NPTE QUESTIONS AND ANSWERS
A physical therapist assistant treating a patient rehabilitating from spinal surgery four
days ago observes the patient's incision. What type of healing is BEST depicted in the
image?
1.Primary intention
2.Delayed primary intention
3.Secondary intention
4.Tertiary intention - Answers - 1.Primary intention
Healing by primary intention is most commonly associated with acute wounds that have
minimal associated tissue loss. In these wounds, clean edges are reapproximated and
closed with sutures, staples or adhesive to facilitate re-epithelialization.
Healing by _____ intention is most commonly associated with wounds which have
significant tisse loss, necrosis of borders thata cannot be reapproximated (eg full
thickness wounds, pressure ulcer etc) These wounds are left open and typically require
specialized dressings and ongoing wound care to facilitate healing. - Answers -
Secondary intention
Healing by tertiary intention is the same as healing by _____ ______ _______. -
Answers - Delayed primary intention
A physical therapist assistant performs postural drainage on a patient with
bronchiectasis. The patient's medical history includes diabetes and hypertension, both
of which are poorly controlled. Which lung segment would MOST likely require the
assistant to modify the standard treatment procedure?
1.Apical segment of right upper lobe
2.Posterior segment of left lower lobe
3.Anterior segment of right upper lobe
4.Superior segment of left lower lobe - Answers - 2.Posterior segment of left lower lobe
The patient is positioned in prone using the Trendelenburg position to treat the posterior
segments of the lower lobes. Due to the patients uncontrolled hypertension the
treatment ;position would have to be modified. Leaviinig the head of the bed flaat would
be an appropriate modification to the standard tx procedure.
A physical therapist assistant discusses the use of a topical moisturizer with a patient to
combat dryness and itching of the skin in the area of a healed burn. Which type of burn
would MOST likely require the use of a moisturizer for an indefinite period?
1.Superficial burn on the palm of the hand caused by steam
2.Superficial partial-thickness burn on the dorsum of the hand caused by chemical
exposure
3.Deep partial-thickness burn on the anterior thigh caused by contact with boiling water
, 4.Full-thickness burn on the volar surface of the forearm caused by fire - Answers -
4.Full-thickness burn on the volar surface of the forearm caused by fire
A full thickness burn involves complete destruction of the epidermis and dermis along
with partial damage to the subcutaneous fat layer. The magnitude of the tissue damage
destroys the sebaceous glands and creates a permanent need for topical moisturizers.
A _____ burn involves only the outer epidermis and would likely appear red w slight
edema - Answers - superficial burn
A ____ ___ burn involves the epidermis and upper portion of the dermis and
characteristically form blisters within first 24 hours. They are painful, red, weep, and
blanch with pressure (picture 2). Burns that initially appear to be only epidermal in depth
may be determined to be partial thickness 12 to 24 hours later. - Answers - superficial
partial thickness
A ____ _____ burn involves complete destruction of the epidermis aand dermis along
with partial damage to the subcutaneous fat later. The magnitude of the tissue damage
destroys the sebaceous glands and creates a permanent need for moisturizers. -
Answers - full thickness burn
A ____ ____ _____ burn involves complete destruction of the epidermis and the
majority of the dermis. Since the burn is not full thickness therer will eventually be some
recovery of the sebaceous glands. - Answers - deep partial thickness burn
Serous exudate is _____ in color - Answers - clear
serosanguineous exudate is ___ in color - Answers - pink
sanguineous exudate is ____ in color - Answers - red
______ disease is a form of adrenal dysfunction that presents with hypofunction of the
adrenal cortex. Subsequently there is decreaased productiion of both cortisol and
aldosterone. Sx may iinclude hypotension, weakness, anorexia and aaltered
pigmentation. Weight loss often results from loss of appetite and chronic diarrhea. -
Answers - Addison's disease
______ disease is a form of inflammatory bowel disease that usuaally affects the
intestines. The condition causes inflammation of the lining of the digestive tract.
Individuals wioth this desease often have decreased appetite, however at the saame
time the chronic nature of the disease increases an individuals caloric needs. The
combo of decreased appetite and increased caloric need often lead to significant weight
loss. - Answers - Crohn's
____ disease is caused by an autoimmune disease in wihch certain antibodies
produced by the immune sustem stimulate the thyroid gland causing it to become
A physical therapist assistant treating a patient rehabilitating from spinal surgery four
days ago observes the patient's incision. What type of healing is BEST depicted in the
image?
1.Primary intention
2.Delayed primary intention
3.Secondary intention
4.Tertiary intention - Answers - 1.Primary intention
Healing by primary intention is most commonly associated with acute wounds that have
minimal associated tissue loss. In these wounds, clean edges are reapproximated and
closed with sutures, staples or adhesive to facilitate re-epithelialization.
Healing by _____ intention is most commonly associated with wounds which have
significant tisse loss, necrosis of borders thata cannot be reapproximated (eg full
thickness wounds, pressure ulcer etc) These wounds are left open and typically require
specialized dressings and ongoing wound care to facilitate healing. - Answers -
Secondary intention
Healing by tertiary intention is the same as healing by _____ ______ _______. -
Answers - Delayed primary intention
A physical therapist assistant performs postural drainage on a patient with
bronchiectasis. The patient's medical history includes diabetes and hypertension, both
of which are poorly controlled. Which lung segment would MOST likely require the
assistant to modify the standard treatment procedure?
1.Apical segment of right upper lobe
2.Posterior segment of left lower lobe
3.Anterior segment of right upper lobe
4.Superior segment of left lower lobe - Answers - 2.Posterior segment of left lower lobe
The patient is positioned in prone using the Trendelenburg position to treat the posterior
segments of the lower lobes. Due to the patients uncontrolled hypertension the
treatment ;position would have to be modified. Leaviinig the head of the bed flaat would
be an appropriate modification to the standard tx procedure.
A physical therapist assistant discusses the use of a topical moisturizer with a patient to
combat dryness and itching of the skin in the area of a healed burn. Which type of burn
would MOST likely require the use of a moisturizer for an indefinite period?
1.Superficial burn on the palm of the hand caused by steam
2.Superficial partial-thickness burn on the dorsum of the hand caused by chemical
exposure
3.Deep partial-thickness burn on the anterior thigh caused by contact with boiling water
, 4.Full-thickness burn on the volar surface of the forearm caused by fire - Answers -
4.Full-thickness burn on the volar surface of the forearm caused by fire
A full thickness burn involves complete destruction of the epidermis and dermis along
with partial damage to the subcutaneous fat layer. The magnitude of the tissue damage
destroys the sebaceous glands and creates a permanent need for topical moisturizers.
A _____ burn involves only the outer epidermis and would likely appear red w slight
edema - Answers - superficial burn
A ____ ___ burn involves the epidermis and upper portion of the dermis and
characteristically form blisters within first 24 hours. They are painful, red, weep, and
blanch with pressure (picture 2). Burns that initially appear to be only epidermal in depth
may be determined to be partial thickness 12 to 24 hours later. - Answers - superficial
partial thickness
A ____ _____ burn involves complete destruction of the epidermis aand dermis along
with partial damage to the subcutaneous fat later. The magnitude of the tissue damage
destroys the sebaceous glands and creates a permanent need for moisturizers. -
Answers - full thickness burn
A ____ ____ _____ burn involves complete destruction of the epidermis and the
majority of the dermis. Since the burn is not full thickness therer will eventually be some
recovery of the sebaceous glands. - Answers - deep partial thickness burn
Serous exudate is _____ in color - Answers - clear
serosanguineous exudate is ___ in color - Answers - pink
sanguineous exudate is ____ in color - Answers - red
______ disease is a form of adrenal dysfunction that presents with hypofunction of the
adrenal cortex. Subsequently there is decreaased productiion of both cortisol and
aldosterone. Sx may iinclude hypotension, weakness, anorexia and aaltered
pigmentation. Weight loss often results from loss of appetite and chronic diarrhea. -
Answers - Addison's disease
______ disease is a form of inflammatory bowel disease that usuaally affects the
intestines. The condition causes inflammation of the lining of the digestive tract.
Individuals wioth this desease often have decreased appetite, however at the saame
time the chronic nature of the disease increases an individuals caloric needs. The
combo of decreased appetite and increased caloric need often lead to significant weight
loss. - Answers - Crohn's
____ disease is caused by an autoimmune disease in wihch certain antibodies
produced by the immune sustem stimulate the thyroid gland causing it to become
