exudate

A

Panafil Keratolytic

65
Q

“Homograft”

A

Allograft

66
Q

“Heterograft”

A

Xenograft

67
Q

Type of graft that uses skin from the same species

A

Allograft

68
Q

Type of graft that uses skin from different species

A

Xenograft

69
Q

Type of graft that uses patient’s own skin

A

Autograft

70
Q

A permanent type of graft

A

Autograft

71
Q

Cadaver or Donor skin

A

Allograft

72
Q

Pig’s skin

A

Xenograft

73
Q

Source of autograft in the body

A

Cheek, Hip, Buttocks, Stomach

74
Q

Two types of Biosynthetic graft

A

Laboratory Grown and Artificial

75
Q

Biosynthetic graft: (+) collagen and synthetics

A

Laboratory Grown

76
Q

Biosynthetic graft: (+) synthetics only

A

Artificial

77
Q

Type of graft where the donor’s skin composed of epidermis and upper dermis skin layer

A

Split Thickness Graft

78
Q

Type of graft where the donor’s skin composed of epidermis and whole dermis skin layer

A

Full Thickness Graft

79
Q

Four Other Names of Pressure UIcer

A

Pressure Sore, Bed Sore, Ischemic Ulcer and Decubitus Ulcer

80
Q

How often do you need to do bed turning in patients with pressure ulcers?

A

Every 2 hours

81
Q

How often do you need to do wheelchair turning in patients with pressure ulcers?

A

Every 15-20 minutes

82
Q

The most common site of pressure ulcer in adults

A

Sacrum

83
Q

The most common site of pressure ulcer in children

A

Occiput

84
Q

Stage of Pressure Ulcer: (+) Superficial Skin Loss

A

Stage 1

85
Q

Stage of Pressure Ulcer: (+) Partial Thickness Skin Loss

A

Stage 2

86
Q

Stage of Pressure Ulcer: (+) Full Thickness Skin Loss

A

Stage 3

87
Q

Stage of Pressure Ulcer: (+) Full Thickness Skin Loss up to fascia, muscle and bones

A

Stage 4

88
Q

Stage of Pressure Ulcer: (+) Abrasion, shallow crater and blister

A

Stage 2

89
Q

Stage of Pressure Ulcer: (+) Deep Crater (+/-) Undermining or Tunneling

A

Stage 3

90
Q

Stage of Pressure Ulcer: (+) Osteitis and Osteomyelitis

A

Stage 4

91
Q

Stage of Pressure Ulcer: (+) non-blanchable erythema with pain and itching

A

Stage 1

92
Q

“Diabetic Ulcer”

A

Neuropathic Ulcer

93
Q

The most common site of Neuropathic Ulcer

A

Plantar aspect of Foot

94
Q

Wagner Ulcer Classification: Pre-ulcerative healed ulcer

A

Stage 0

95
Q

Wagner Ulcer Classification: (+) Bone Deformity

A

Stage 0

96
Q

Wagner Ulcer Classification: (+) Deep Ulcer in Subcutaneous Tissue

A

Stage 2

97
Q

Wagner Ulcer Classification: Osteitis, Abcess, Osteomyelitis

A

Stage 3

98
Q

Wagner Ulcer Classification: Gangrene of Toes

A

Stage 4

99
Q

Wagner Ulcer Classification: Gangrene of Foot

A

Stage 5

100
Q

Wagner Ulcer Classification: (+) Superficial lesion not involving subcutaneous tissue

A

Stage 1

101
Q

Ulcer: (+) Well-Defined and Deep Shape

A

Arterial Ulcer

102
Q

Ulcer: (+) Browny and Dry Flakes

A

Venous Ulcer

103
Q

Ulcer: (+) Thin, shiny, yellow nails and hair loss

A

Arterial Ulcer

104
Q

Ulcer: (+) Cyanotic on dependency

A

Venous Ulcer

105
Q

Ulcer: (+) Pallor on Elevation

A

Arterial Ulcer

106
Q

Ulcer: (+) Rubor on Dependency

A

Arterial Ulcer

107
Q

Ulcer: (+) Pain and Gangrene

A

Arterial Ulcer

108
Q

Location of Arterial Ulcer

A

Lateral Malleolus, Anterior Tibia and Dorsum of foot

109
Q

Location of Venous Ulcer

A

Medial Malleolus

110
Q

Ulcer: (+) Irregular and Shallow Shape

A

Venous Ulcer

111
Q

Ulcer: (+) decreased temperature

A

Arterial Ulcer

112
Q

Ulcer: (+) Moderate and Heavy Drainage

A

Venous Ulcer

113
Q

Three types of Selective Debridement

A

Sharp, Autolytic, Enzymatic

114
Q

Type of selective debridement done by a PT with no anesthesia using scalpel and forceps to remove necrotic tissue

A

Sharp Debridement

115
Q

Type of selective debridement that uses the body’s own natural mechanism to remove necrotic tissue

A

Autolytic Debridement

116
Q

Type of selective debridement that uses the application of enzyme (topical drug) to remove necrotic tissue

A

Enzymatic Debridement

117
Q

Type of selective debridement: (+) Enzyme and Dressing

A

Autolytic Debridement

118
Q

Type of selective debridement: (+) Enzyme and (-) Dressing

A

Enzymatic Debridement

119
Q

The least effective way to remove necrotic tissue

A

Whirlpool

120
Q

Debridement medication use with clean wound and clear exudate

A

Normal Saline Solution

121
Q

Debridement medication use with infected wound and green exudate with pus or foul-smelling

A

Povidine Iodine, Sodium Hypochloride and Hydrogen Peroxide

122
Q

PT management that uses vacuum-assisted closure

A

Negative Pressure Wound Therapy

123
Q

PT management that uses inhalation of 100% oxygen

A

Hyperbaric Oxygen

124
Q

What charged pat will you put in clean wounds when using electrical stimulation?

A

Anode (+)

125
Q

What charged pat will you put in infected wounds when using electrical stimulation?

A

Cathode (-)

126
Q

Three dry wound dressings

A

Hydrogel, Wet-to-Wet, Transparent Film

127
Q

Two minimal to moderate dressing

A

Hydrocolloid, Wet-to-Dry

128
Q

Three moderate to heavy dressing

A

Calcium Alginate, Semi-permeable, Dry-to-Dry

129
Q

Best dry dressing use for superficial to partial wounds

A

Hydrogel

130
Q

Best minimal to moderate dressing that is gel-forming

A

Hydrocolloid

131
Q

Best moderate to heavy dressing use for partial and full-thickness wounds

A

Calcium Alginate

132
Q

Drainage: Clear, thin, watery

A

Transudate

133
Q

Drainage: Clear with a tinge of brown-red hues

A

Serous Anguineus

134
Q

Drainage: Yellowish, creamy Thick

A

Exudate

135
Q

Drainage: Yellow-brown with moderate to heavy thickness

A

Pus

136
Q

Drainage: Green, blue, yellow, hues with a thick foul smell

A

Infected Pus

Physiology (9 decks)

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