Burns
Which of the following are primary mechanisms of burn injuries? (Select all that apply)
A. Heat
B. Electrical discharge
C. Friction
D. Sun exposure
A. Heat
B. Electrical discharge
C. Friction
A client is in the rehabilitation phase of burn recovery and is developing red, raised, and rigid hypertrophic scars on their hands. What is the primary reason for prescribing custom fit pressure garments?
A. To aid scar maturation by reducing collagen synthesis and redness.
B. To eliminate the need for splinting during scar management.
C. To protect the newly healed skin from external irritants and infection.
D. To immediately soften and enhance the pliability of scar tissue.
A. To aid scar maturation by reducing collagen synthesis and redness. .
An OTA in an acute burn unit notices that a patient’s hand splint is causing a small area of redness over a newly healed skin graft. The nursing staff has been applying it tightly to ensure it stays on.
Question: What is the OTA’s most appropriate next action?
A. Stop using the splint entirely to let the area heal.
B. Document the issue in the chart and wait for the supervising OT to see it.
C. Adjust the splint, then educate the nursing staff on the proper fit, application, and signs of excessive pressure.
D. Tell the patient to refuse when the nurses try to put the splint on until the redness resolves.
C. Adjust the splint, then educate the nursing staff on the proper fit, application, and signs of excessive pressure.
A Soldier was involved in a training accident, resulting in two fingers amputated and burns arm. He is getting outpatient rehabilitation at the local MTF, but the OTA observes that at work he appears to be withdrawing socially, is easily startled, and has mentioned having persistent nightmares since the incident. The OTA recognizes these as potential signs of post-traumatic stress disorder (PTSD).
Question: What is the OTA’s most appropriate initial action to connect the Soldier with relevant support, aligning with their role in identifying the need for community-based resources?
A. Inform the Soldier’s company commander about the specific behavioral observations and recommend the Soldier be ordered to a mental health appoint.
B. Suggest to the Soldier that they can self-refer to confidential resources like the unit’s embedded Behavioral Health Officer (BHO), a Military and Family Life Counselor (MFLC), or the base chaplain.
C. Design a new platoon-wide stress management program to address the issue without singling out the individual Soldier.
D. Add the Soldier to their official caseload and begin providing direct one-on-one counseling for trauma.
B. Suggest to the Soldier that they can self-refer to confidential resources like the unit’s embedded Behavioral Health Officer (BHO), a Military and Family Life Counselor (MFLC), or the base chaplain.
What is the primary focus of advanced prosthetic training?
A. Controlling edema and promoting wound healing.
B. Strengthening the sound limb.
C. Vocational and work-specific task training.
D. Learning to don and doff the prosthesis.
C. Vocational and work-specific task training.
What is a characteristic of a superficial partial thickness burn?
A. Dry and inelastic appearance
B. Painful to temperature, air, and touch
C. Healing time of more than 21 days
D. No scarring
B. Painful to temperature, air, and touch
An OTA is working with a patient who has severe burns on the front of his neck and chest. To prevent common contracture deformity associated with this burn location, which positioning strategy should the OTA implement?
A. Elevate the head of the bed to 90 degrees to promote neck flexion.
B. Place a rolled towel under the neck to provide support while promoting neck flexion.
C. Elevate the foot of the bed to 15 degrees to encourage neck extension.
D. Remove all pillows from under the patient’s head to promote neck extension.
D. Remove all pillows from under the patient’s head to promote neck extension.
An OTA is part of a team planning the discharge for a patient with a traumatic above-the-knee amputation. The patient lives alone in a two-story home.
Question: To advocate for the patient's needs, which piece of information is most crucial for the OTA to communicate to the case manager and physical therapist?
A. The assessment of the patient's inability to safely navigate stairs and access their bedroom and bathroom on the second floor.
B. The patient's preference for a myoelectric versus a body-powered prosthesis.
C. The patient's score on a manual muscle test of their upper extremities.
D. The patient's progress with phantom limb pain desensitization techniques.
A. The assessment of the patient's inability to safely navigate stairs and access their bedroom and bathroom on the second floor.
Which of the following are common impacts of polytrauma on occupational performance? (Select all that apply)
A. Role disruption
B. Social isolation
C. Negative body image
D. Unaffected self-esteem
A. Role disruption
B. Social isolation
C. Negative body image
Which of the following adaptive equipment can support independence in ADLs for individuals with prostheses? (Select all that apply)
A. Reacher
B. Spinning knobs
C. Sock aids
D. Magnetic closures
A. Reacher
C. Sock aids
D. Magnetic closures
Which of the following ADLs may be impacted by burn injuries? (Select all that apply)
A. Typing
B. Feeding
C. Bathing or showering
D. Functional mobility
B. Feeding
C. Bathing or showering
D. Functional mobility
Which of the following are common psychosocial impacts of burn injuries? (Select all that apply)
A. Post-traumatic stress disorder (PTSD)
B. Positive self-image
C. Depression
D. Anxiety
A. Post-traumatic stress disorder (PTSD)
C. Depression
D. Anxiety
A patient is 5 days post-op from a skin graft on their elbow. The OTA's treatment plan includes initiating AROM exercises. However, the OTA notices the new graft appears fragile.
Question: What is the OTA's most appropriate action?
A. Proceed with the AROM exercises gently and monitor the graft closely for signs of damage during AROM exercises.
B. Stop all therapy and notify the supervising OT that the patient is unable to participate due to graft fragility.
C. Hold the intervention and communicate with the supervising OT and surgeon to clarify range-of-motion orders based on the graft's integrity.
D. Modify the intervention to focus on isometric exercises to avoid stressing the graft while maintaining strength.
D. Hold the intervention and communicate with the supervising OT and surgeon to clarify range-of-motion orders based on the graft's integrity.
What is the focus of the wound healing phase after an amputation?
A. Advanced prosthetic training
B. Controlling edema and promoting wound healing
C. Strengthening the sound limb
D. Vocational training
B. Controlling edema and promoting wound healing
How can OTAs address psychosocial challenges in clients with polytrauma?
A. Focus solely on physical rehabilitation
B. Avoid discussing emotional challenges
C. Facilitate group therapy and peer support
D. Limit education to prosthetic use
C) Facilitate group therapy and peer support
What is the primary purpose of an autograft?
A. To provide temporary wound coverage using animal tissue
B. To restore skin integrity using the patient’s own skin
C. To stabilize the wound using cadaveric donor skin
D. To prevent infection using synthetic materials
B. To restore skin integrity using the patient’s own skin
What is the primary goal of occupational therapy during the rehabilitation phase of burn management?
A. To stabilize the patient through fluid resuscitation.
B. To prevent infection and promote wound healing.
C. To immobilize newly grafted areas.
D. To help the patient return to their previous level of occupational performance.
D. To help the patient return to their previous level of occupational performance.
During a treatment session, a Service member with polytrauma and bilateral hand burns confides in the OTA that they feel hopeless and are avoiding their family because of their appearance. The OTA recognizes these as signs of depression and poor psychosocial adjustment.
Question: What is the OTA's most effective role in this situation?
A. Document the client's statements and inform the supervising OT without addressing the client further.
B. Encourage the client to focus on physical exercises and avoid discussing emotional concerns during therapy.
C. Validate the client's feelings, continue with client-centered care, and communicate these psychosocial concerns to the broader healthcare team, including psychology or social work.
D. Reassure the client that their feelings are normal
C. Validate the client's feelings, continue with client-centered care, and communicate these psychosocial concerns to the broader healthcare team, including psychology or social work.
A client with a new trans-humeral amputation tells the OTA, “It’s the strangest thing. I can feel my fingers tingling, even though my arm is gone.” He does not report any distress from this.
Question: How should the OTA interpret this statement?
A. The client is experiencing phantom limb pain, characterized by sharp or burning sensations in the amputated limb.
B. The client is showing early signs of prosthetic rejection, characterized by discomfort or abnormal sensations.
C. The client is describing phantom limb sensation, characterized by the feeling that the limb is still present without pain.
D. The client is likely experiencing an infection in the residual limb, characterized by tingling and systemic symptoms.
C. The client is describing phantom limb sensation, characterized by the feeling that the limb is still present without pain.
Which of the following is a component of the evaluation stage? (Select all that apply)
A. Occupational profile
B. Analysis of occupational performance
C. Intervention planning
D. Use of standardized and non-standardized tools
What is
A. Occupational profile
B. Analysis of occupational performance
D. Use of standardized and non-standardized tools
An OTA is reviewing the chart of a patient who was admitted to the burn unit 24 hours ago with severe burns across his chest and both arms. What should be the OTA’s primary intervention goal at this stage of care?
A. Initiating scar massage and pressure therapy to minimize scarring.
B. Strengthening the affected extremities with resistive exercises to restore function.
C. Helping the patient return to their previous level of occupational performance through activity modification.
D. Implementing splinting and antideformity positioning programs to prevent contractures.
D. Implementing splinting and antideformity positioning programs to prevent contractures.
Why is early mobilization and beginning exercise important, as well as active program in burn rehabilitation?
A. It will prevent you from developing any hypertrophic scars.
B. It will significantly reduce your swelling and eliminate the need for compression garments.
C. It has been shown to shorten hospital stays by preventing complications like joint stiffness and muscle atrophy.
D. It will allow you to stop wearing your splints and dressing sooner.
C. It has been shown to shorten hospital stays by preventing complications like joint stiffness and muscle atrophy.
Which of the following are common musculoskeletal injuries seen in polytrauma? (Select all that apply)
A. Fractures and dislocations
B. Crush injuries
C. Burns
D. Soft tissue injuries
A. Fractures and dislocations
B. Crush injuries
C. Soft tissue injuries
A client with a below-elbow amputation wants a prosthesis that offers intuitive control for fine motor tasks and a natural appearance. The client works in an office setting and has access to charge a prosthesis, if necessary. They have good muscle activity in their residual limb.
Question: Which type of prosthesis is most appropriate for this client’s goals and context?
A. Body-powered prosthesis
B. Myoelectric prosthesis
C. Hybrid prosthesis
D. Passive prosthesis
B. Myoelectric prosthesis
What is the role of evidence-based practice in occupational therapy?
A. To eliminate the need for client feedback.
B. To replace clinical reasoning with standardized protocols.
C. To prioritize the therapist’s preferences over the client’s goals.
D. To ensure interventions are grounded in research.
D. What is To ensure interventions are grounded in research?