Week 1

Which is not a function of the skin?

absorb ultraviolet rays

This is a limitation that often occurs in the acute phase of recovery from a burn that Occupational Therapy will address in later phases.

activities of daily living

what is an eschar

adherent dead tissue that forms on skin with deep partial

Occupational Therapists position patients in an _________________ position.

antideformity

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

autograft

A burn scar typically matures in _____________.

12 to 18 months

A typical volar hand splint provides _______________ of wrist extension.

15-30 degrees

How long does the inflammatory phase of wound healing last?

3-10days

What is the estimated time for skin to naturally renew itself?

45-75 days

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

80% (Although tensile strength of burn scars increases as scars mature, it never recovers more than 80% of the tensile strength of the unburned skin.)

What is compartment syndrome?

A condition in which interstitial pressure becomes severe enough to compress blood vessels, tendons, or nerves, which could result in secondary tissue damage

What might cause a sharp, shooting sensation felt locally or down the corresponding appendage during palpation?

Adherent dead tissue that forms on skin with deep partial or full thickness burns

What are the reasons for greater survival of severe burn patients since the 1970's?

Advances in surgical critical care., Early excision and grafting., Advances in resuscitation.

A thermal burn includes which one of the following?

Extreme cold burn

Which is not true about hypertrophic scarring?

Has a marked decrease in production of fibroblasts, myofibroblasts, and collagen

What is an escharotomy?

Incision through necrotic burned tissue (An escharotomy is an incision through necrotic burned tissue that is performed to release the binding effect of tight eschar.)

What is escharotomy?

Incision through the necrotic burned tissue, is performed to release the binding effect of the tight eschar

What are the three phases of wound healing?

Inflammatory, proliferation, maturation

Which is true about a superficial partial thickness burn?

It corresponds to a traditionally classified second-degree burn. (A superficial partial thickness burn does correspond to a second-degree burn in the traditional classification of degrees of burn injury. Answer option (B) is not correct because superficial partial thickness burns involve the upper dermis as well as the epidermis. Option (C) is not correct because these burns typically heal spontaneously in less than 2 weeks. Option (D) is not true because these burns are painful. Option (E) is not true because extended exposure to chemical agents would result in a full thickness burn. A superficial partial thickness burn is typically caused by severe sunburn, radiation burn, prolonged exposure to hot liquids, or brief contact with hot metal objects.)

What is ischemia?

Restriction of circulation

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

Splints can reverse scar contractures of mature scars.

Which type of burn only involves the upper layers of the epidermis?

Superficial burn

One of the purposes of hair on the skin is to:

Temperature regulation acting to insulate.

What is a keloid scar?

Thick and raised scar that extends outside of the boundary of the initial injury

What is the purpose of topical antimicrobial agents in wound care & infection control?

To decrease wound-related infections

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

Total body surface area percentage

Which type of burn involves damage to the epidermis and upper two thirds of the dermis?

deep partial thickness burn

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

dermis

What are two layers that make up the skin

dermis and epidermis

what are the two primary layers of the skin

dermis and epidermis

Electrical burns typically have an entrance wound and:

exit wound

Which type of burn involves injury that extends down through the entire dermis?

full thickness burn

Which type of burns typically require skin grafting for wound closure?

full thickness burns

The type of skin that covers the soles of the feet and the palmer surface of hands and fingers is called:

glabrous skin

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

proliferation phase of wound healing.

A large burn injury can be a very traumatic physically. What else is affected equally as traumatically?

psychological pain

What is the purpose of hydrotherapy in wound care?

remove lose debris

Which of the following is a common method for estimating percentage of total body surface area burned?

rules of 9

The rehabilitation phase of burn recovery continues until ____________.

scars are mature

Custom pressure garments ______________.

should be initiated as quickly as possible in the rehabilitation phase (Custom pressure garments should be initiated as soon as possible in the rehabilitation phase. Answer option (A) is not correct because mature scars cannot be modified by pressure therapy. Options (B, D, and E) are not correct because garments should be worn 23 hours a day, can be combined with inserts to augment pressure, and typically need to be replaced every 2 to 3 months.)

Which of the following is the largest organ of the body?

skin

Occupational Therapy apply these to provide support in optimum wrist and hand position.

splint

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

subdermal

What are typical causes of superficial burns?

sun exposure

Which type of burn involves the epidermis and upper third of the dermis?

superficial partial-thickness burn

The extent of a burn is classified as a percentage of ____________

total body surface

How long does the proliferation phase of wound healing last?

until the wound heals

The antideformity position for the wrist and hand is ________________.

wrist extension, thumb abduction and extension, MP flexion, IP extension (The antideformity position for the wrist and hand is with the wrist in 30 degrees extension, thumb in abduction and extension, MPs in 50 to 70 degrees flexion, IPs in extension.)

Is it possible for a patient with a severe burn to anticipation returning to a functional lifestyle?

yes