CRC Medical Aspects 5 — Questions and Answers
Question 1: Which type of burn injury destroys all layers of the skin, including nerve endings, and appears dry and leathery?
- Superficial (first-degree) burn
- Partial thickness (second-degree) burn
- Full thickness (third-degree) burn (Correct answer)
- Electrical burn
Correct answer: Full thickness (third-degree) burn
Full thickness (third-degree) burns destroy the epidermis, dermis, and subcutaneous tissue, destroying nerve endings so the area is insensate and appears dry and leathery.
Question 2: Which pain management approach combines physical, psychological, and behavioral strategies to address chronic pain as a multidimensional experience?
- Pharmacological management only
- Interdisciplinary pain rehabilitation (Correct answer)
- Surgical intervention
- Rest and activity restriction
Correct answer: Interdisciplinary pain rehabilitation
Interdisciplinary pain rehabilitation addresses chronic pain through coordinated physical, psychological, and behavioral interventions, recognizing pain as a complex biopsychosocial experience.
Question 3: A client has been diagnosed with carpal tunnel syndrome. Which occupational intervention is MOST effective as a first-line approach?
- Immediate surgical decompression
- Ergonomic modifications and wrist splinting (Correct answer)
- High-dose anti-inflammatory medication only
- Cessation of all hand activity
Correct answer: Ergonomic modifications and wrist splinting
Ergonomic workstation modifications and neutral-position wrist splinting are evidence-based first-line interventions that reduce nerve compression in carpal tunnel syndrome.
Question 4: In spinal cord injury rehabilitation, the term 'neurogenic bladder' refers to which condition?
- Bladder infection secondary to catheter use
- Bladder dysfunction caused by nervous system damage (Correct answer)
- Reduced urine production due to dehydration
- Structural bladder malformation
Correct answer: Bladder dysfunction caused by nervous system damage
Neurogenic bladder refers to bladder dysfunction resulting from damage to the nervous system, causing problems with storage or emptying of urine.
Question 5: Which cardiovascular condition involves a weakened heart muscle that cannot pump blood efficiently, often resulting in fatigue and exercise intolerance?
- Hypertensive heart disease
- Heart failure (Correct answer)
- Valvular stenosis
- Cardiac arrhythmia
Correct answer: Heart failure
Heart failure occurs when the heart muscle is weakened or stiffened and cannot pump enough blood to meet the body's needs, causing fatigue and activity limitations.
Question 6: When a rehabilitation counselor documents that a client has 'paraplegia,' this indicates impairment of:
- Both arms and hands
- One side of the body
- Both lower extremities (Correct answer)
- All four extremities
Correct answer: Both lower extremities
Paraplegia refers to paralysis or impairment of both lower extremities, typically resulting from a thoracic or lumbar spinal cord injury.
Question 7: Which psychiatric condition is characterized by persistent low mood, anhedonia, sleep disturbances, and cognitive changes lasting at least two weeks?
- Dysthymia
- Cyclothymia
- Major depressive disorder (Correct answer)
- Adjustment disorder
Correct answer: Major depressive disorder
Major depressive disorder (MDD) is diagnosed when a client experiences at least five symptoms of depression, including depressed mood or anhedonia, for at least two consecutive weeks.
CRC Medical Aspects 5
Which type of burn injury destroys all layers of the skin, including nerve endings, and appears dry and leathery?