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</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</p> Signup and view all the answers

    What is the most common type of burn injury?

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

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

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

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

    <p>Pseudomonas</p> Signup and view all the answers

    What is the standard topical agent used for burns?

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

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

    <p>Ectopia</p> Signup and view all the answers

    Which form of Erythema Multiforme is the most severe?

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

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

    <p>Succinylcholine</p> Signup and view all the answers

    What is the treatment for frostbite?

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

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

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

    What is the most common viral infection in burn wounds?

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

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

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

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

    <p>Pneumonia</p> Signup and view all the answers

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

    <p>Glucose</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</p> Signup and view all the answers

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

    <p>Pneumonia</p> Signup and view all the answers

    What is the caloric need for patients with burns?

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

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

    <p>FTSGs</p> Signup and view all the answers

    What is the main reason for skin graft loss?

    <p>Infection</p> Signup and view all the answers

    What is the primary reason for delaying autografting?

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

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