NPTE-PTA Integumentary Physical Therapy

Question 1

According to the National Pressure Injury Advisory Panel (NPIAP), a Stage II pressure injury is characterized by which finding?

Accepted Answer

Partial-thickness skin loss with exposed dermis

Answer

Intact skin with non-blanchable erythema

Answer

Full-thickness skin loss with visible subcutaneous fat

Answer

Full-thickness tissue loss with exposed bone or tendon

Question 2

Which phase of wound healing is primarily characterized by fibroblast proliferation and collagen synthesis?

Accepted Answer

Proliferative phase

Answer

Hemostasis phase

Answer

Inflammatory phase

Answer

Maturation and remodeling phase

Question 3

Which method of wound debridement is considered the MOST selective, removing only necrotic tissue while preserving viable tissue?

Accepted Answer

Autolytic debridement

Answer

Sharp or surgical debridement

Answer

Wet-to-dry mechanical debridement

Answer

Pulsed lavage debridement

Question 4

A PTA assesses a diabetic foot ulcer and measures an ankle-brachial index (ABI) of 0.45. This finding MOST likely indicates:

Accepted Answer

Severe peripheral arterial disease

Answer

Normal arterial circulation

Answer

Mild peripheral arterial disease

Answer

Primary venous insufficiency

Question 5

Which wound dressing is MOST appropriate for managing a large wound with heavy exudate output?

Accepted Answer

Calcium alginate dressing

Answer

Hydrocolloid dressing

Answer

Transparent film dressing

Answer

Hydrogel sheet dressing

Question 6

A PTA inspects a wound and notes all of the following. Which finding is a sign of HEALTHY wound progression rather than infection?

Accepted Answer

Pink-red granulation tissue filling the wound bed

Answer

Increased perilesional warmth and erythema

Answer

Purulent exudate with foul odor

Answer

Increasing pain at the wound site

Question 7

A patient presents with a venous stasis ulcer on the medial lower leg. ABI is measured at 0.85. The MOST appropriate primary intervention is:

Accepted Answer

Multilayer compression bandaging

Answer

Surgical debridement only

Answer

Unna boot alone without additional compression

Answer

Elevation without any compression