Exam Preview
Exam Preview
Occupational Therapist's Management of Upper Extremity Burns (Day 4)
Please note: exam questions are subject to change.
1. A patient with arm and hand burns is referred to you in the outpatient clinic. After assessing the skin during the initial evaluation, you note several areas of scar with open wounds remaining. Your therapy plan includes:
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2. Your patient has a large TBSA burn with both hands involved. The surgeons have not been able to graft the hands which are full thickness burns on the dorsal surface. You notice the hands are posturing into a claw position. You should:
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3. A patient is referred to your clinic directly from a burn center with healing bilateral hand burns. One hand is completely closed and in a compression glove without a dressing. The other hand has an open area over the dorsal PIP joint and is posturing in PIP flexion. You suspect:
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4. You are seeing a patient who has healed autograft on the dorsal hand into the webspaces and dorsal digits. You notice thickened and raised scar at the graft borders. Scar management op-tions include:
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5. You have been following a patient over a month with an isolated dorsal digital burn. The wound closed and scar has been forming over the dorsal surface. You notice composite flexion is lim-ited but now the patient cannot fully extend the DIP joint. What has likely occurred?
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6. A patient with arm and hand burns was admitted to the ICU overnight and has escharotomies to both arms and hands. After assessing the wounds and completing the evaluation, your therapy priorities are:
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7. An elbow flexion contracture with a firm to hard end feel is best treated by:
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8. Petrolatum topical can be safely used on skin, open wound and scar but is not as useful for:
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9. Negative pressure wound therapy is commonly used at burn and trauma centers. One disad-vantage of a "VAC" dressing is:
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10. Early excision and autograft is considered the optimal treatment for deep upper extremity burns. Autografts are:
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