Integ

Question 1

mgmt of cellulitis includes:

Answer 1

antibiotics, elevation, & cool wet dressings

Question 2

herpes zoster p/w ..

Answer 2

pain and tingling along a dermatome; progression to red papules along distrib of infected nerve
-postherpetic neuralgia pain

Question 3

what modalities are contraindicated with herpes zoster?

Answer 3

heat or US (can incr severity of sx)

Question 4

PT intervention for psoriasis?

Answer 4

UV light

Question 5

psoriasis p/w

Answer 5

itching and pain from cracked, dry lesions (chonic AUTOIMMUNE disease)

Question 6

the LONG TERM side efx of corticosteroid use include:

Answer 6

osteoporosis, immunosuppression, tendon ruptures, DM, GI irritation, myopathy, low K+

Question 7

sclerodema is..

Answer 7

an autoimmune chronic diffuse disease of CT causing fibrosis; can be lmtd or diffuse systemic

Question 8

tx for scleroderma

Answer 8

corticosteroids, immunosuppressive agents, vasodilators, analgesics

Question 9

PT precautions when dealing w scleroderma?

Answer 9

pt will be sensitive to pressure; acute HTN may occur so monitor BP closely

Question 10

polymyositis is..

Answer 10

CT disease causing degen of ms
-affects proximal ms mostly
rapid onset, may even req MV ; cardiac involvement

Question 11

PT for polymyositis

Answer 11

fatigue mgmt, conservation of nrg principles, exercise at LOW levels of resistance/intensity, AVOID OVERWORK/FATIGUE

Question 12

benign skin cancer includes:

Answer 12

seborrheic keratosis, actinic keratosis, and benign nevus

Question 13

of the carcinomas of the skin, which has a higher risk of metastasizing?

Answer 13

squamous cell (poorly defined margins) &raquo_space; basal cell (raised patch)

Question 14

what are the steps to clinical exam of malignant melanoma?

Answer 14

ABCDE: 
asymmetry
border
color (black/blue/red esp)
diameter (> 6mm)
elevation/evolving

Question 15

what are petechiae?

Answer 15

tiny red/purple hemorrhagic spots on the skin

Question 16

pruritus =

Answer 16

itching

Question 17

urticaria =

Answer 17

hives

Question 18

xeroderma =

Answer 18

excessive dryness of skin with shedding of epithelium

Question 19

brown skin is indicative of..

Answer 19

venous insufficiency

Question 20

burns which require removal of eschar and skin grafting to heal are..

Answer 20

3rd degree and above (full-thickness)

Question 21

what is the rule of nines?

Answer 21

head & neck = 9%
ant trunk = 18%
post trunk = 18%
arms = 9% each
legs = 18% each
perineum = 1%

Question 22

3 zones of burn wounds:

Answer 22

1. zone of coagulation: cells irreversibly injured
2. zone of STASIS : cells partially damaged, still may die (usually within 1-2 days)
3. zone of hyperemia: cells very minimally injured

Question 23

critical burn involves:

Answer 23

10% of body with 3rd deg burns & >30% w 2nd deg

Question 24

leading cause of death after a burn:

Answer 24

infection

Question 25

phases of healing after a burn:

Answer 25

1. inflammatory phase (3-5 days) 2. proliferative/granulation/fibroblastic phase 3. maturation phase : tissue remodeling lasts up to 2 YEARS - -scar immature at 6-12 weeks (bright pink)

Question 26

emergency care for a burn:

Answer 26

immersion in cold water, cover burn with sterile bandage or clean cloth NO OINTMENTS

Question 27

what are the common topical medications (antibacterial agents) used in burn management?

Answer 27

1. Ointments : bacitracin, polymyxin B, Neomycin 2. Silver sulfadiazine: AVOID at term pregnancy 3. Sulfamylon : penetrates thru eschar

Question 28

dressings for burns include:

Answer 28

silver impregnated, hydrogels (min to mod exudate), petroleum-impregnated and gauze

Question 29

hydrotherapy immersion is contraindicated for..

Answer 29

pts w severe cardio renal or pulmonary restrictions

Question 30

after a graft, how long should you hold PT?

Answer 30

3-5 days

Question 31

to reduce scar formation after a burn, manual techniques include..

Answer 31

deep friction massage

Question 32

compression is contraindicated if..

Answer 32

ABI

Question 33

if a pressure ulcer has penetrated bone, it is considered..

Answer 33

stage IV

Question 34

negative pressure wound therapy (open-cell foam dressing) helps to ..

Answer 34

maintain a moist wound environment, control edema, increase localized blood flow, and reduce infectious materaial

Question 35

hyperbaric oxygen therapy is contraindicated when?

Answer 35

untreated pneumothorax & some antineoplastic meds

Question 36

for most ulcers, you should clean with..

Answer 36

Normal saline (0.9% NaCl)

Question 37

irrigation pressure to clean a wound should be..

Answer 37

4-15 psi

Question 38

hydrotherapy is indicated for pressure ulcers with..

Answer 38

large amt of exudate, slough and necrotic tissue

Question 39

if using e-stim to encourage wound healing, you should..

Answer 39

use CONTINUOUS waveform application with DIRECT current; place cathode in wound

Question 40

hydration for a pt with a wound =

Answer 40

3L/day

Question 41

types of selective debridement:

Answer 41

- autolytic (natural) - enzymatic (chemical) - sharp - surgical

Question 42

if a pt p/w a wound w moist, necrotic tissue , the best form of debridement would be..

Answer 42

mechanical, sharp OR enzymatic

Question 43

after eschar has been cross hatched, how should you debride the wound?

Answer 43

via enzymatic debridement

Question 44

what type of wounds are contraindicated to use autolytic debridement?

Answer 44

infected, dry gangrene, if pt is immunosuppressed

Question 45

for stage I & II pressure ulcers withOUT exudate, the best dressing would be..

Answer 45

transparent film

Question 46

if a wound has a moderate to large amount of exudate and is infected, the best dressing would be..

Answer 46

alginate OR continuous dry gauze (heavily exudating wound)

Question 47

if a wound has only minimal/mild exudate , what type of dressing should be used?

Answer 47

hydrocolloids ; possibly foams

Question 48

hydrogels should be used..

Answer 48

in partial and full thickness wounds with necrosis and slough; also BURNS and tissue damaged by radiation but NOT for heavily exudating wounds

Question 49

to prevent pressure ulcers in a w/c, pushups should be performed how often?

Answer 49

every 15 min