Deck 46: Burns and Burn Rehabilitation

Question 1

Hair follicles,sebaceous glands,and sweat glands are located in which layer of skin?

A) Epidermis
B) Dermis
C) Stratum germinativum
D) Stratum spinosum
E) Stratum corneum

Answer 1

B
Hair follicles,sebaceous glands,and sweat glands are located in the dermal layer of the skin.

Question 2

Revascularization,reepithelialization,and contraction of a burn wound occur in which phase of wound healing?

A) Emergent
B) Inflammatory
C) Proliferation
D) Maturation
E) Remodeling

Answer 2

C
Revascularization,reepithelialization,and contraction of a burn wound occur in the proliferation phase of wound healing.

Question 3

Which is not true about splinting in the treatment of burns?

A) Splints do not need to be worn at all times to prevent contractures.
B) Splints can maintain correct positioning of joints.
C) Splints can protect compromised tissues to promote healing.
D) Splints can reverse scar contractures of mature scars.
E) Splints should not compromise function whenever possible.

Answer 3

D
Splints can reverse scar contracture of active scars but not mature scars.

Question 4

A meshed split thickness skin graft is a type of _______________.

A) Allograft
B) Autograft
C) Xenograft
D) Heterograft
E) Homograft

Question 5

Custom pressure garments ______________.

A) Should be measured for once scars have matured
B) Should not be worn more than 12 hours a day
C) Should be initiated as quickly as possible in the rehabilitation phase
D) Should not be combined with pressure inserts
E) Should be replaced every 2 to 3 weeks

Question 6

A burn involving fascia,muscle,or tendon would be classified as ___________.

A) Superficial
B) Superficial partial thickness
C) Deep partial thickness
D) Full thickness
E) Subdermal

Question 7

The extent of burn injury is classified by which of the following?

A) Burn severity scale
B) Dermal damage score
C) Total body surface area percentage
D) Skin viability test
E) Burn intensity grade

Question 8

Which is not a function of the skin?

A) Regulate body temperature
B) Perceive injury
C) Protect against bacterial invasion
D) Absorb ultraviolet rays
E) Influence personal identity

Question 9

What is an escharotomy?

A) Incision down to and through muscle fascia
B) Incision through necrotic burned tissue
C) Removal of the epidermal layer of skin
D) Removal of necrotic muscle fascia
E) Removal of necrotic bone

Question 10

The antideformity position for the wrist and hand is ________________.

A) Wrist flexion, thumb abduction and extension, metacarpophalangeal (MP) flexion, interphalangeal (IP) extension
B) Wrist flexion, thumb abduction and flexion, MP extension, IP extension
C) Wrist neutral, thumb adduction and extension, MP extension, IP flexion
D) Wrist extension, thumb adduction and extension, MP flexion, IP flexion
E) Wrist extension, thumb abduction and extension, MP flexion, IP extension

Question 11

Tensile strength of a burn scar never recovers more than what percentage of original unburned skin?

A) 80%
B) 85%
C) 90%
D) 95%
E) 100%

Question 12

Which is not true about hypertrophic scarring?

A) Has greater potential to develop in burns that take greater than 2 weeks to heal
B) Has greater potential to develop in scars that remain erythematous for greater than 2 months
C) Rises above the original surface level of the skin
D) Has a marked decrease in production of fibroblasts, myofibroblasts, and collagen
E) Can cause scar tightness

Question 13

A burn scar typically matures in _____________.

A) 3-6 weeks
B) 6-12 weeks
C) 3-4 months
D) 8-12 months
E) 12-18 months

Question 14

Which is true about a superficial partial thickness burn?

A) It corresponds to a traditionally classified second-degree burn.
B) It involves the superficial epidermis only.
C) Surgical intervention is required for healing.
D) It is not painful.
E) It is commonly caused by extended exposure to chemical agents.

Question 15

The rehabilitation phase of burn recovery continues until ____________.

A) The client is medically stable
B) Wounds are closed
C) The patient goes home from the hospital
D) Scars are mature
E) The last surgery is performed