Question 1

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 flexion 
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 flexion C

Question 2

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: Burns 
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: Burns D

Question 3

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 expansion 
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 expansion A

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 scarring 
A) Diminished sensation of deep pressure 
B) Tissue blanching with applied pressure 
C) Intact blisters over the injured area 
D) Spontaneous healing and minimal scarring

Question 5

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

Question 6

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 mature 
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 mature

Question 7

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 wound 
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 wound

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 hours 
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 hours

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?

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?

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?

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

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?

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?

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

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?

Clinical Decision Making

Examination of Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Motor Function

Examination of Coordination and Balance

Examination of Gait

Examination of Function

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular Disease, lymphedema, and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Chronic Pain

Psychosocial Disorders

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Promoting Health and Wellness

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters

Exam 24: Burns

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?

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?

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?

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

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?

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?

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

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?

Clinical Decision Making

Examination of Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Motor Function

Examination of Coordination and Balance

Examination of Gait

Examination of Function

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular Disease, lymphedema, and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Chronic Pain

Psychosocial Disorders

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Promoting Health and Wellness

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters