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

Stage II pressure injuries involve partial-thickness skin loss exposing the dermis, presenting as a shallow open wound with a pink or red wound bed without slough or bruising.

Question 2

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

Accepted Answer

Proliferative phase

Answer

The proliferative phase (approximately days 4–21) is defined by fibroblast migration and activity, collagen synthesis, angiogenesis, and the formation of granulation tissue.

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

Autolytic debridement uses the body's own phagocytic cells and proteolytic enzymes under a moisture-retentive dressing to selectively liquefy necrotic tissue without harming healthy tissue.

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

An ABI below 0.5 indicates severe peripheral arterial disease, which significantly impairs wound healing and is generally a contraindication to full compression therapy.

Question 5

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

Accepted Answer

Calcium alginate dressing

Answer

Calcium alginate dressings are highly absorbent, forming a gel on contact with exudate that maintains a moist healing environment, making them optimal for heavily draining wounds.

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