17 Burns

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Questions and Answers

Which type of burn is characterized by down to bone, adjacent adipose or muscle tissue?

  • 1st-degree burn
  • 3rd-degree burn
  • 4th-degree burn (correct)
  • Superficial 2nd-degree burn

What type of burn involves blebs and blisters and is painful to touch?

  • 1st-degree burn
  • Superficial 2nd-degree burn (correct)
  • Deep 2nd-degree burn
  • 3rd-degree burn

What is the primary method of healing for 1st- and superficial 2nd-degree burns?

  • Adipose tissue regeneration
  • Dermal reconstruction
  • Myofibrillar reorganization
  • Epidermal regeneration (correct)

What condition can extremely deep burns, electrical burns, or compartment syndrome cause?

<p>Rhabdomyolysis with myoglobinuria (B)</p> Signup and view all the answers

In which age group are 2nd- and 3rd-degree burns > 10% BSA considered admission criteria?

<p>&lt; 10 years (C)</p> Signup and view all the answers

What is the most common type of burn injury?

<p>Scald burn (C)</p> Signup and view all the answers

What formula is used for burns ≥ 20% BSA (≥ 2nd degree) to calculate fluid resuscitation?

<p>Parkland formula (A)</p> Signup and view all the answers

Which body part is estimated to be equal to 1% of the total body surface area (BSA) when using the rule of nines?

<p>'Patient's palm' (B)</p> Signup and view all the answers

'How much fluid should be given per % burn in the first 24 hours' is an aspect of which formula?

<p>'Parkland formula' (A)</p> Signup and view all the answers

'Give 4 cc/kg × % burn in first 24 hours' applies to which type of solution in burn management?

<p>'Lactated Ringer’s solution (LR)' (B)</p> Signup and view all the answers

Which organism is the most common cause of burn wound infection?

<p>Pseudomonas (C)</p> Signup and view all the answers

What is the standard topical agent used for burns?

<p>Silvadene (silver sulfadiazine) (C)</p> Signup and view all the answers

What can be a complication after burns related to contraction of burned adnexa?

<p>Ectopia (C)</p> Signup and view all the answers

Which form of Erythema Multiforme is the most severe?

<p>Toxic epidermal necrolysis (D)</p> Signup and view all the answers

What should be avoided in the presence of hyperkalemia in patients with severe burns?

<p>Succinylcholine (B)</p> Signup and view all the answers

What is the treatment for frostbite?

<p>Rapid re-warming in 40°C circulating water (B)</p> Signup and view all the answers

What is recommended to detect burn wound infection and differentiate it from colonization?

<p>Biopsy of burn wound (B)</p> Signup and view all the answers

What is highly malignant and arises in chronic nonhealing burn wounds or unstable scars?

<p>Marjolin’s ulcer (D)</p> Signup and view all the answers

What can cause methemoglobinemia and is contraindicated in patients with G6PD deficiency?

<p>Silver nitrate (A)</p> Signup and view all the answers

Which topical agent used for burns has limited eschar penetration and can inhibit epithelialization?

<p>Silvadene (silver sulfadiazine) (D)</p> Signup and view all the answers

What is the best way to manage hypertrophic scar that occurs after thermal injuries?

<p>Steroid injection into lesion (best) (D)</p> Signup and view all the answers

What is the most common viral infection in burn wounds?

<p>Herpes simplex virus (HSV) (B)</p> Signup and view all the answers

Which type of burn injury produces deeper burns due to liquefaction necrosis?

<p>Alkali burns (D)</p> Signup and view all the answers

What is the most common cause of death after > 30% BSA burns?

<p>Pneumonia (D)</p> Signup and view all the answers

What is the ideal source of nonprotein calories in patients with burns?

<p>Glucose (A)</p> Signup and view all the answers

What is the primary cause of lung and airway injury in burn patients?

<p>Inhalation of carbonaceous materials and smoke (A)</p> Signup and view all the answers

What is the most common infection in patients with > 30% BSA burns?

<p>Pneumonia (B)</p> Signup and view all the answers

What is the caloric need for patients with burns?

<p>$25 kg/kg/day + (30 kcal × % burn)$ (C)</p> Signup and view all the answers

Which type of skin graft is more likely to survive due to its thickness?

<p>FTSGs (C)</p> Signup and view all the answers

What is the main reason for skin graft loss?

<p>Infection (A)</p> Signup and view all the answers

What is the primary reason for delaying autografting?

<p>Not enough skin donor sites (B)</p> Signup and view all the answers

What should be applied to skin grafts to prevent seroma and hematoma buildup underneath the graft?

<p>Dermal substitutes (A)</p> Signup and view all the answers

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