Integumentary

Question 1

4 cardinal signs of inflammation

Answer 1

• rubor (redness)
• calor (increased heat)
• tumor (swelling)
• dolor (pain)
• functiolaesa (loss of function)

Question 2

cherry red palmar erythema could indicate what

Answer 2

liver or renal issues

Question 3

brown color associated w/

Answer 3

venous insufficiency - hemosiderinosis

Question 4

hair changes w/ hypo and hyperthyroidism

Answer 4

hypo - thinning hair

hyper - silky hair

Question 5

hirsutism
- what does it indicate

Answer 5

male pattern hair growth (facial and body) in women
- may indicate polycystic ovary syndrome

Question 6

indolent ulcer

Answer 6

slow to heal ulcer; not painful

Question 7

What is contraindicated w/ shingles?

Answer 7

heat or ultrasound - can increase severity of symptoms

Question 8

butterfly rash across nose is indicative of what

Answer 8

systemic lupus erythematosus

Question 9

systemic sclerosis (scleroderma)
- what accompanies it?

Answer 9

autoimmune disease of connective tissue causing fibrosis of skin, joints, blood vessels, and internal organs
- accompanied by Raynaud’s

Question 10

PT management of systemic sclerosis (scleroderma)

Answer 10

slow development of contractures and deformities, skin management, exercise, and joint protection
- pt are sensitive to pressure

Question 11

polymyositis affects what

Answer 11

primarily proximal muscles - shoulder and pelvic girdles, pharynx
- symmetrical distribution

characterized by edema, inflammation, and degeneration of proximal muscles

Question 12

PT management of plymyositis

Answer 12

fatigue management
- low level exercise

Question 13

ABCDEs of skin cancer

Answer 13

Asymmetry
Border
Color
Diameter
Elevation (evolving)

Question 14

arterial vs venous ulcers: pulses

Answer 14

arterial - decreased or absent

venous - usually present

Question 15

arterial vs venous ulcers: pain

Answer 15

arterial - painful, especially if legs elevated

venous - little pain, comfortable w/ legs elevated

Question 16

arterial vs venous ulcers: drainage

Answer 16

arterial - not present

venous - moderate to large amounts of exudate

Question 17

arterial vs venous ulcers: associated signs

Answer 17

arterial - trophic changes, pallor on foot elevation, dusky rubor on dependency

venous - edema, stasis dermatitis, possible cyanosis on dependency

Question 18

high compression is contraindicated w/ ABI ____

Answer 18

ABI < 0.7

All sustained compression is contraindicated w/ ABI , 0.6 or active DVT

Question 19

hyper vs hypotrphic scare

Answer 19

hyper - raised scar that stays within the boundaries of the burn wound

hypo - flat and depressed below the surrounding skin

Question 20

keloid scar
- who is it more common in?

Answer 20

raised scar that extends beyond the boundaries of the original burn wound and is red, raised, and firm
- more common in young women and those w/ dark skin

Question 21

goals for burn rehab

Answer 21

• limit loss of ROM
• reduce edema
• prevent predictable contractures through positioning and splinting
• prevent or reduce complications of immobilization

Question 22

common deformity and what to stress w/ burn: anterior neck

Answer 22

common deformity is flexion

stress hyperextension position w/ firm cervical orthosis

Question 23

common deformity and what to stress w/ burn: shoulder

Answer 23

common deformity is flexion and pronation

stress extension and supination; position in extension w/ posterior arm splint

Question 24

common deformity and what to stress w/ burn: elbow

Answer 24

common deformity is a claw hand

stress wrist extension, MP flexion, PIP, DIP extension, thumb abduction

Question 25

common deformity and what to stress w/ burn: hip

Answer 25

common deformity is flexion and adduction stress hip extension and abduction; position in extension, abduction, neutral rotation

Question 26

common deformity and what to stress w/ burn: knee

Answer 26

common deformity is flexion stress extension; position in posterior knee splint

Question 27

common deformity and what to stress w/ burn: ankle

Answer 27

common deformity is PF stress DF; position in splint w/ neutral ankle

Question 28

red flags for burn rehab

Answer 28

- postgrafting: discontinue exercise for 3-5 days to allow grafts to heal - avoid shearing and avoid prolonged dependent positioning

Question 29

viable vs nonviable wound bed dressing

Answer 29

viable - choose dressing that promotes moist wound healing and fills dead space nonviable - choose the best type of debridement to remove necrotic tissues, slough, or bioburden

Question 30

T/F: Whirlpool therapy is not supported for wound care

Answer 30

true

Question 31

BMI less than or = to _____ means there is increased risk for pressure injury

Answer 31

BMI

Question 32

interventions for chronic arterial insufficiency

Answer 32

exercise - walking 3-5 x wk, 30-60 min contraindications - chronic ischemic rest pain, ulcerations, gangrene, or ABI < 0.4

Question 33

Stage 1 pressure injuries are characterized by

Answer 33

nonblanchable erythema of intact skin. In this scenario, the skin is not intact.

Question 34

Stage 2 pressure injuries are characterized by

Answer 34

partial-thickness skin loss involving the epidermis, dermis, or both (e.g., abrasion, blister, or shallow crater).

Question 35

Stage 3 pressure injuries are characterized by

Answer 35

full-thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to but not through underlying fascia (deep crater with or without undermining).

Question 36

Stage 4 pressure injuries are characterized by

Answer 36

full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g., tendon or joint capsule).

Question 37

Which of the following tests is MOST accurate for assessing volume reduction in a patient who has lymphedema?

Answer 37

Water displacement

Question 38

Uveitis is commonly found in patients who have

Answer 38

ankylosing spondylitis

Question 39

Urethritis is commonly found in patients who have

Answer 39

Reiter syndrome

Question 40

Reiter syndrome

Answer 40

reactive arthritis - caused by an infection

Question 41

common findings in patients who have systemic lupus erythematosus

Answer 41

Skin rashes, fever, fatigue, malaise, photosensitivity, dyspnea, cough, and peripheral neuropathies

Question 42

Psoriasis is commonly seen in patients who have

Answer 42

psoriatic arthritis

Question 43

Pitting is generally more pronounced in the_____stages of lymphedema

Answer 43

early