Integ Midterm Practice Questions
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48 Terms
A patient presents with a superficial burn that has resulted in erythema but no blistering or break in the skin. Based on the anatomy of the integumentary system, which layer of the skin is primarily affected in this type of injury?
Epidermis
3 multiple choice options
A physical therapist is examining a wound that involves the epidermis and the papillary dermis, with some bleeding noted. According to the study guide, how would this skin loss be classified?
Partial-Thickness
3 multiple choice options
A patient's surgical wound is observed to have robust angiogenesis and healthy, beefy red granulation tissue. In which phase of wound healing is this wound predominantly active?
Proliferative Phase
3 multiple choice options
A physical therapist notes that a chronic wound has stalled in healing and presents with pale pink tissue instead of healthy red. This condition, often seen in patients with malnutrition or diabetes, is best described as:
Hypogranulation
3 multiple choice options
A 65-year-old patient underwent a total knee arthroplasty, and 10 days post-op, the surgical incision separates at the margins. What term describes this wound complication?
Dehiscence
3 multiple choice options
A physical therapist is treating a patient with a chronic wound that is healing via secondary intention. Which of the following is characteristic of a wound healing by secondary intention?
Progresses through normal healing stages with visible granulation, contraction, and epithelialization
3 multiple choice options
A patient's wound, which had been healing well, suddenly exhibits increased pain, warmth to touch, and an "angry red" appearance around the periwound area. These signs are indicative of:
Chronic inflammation
3 multiple choice options
A physical therapist is performing a history on a patient with a chronic wound. Which of the following lab values would be most important to review to assess the patient's nutritional status relevant to wound healing?
Blood glucose and albumin
3 multiple choice options
During a periwound skin assessment, the physical therapist observes a dark brown discoloration on the lower leg. This finding, often associated with chronic venous insufficiency, is known as:
Hemosiderin deposits
3 multiple choice options
When assessing circulation in the lower extremity, a physical therapist palpates the dorsalis pedis and tibialis posterior pulses. Which grading indicates a normal pulse?
2+
3 multiple choice options
To assess protective sensation in a patient with a neuropathic wound, the gold standard test is:
Semmes-Weinstein monofilaments
3 multiple choice options
When documenting wound size, the most common method involves measuring two perpendicular dimensions. Which orientation is used for the length measurement?
Cephalocaudally (head-to-toe)
3 multiple choice options
A physical therapist is assessing a wound and gently inserts a cotton swab under the wound edge, revealing a cavity with intact skin overlying it. This finding is described as:
Undermining
3 multiple choice options
According to the ICF Model, identifying tissue loss and the presence of necrosis in a wound falls under which component?
Body Functions & Structures
3 multiple choice options
A physical therapist is developing a wound prognosis. Which factor is generally associated with a longer healing time for a wound?
Deeper (full-thickness) wounds
3 multiple choice options
A patient presents with fragile, thin skin and a separation of the epidermis from the dermis caused by minimal force. This type of injury is classified as a
Skin tear
3 multiple choice options
A physical therapist is examining a surgical wound that is classified as "clean-contaminated." What does this classification imply about the wound?
It involves controlled entry into tracts
3 multiple choice options
A patient undergoing radiation therapy for cancer develops a skin reaction characterized by mild redness and itching. According to the Radiation Therapy Oncology Group Scale, this is classified as:
Grade 1
3 multiple choice options
When educating patients on skin cancer recognition, a physical therapist should advise them to be aware of the ABCDEs of melanoma. What does the "E" stand for?
Evolution
3 multiple choice options
An elderly patient presents with xerosis and slow wound healing. Which age-related skin change contributes to these findings?
Reduced vascularity
3 multiple choice options
A patient reports muscle pain and cramping in their calf during activity, which is relieved by rest. This symptom, often indicative of impaired blood flow to the extremities, is known as:
Intermittent claudication
3 multiple choice options
A physical therapist notes a patient's lower extremity is pale, cool to touch, and has hair loss, with diminished pedal pulses. These signs are characteristic of:
Arterial insufficiency
3 multiple choice options
A patient with known arterial insufficiency has an ulcer on their toe that appears "punched out" with a dry, necrotic base and is painful, especially at night. What is the typical location for such ulcers in arterial insufficiency?
Toes, heels, lateral malleoli
3 multiple choice options
When assessing a patient for arterial insufficiency, the physical therapist performs a capillary refill test. What is considered a normal capillary refill time?
Less than 3 seconds
3 multiple choice options
A patient presents with an ABI of 0.6. According to the ABI Interpretation Table, what does this value indicate?
Moderate arterial disease
3 multiple choice options
A physical therapist is performing an ABI measurement on a patient with severe lower extremity pain. According to the study guide, severe lower extremity pain is a contraindication for ABI testing. What is another contraindication for ABI measurement?
Wound impeding cuff placement
3 multiple choice options
A patient has an ABI of 1.3. What might this finding suggest, and what further assessment may be indicated?
Arterial calcification, especially common in diabetes; consider a toe-brachial index
3 multiple choice options
A physical therapist observes a patient with significant edema below the knee and dark brown discoloration (hemosiderin staining) on the lower leg. These findings are most consistent with
Chronic venous insufficiency
3 multiple choice options
A patient with a venous insufficiency ulcer is being evaluated for compression therapy. The physical therapist must first assess the integrity of the arterial system. Which test is crucial to perform before applying compression?
Ankle-Brachial Index (ABI)
3 multiple choice options
Which of the following is an absolute contraindication for applying compression therapy?
Active deep vein thrombosis (DVT)
3 multiple choice options
A physical therapist is educating a patient with a venous insufficiency ulcer about self-management. Which statement best reflects a key principle for effective management of venous ulcers?
Patient education and adherence to lifestyle changes are critical due to high recurrence rates
3 multiple choice options
When applying a short-stretch compression bandage for venous insufficiency, which principle should the physical therapist follow?
Maintain 50% overlap and no more than 50% stretch
3 multiple choice options
A physical therapist is using the 5PT method to assess a patient's lower extremity wound. The "P" in "Position" refers to:
The wound's location and the effect of posture on it
3 multiple choice options
A patient with venous insufficiency presents with a wound. Which characteristic is most typical for a venous ulcer?
Irregular borders, typically on the medial lower leg/malleolus, with moderate to heavy exudate
3 multiple choice options
A physical therapist identifies intact skin with non-blanchable redness over a patient's sacrum. The area is also noted to be warmer and firmer than the surrounding skin. This finding corresponds to which stage of pressure injury?
Stage 1
3 multiple choice options
A patient's pressure injury presents as a shallow, open ulcer involving the epidermis and dermis, but without slough or eschar. This is consistent with:
Stage 2 Pressure Injury
3 multiple choice options
A patient has a pressure injury with exposed bone and tendon, and significant slough present. What stage is this pressure injury?
Stage 4
3 multiple choice options
A pressure injury is completely covered by thick eschar, preventing visualization of the wound base. How should this wound be classified?
Unstageable
3 multiple choice options
A physical therapist is educating caregivers on pressure injury prevention for a bedbound patient. Which intervention is a key strategy to reduce pressure injury risk?
Repositioning every 2 hours in bed
3 multiple choice options
According to the Braden Scale for Pressure Injury Risk, a lower total score indicates:
Higher risk of pressure injury
3 multiple choice options
A patient with diabetes presents with a round, "punched-out" ulcer on the plantar aspect of the second metatarsal head, surrounded by callus, and reports no pain. Pulses are palpable. These characteristics are most indicative of which type of wound?
Neuropathic ulcer
3 multiple choice options
Which type of neuropathy primarily leads to unnoticed injuries and ulcers in diabetic patients due to the inability to feel pain, temperature, or pressure?
Sensory neuropathy
3 multiple choice options
A physical therapist is assessing a diabetic patient for loss of protective sensation. Which Semmes-Weinstein monofilament size, if not perceived in two or more applications, indicates loss of protective sensation
5.07 (10g)
3 multiple choice options
A diabetic patient's HbA1c level is 10.0%. According to the Glycemic Control Reference Table, how is this level interpreted regarding diabetes management?
Poor control
3 multiple choice options
A physical therapist is evaluating a neuropathic ulcer using the Wagner Classification System. A wound described as a "deep ulcer to tendon, capsule, or bone" would be classified as:
Grade 2
3 multiple choice options
A patient with a Wagner Grade 3 neuropathic ulcer has developed an infection. The presence of infection in a neuropathic ulcer significantly increases the risk for which outcome?
Amputation
1 multiple choice option
After 4 weeks of consistent treatment, a neuropathic ulcer has shown a 15% decrease in wound area. According to clinical decision points, what is the appropriate next step for the physical therapist?
Reassess and modify the plan of care or make appropriate referrals
3 multiple choice options
Which intervention is considered highly effective for Wagner grade 1-2 neuropathic ulcers by dispersing weight-bearing forces and reducing shear on the ulcer?
Total Contact Casting (TCC)
3 multiple choice options