CBRN CBRN Rehabilitation & Scar Management 2 — Questions and Answers
Question 1: What is the primary goal of therapeutic positioning in acute burn care?
- Patient comfort
- Reducing fluid requirements
- Facilitating dressing changes
- Preventing contracture deformities and maintaining functional alignment (Correct answer)
Correct answer: Preventing contracture deformities and maintaining functional alignment
Proper positioning maintains joints in anti-contracture positions to prevent deformity development during the acute healing phase.
Question 2: Which splint position is recommended for patients with dorsal hand burns to prevent intrinsic-minus deformity?
- Wrist flexion, MCP flexion, IP extension
- Full fist position
- Neutral wrist, full finger extension
- Wrist extension, MCP flexion at 70–90°, IP extension, thumb abduction (Correct answer)
Correct answer: Wrist extension, MCP flexion at 70–90°, IP extension, thumb abduction
The intrinsic-plus (safe) position — wrist extension, MCP flexion at 70–90°, IP extension, thumb abduction — prevents deformity and maintains intrinsic muscle length.
Question 3: What is the role of silicone gel sheeting in burn scar management?
- Prevents infection
- Increases blood flow to scars
- Replaces compression garments
- Creates a moisture-retaining barrier that softens and improves scar appearance (Correct answer)
Correct answer: Creates a moisture-retaining barrier that softens and improves scar appearance
Silicone gel sheeting creates a semi-occlusive, moisture-retaining barrier that reduces erythema, softens scar tissue, and improves overall scar appearance.
Question 4: Which assessment tool is commonly used in burn centers to objectively evaluate scar characteristics for rehabilitation planning?
- Glasgow Coma Scale
- Braden Scale
- Lund and Browder Chart
- Vancouver Scar Scale (VSS) (Correct answer)
Correct answer: Vancouver Scar Scale (VSS)
The Vancouver Scar Scale assesses vascularity, pigmentation, pliability, and height to objectively track scar progress during rehabilitation.
Question 5: What is the recommended daily wear duration for compression garments during the active scar remodeling phase?
- 4–6 hours per day
- 8–12 hours per day
- Only during physical therapy
- 23 hours per day (Correct answer)
Correct answer: 23 hours per day
Compression garments must be worn 23 hours per day, removing them only for hygiene and wound care, to maintain consistent pressure during scar remodeling.
Question 6: Which psychological condition is commonly encountered in burn survivors during the rehabilitation phase?
- Parkinson's disease
- Bipolar disorder
- Schizophrenia
- Post-traumatic stress disorder (PTSD) (Correct answer)
Correct answer: Post-traumatic stress disorder (PTSD)
PTSD is common in burn survivors due to the traumatic injury, painful procedures, and altered body image, requiring integrated psychological support throughout rehabilitation.
CBRN CBRN Rehabilitation & Scar Management 2
What is the primary goal of therapeutic positioning in acute burn care?