NPTE-PTA Integumentary Physical Therapy 2

Question 1

Using the Rule of Nines, what percentage of total body surface area (TBSA) does one entire upper extremity represent in an adult?

Accepted Answer

9%

Answer

In the adult Rule of Nines, each upper extremity (including the arm, forearm, and hand) represents 9% of TBSA, making both upper extremities together 18%.

Question 2

A patient presents with a burn wound that is blistered, moist, red, and extremely painful to touch. This burn MOST accurately represents:

Accepted Answer

Superficial partial-thickness (second-degree) burn

Answer

Superficial partial-thickness burns involve the epidermis and superficial dermis, presenting with blistering, a moist red wound bed, and intense pain because nerve endings remain intact.

Question 3

During the ACUTE phase of burn rehabilitation, a PTA's HIGHEST priority intervention to prevent contracture is:

Accepted Answer

Anti-deformity positioning and splinting

Answer

Anti-deformity positioning and splinting is the priority in the acute phase because wounds are not yet healed; it prevents contracture development before scar maturation interventions are appropriate.

Question 4

Which type of skin graft uses donor skin harvested from a deceased human donor (cadaveric skin)?

Accepted Answer

Allograft (homograft)

Answer

An allograft (homograft) uses cadaveric human skin as a temporary biological dressing; it provides wound coverage until autografting with the patient's own skin can be performed.

Question 5

A patient with breast cancer-related lymphedema presents with pitting edema of the upper extremity that resolves significantly with overnight elevation. According to the International Society of Lymphology, this is classified as:

Accepted Answer

Stage I – reversible lymphedema

Answer

Stage I lymphedema is characterized by pitting edema that reduces substantially with elevation, distinguishing it from Stage II where fibrotic tissue changes make elevation less effective.

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA Integumentary Physical Therapy 2