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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

  1. A PT is treating a patient with a full-thickness burn to the anterior trunk and both anterior lower extremities. Using the Rule of Nines, what percentage of total body surface area (TBSA) is burned?

    Answer: 36%

    The anterior trunk = 18% and each anterior lower extremity = 9% (×2 = 18%), totaling 36% TBSA using the Rule of Nines.

  2. Which type of scar results from excessive collagen deposition that extends beyond the original wound boundaries?

    Answer: Keloid scar

    Keloid scars grow beyond the original wound margins into surrounding healthy tissue, unlike hypertrophic scars which remain within wound boundaries.

  3. A patient presents with a wound that has edges that are raised, rolled under (epibole), and not advancing across the wound bed. This indicates:

    Answer: Chronic wound with rolled edges requiring intervention

    Epibole (rolled wound edges) indicates a stalled chronic wound where epithelial cells have rolled under the edge and must be disrupted to allow healing.

  4. Which is the primary indication for negative pressure wound therapy (NPWT/VAC)?

    Answer: Large, complex wound with significant exudate requiring granulation tissue formation

    NPWT is indicated for complex, high-exudate wounds to promote granulation tissue formation, reduce edema, and manage wound fluid.

  5. A second-degree partial-thickness burn is characterized by which finding?

    Answer: Blistering, moist, and extremely painful wound

    Partial-thickness (second-degree) burns involve the epidermis and superficial dermis, presenting as blistered, moist, and intensely painful wounds.

  6. Which intervention is MOST appropriate to prevent pressure injury formation in a patient with complete spinal cord injury at T6?

    Answer: Performing weight shifts every 15-30 minutes while in the wheelchair

    Patients with SCI must perform frequent pressure relief (weight shifts) every 15-30 minutes to redistribute ischial pressure during prolonged sitting.

  7. During wound irrigation, which pressure range is recommended to effectively remove bacteria and debris without damaging granulation tissue?

    Answer: 4-15 psi

    The recommended wound irrigation pressure is 4-15 psi, which is sufficient to remove debris without traumatizing fragile granulation tissue.