Integumentary System and Wounds Flashcards
7 cards from real NPTE-PT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Integumentary System and Wounds flashcards as text
A PT assesses a wound and notes tunneling at the 3 o'clock position extending 2 cm. How should this finding be documented according to standard wound assessment convention?
Answer: Tunneling is present at 3 o'clock, 2 cm deep, measured with the patient supine, head = 12 o'clock
Standard wound documentation uses a clock-face orientation with the patient's head at 12 o'clock, and tunneling depth is recorded in centimeters.
Which skin change is an early sign of deep tissue pressure injury (DTI)?
Answer: Purple or maroon intact skin that may be painful or boggy
Deep tissue pressure injury presents as an area of persistent purple or maroon discoloration of intact skin, indicating underlying soft tissue damage.
A patient receiving radiation therapy develops radiodermatitis with moist desquamation. Which intervention is contraindicated?
Answer: Wet-to-dry gauze dressings
Wet-to-dry dressings are contraindicated in moist desquamation because removal causes trauma and further tissue damage to already fragile irradiated skin.
Which ABCDE criterion for melanoma assessment refers to a lesion having two or more distinct colors?
Answer: Color
The 'C' in the ABCDE melanoma screening criteria stands for Color variation, which includes multiple shades of brown, black, red, or white within a single lesion.
A wound swab culture returns positive for Pseudomonas aeruginosa. Which clinical sign is most associated with this organism?
Answer: Blue-green exudate with a fruity odor
Pseudomonas aeruginosa characteristically produces blue-green (pyocyanin) pigmented exudate with a fruity or grape-like odor.
Which phase of wound healing is characterized by formation of granulation tissue and angiogenesis?
Answer: Proliferation
The proliferative phase involves fibroblast migration, collagen synthesis, angiogenesis, and formation of granulation tissue to fill the wound defect.
A patient with a venous leg ulcer has a resting ABI of 0.55. Which treatment is contraindicated?
Answer: High-compression bandaging (40 mmHg)
An ABI below 0.8 indicates significant arterial insufficiency; high-compression bandaging is contraindicated because it further reduces arterial blood flow.