CBM Rehabilitation & Physical Therapy 3

Question 1

A burn patient has a healed dorsal hand burn with MCP joint hyperextension and IP joint flexion. This posture is called the:

Accepted Answer

Claw hand deformity

Answer

The 'claw hand' or intrinsic-minus position results from dorsal hand burns causing MCP hyperextension and IP flexion due to intrinsic muscle disruption.

Question 2

Which scar characteristic on the Vancouver Scar Scale (VSS) evaluates the color of mature vs. immature burn scars?

Accepted Answer

Vascularity

Answer

The VSS vascularity subscale rates scar color from normal skin tone to purple, reflecting vascularity and scar maturity.

Question 3

During ambulation training for a patient with lower extremity burns and new skin grafts, which precaution is MOST critical in the early post-graft period?

Accepted Answer

Applying ace wraps from distal to proximal before dependent positioning

Answer

Ace wrapping distal to proximal controls edema and venous pooling when the grafted leg is placed in a dependent position during ambulation.

Question 4

What is the role of silicone gel sheeting in burn scar management?

Accepted Answer

It softens and flattens hypertrophic scars through hydration and occlusion

Answer

Silicone gel sheeting reduces scar height and erythema by maintaining a moist, hydrated environment and applying light pressure to the scar surface.

Question 5

A pediatric burn patient has significant anxiety about physical therapy sessions. Which behavior management approach is MOST evidence-supported?

Accepted Answer

Distraction techniques such as virtual reality or video games during treatment

Answer

Non-pharmacological distraction methods like virtual reality are evidence-based for reducing procedure-related pain and anxiety in pediatric burn patients.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Rehabilitation & Physical Therapy 3