Question 1

Allowing a burn wound to demarcate for several days is common in a _____________ burn.&#10;A)subdermal&#10;B)full-thickness&#10;C)deep partial thickness&#10;D)superficial

Accepted Answer

C

Question 2

The inflammatory stage of healing involves&#10;A)scar synthesis.&#10;B)wound contraction.&#10;C)reduced fibroblast activity.&#10;D)clot formation.

Accepted Answer

The inflammatory stage of healing involves clot formation as the body's immediate response to stop bleeding and prevent infection. Scar synthesis and wound contraction occur later in the healing process during the proliferative stage. Reduced fibroblast activity is not a characteristic of the inflammatory stage.

Question 3

An escharotomy is indicated when&#10;A)a skin graft is performed.&#10;B)a patient has a superficial partial-thickness wound.&#10;C)there is compression of underlying vasculature.&#10;D)there is hypertrophic scarring.

Accepted Answer

An escharotomy is indicated when there is compression of underlying vasculature due to burns or other injuries that cause swelling and restrict blood flow. It is a surgical procedure that involves cutting through the eschar (dead tissue) to relieve pressure and restore circulation. It is not indicated for skin grafts, superficial partial-thickness wounds, or hypertrophic scarring.

Question 4

The application of a topical agent to a burn followed by dressings is known as a/n __________ technique.&#10;A)open&#10;B)closed&#10;C)allograft&#10;D)xenograft

Accepted Answer

The application of a topical agent followed by dressing is known as a closed technique. In this technique, the wound is covered with a dressing or bandage after the application of a topical agent. The purpose of this technique is to provide a moist environment for the wound to promote healing and prevent infection. An open technique, on the other hand, involves leaving the wound uncovered and exposing it to air. Allograft and xenograft are types of skin grafts used in burn treatment, but they are not related to the technique of applying topical agents and dressings.

Question 5

A burn injury from a scalding incident that presents as red in color with intact blisters would be classified as a ___________ burn.&#10;A)superficial&#10;B)superficial partial-thickness&#10;C)superficial deep-thickness&#10;D)full-thickness

Accepted Answer

A burn injury that appears red in color with intact blisters is characteristic of a superficial partial-thickness burn. In this type of burn, the outer layer of skin (epidermis) and a portion of the underlying dermis are damaged. The skin is red, painful, and swollen, and blisters may form. Full-thickness burns involve damage to all layers of the skin, while superficial burns do not involve blistering. Superficial deep-thickness burns involve damage to the epidermis and dermis, with damage extending into the deeper tissue layers.

Question 6

A Z-plasty is used to&#10;A)apply a mesh graft.&#10;B)remove tissue from a donor site.&#10;C)improve circulation of a graft.&#10;D)lengthen a scar that causes contracture.

Accepted Answer

A Z-plasty is a surgical technique used to lengthen a scar that causes contracture, which is the tightening and shortening of a scar tissue that can limit movement or function. The technique involves making three triangular incisions to reposition the scar and change its direction, which results in increasing its length while also improving its appearance and decreasing any tension or pulling at the site.

Question 7

Increased core body temperature and muscle atrophy are common symptoms seen in patients with a burn because of&#10;A)heterotrophic ossification.&#10;B)infection.&#10;C)increased metabolism.&#10;D)scar formation.

Accepted Answer

Increased core body temperature is a result of the increased metabolic rate that occurs after a burn injury. Muscle atrophy also occurs due to the breakdown of muscle tissue to meet the increased energy demands of the body. Heterotrophic ossification, infection, and scar formation may also occur in burn patients, but they are not directly related to the symptoms of increased core body temperature and muscle atrophy.

Question 8

In epidermal burn wound healing,migration of epidermal cells stop&#10;A)in the maturation stage of healing.&#10;B)as the papilla of the hair follicle emerges.&#10;C)due to contact inhibition.&#10;D)once the wound is completely healed.

Accepted Answer

Contact inhibition is a phenomenon in which cells stop moving once they come in contact with adjacent cells. In epidermal burn wound healing, once the edges of the wound come in close proximity, the epidermal cells stop migrating due to contact inhibition.

Question 9

Following a burn injury,active assistive exercises are the most common form of exercise for patients&#10;A)who are alert and able to follow commands.&#10;B)who cannot achieve full ROM.&#10;C)who have limited or no sensation.&#10;D)in unaffected areas only.

Accepted Answer

Active assistive exercises are most commonly used for patients who cannot achieve full range of motion (ROM) on their own. These exercises help maintain joint flexibility and muscle strength by assisting the patient in moving a limb through its full range of motion.

Question 10

Following a burn injury,common contracture position to avoid at the hip is a position of&#10;A)extension.&#10;B)flexion.&#10;C)abduction.&#10;D)external rotation.

Accepted Answer

Following a burn injury, a common contracture position to avoid at the hip is a position of flexion. This is because the flexor muscles can become very tight and shorten, causing the hip to become permanently bent. Avoiding this position through regular range of motion exercises and stretching can help prevent contractures from developing.

Question 11

The differentiation between a full-thickness burn and a subdermal burn would be that the subdermal burn involves destruction of&#10;A)the epidermis only.&#10;B)the epidermis and the top layer of the dermis.&#10;C)the dermis and some of the subcutaneous fat.&#10;D)the dermis and all of the subcutaneous fat.

Accepted Answer

The answer of The differentiation between a full-thickness burn and...

Question 12

Compression garments are often worn for a period of __________ hours per day for _________ months.&#10;A)8; 3 to 6&#10;B)10; 6 to 12&#10;C)15; 10 to 12&#10;D)23; 12 to 18

Accepted Answer

The answer of Compression garments are often worn for a...

Question 13

Wound contraction includes&#10;A)active movement of the wound edges inward.&#10;B)active remodeling of the scar.&#10;C)formation of new tissue.&#10;D)histamine release.

Accepted Answer

The answer of Wound contraction includes&#10;A)active movement of the wound...

Question 14

A __________ is the use of the patient's own skin taken from an uninvolved area and transplanted to cover the burned area.&#10;A)xenograft&#10;B)heterograft&#10;C)allograft&#10;D)autograft

Accepted Answer

The answer of A __________ is the use of the...

Question 15

Cells in the basal layer of the epidermis allow the epidermis to&#10;A)regenerate.&#10;B)secrete oil that lubricates the skin.&#10;C)protect the skin from infection.&#10;D)retain heat.

Accepted Answer

The answer of Cells in the basal layer of the...

Question 16

The ridges and valleys in the interface between the epidermis and dermis serve to&#10;A)house pacinian corpuscles.&#10;B)allow thermoregulation and water retention.&#10;C)secrete oil that lubricates the skin.&#10;D)provide mechanical resistance to shear forces.

Accepted Answer

The answer of The ridges and valleys in the interface...

Deck 27: Burns