Management of the Burned Patient Practice Questions

Question 1

An anaesthetic agent with boiling temperature more than 75°C

Accepted Answer

Methoxyflurane

Answer

Halothane

Answer

Cyclopropane

Answer

Ether

Question 2

Burns present as all the following EXCEPT

Accepted Answer

Air embolism

Answer

Acute kidney injury

Answer

Shock

Answer

Sepsis

Question 3

Which of the following statements regarding thermal injury is correct?

Accepted Answer

Lund-Browder chart is the most accurate method for estimating TBSA in children

Answer

In child below 5 years, genitals form 1% of area

Answer

Rule of nines is more accurate than Lund-Browder chart in children

Answer

Burn index is the standard clinical method for assessing burn severity

Question 4

Which of the following is not true about resuscitation in burns patients?

Accepted Answer

Quantity of crystalloid needed is calculated using the Parkland formula - 6 mL/kg body weight per % of the total body surface area burnt.

Answer

Target mean arterial pressure in resuscitation is 60 mmHg.

Answer

Ringer's lactate is the preferred crystalloid solution.

Answer

Fluid shift from intravascular to extravascular compartment in the burns patient is maximum in the first 24 hours.

Question 5

What is the fluid of choice for resuscitation in a child with thermal burns within the first 24 hours?

Accepted Answer

Ringer lactate

Answer

Fresh frozen plasma

Answer

Isolye-P

Answer

Platelet transfusion

Question 6

All of the following are true regarding fluid resuscitation in burn patients except

Accepted Answer

Consider intravenous resuscitation in children with burns greater than 15% TBSA

Answer

Most preferred fluid is Ringer's lactate

Answer

Oral fluids must contain salts

Answer

Half of the calculated volume of fluid should be given in first 8 hours.

Question 7

In a post-burn patient, which of the following is true?

Accepted Answer

Hypokalemic acidosis

Answer

Hyperkalemic acidosis

Answer

Hyperkalemic alkalosis

Answer

Hypokalemic alkalosis

Question 8

In a post-burn patient, which of the following is true?

Accepted Answer

Hyperkalemic acidosis

Answer

Hypokalemic alkalosis

Answer

Hyperkalemic alkalosis

Answer

Hypokalemic acidosis

Question 9

Which of the following is NOT a recommended primary management option for a patient with a snake bite?

Accepted Answer

Wash with soap and water

Answer

Reassure the patient

Answer

Splinting and immobilization

Answer

Keep the site of bite below heart level

Question 10

Patient in hospital was given IVF and patient develops hyperchloremic metabolic acidosis. Which fluid will cause this?

Accepted Answer

NS

Answer

RL

Answer

5 % dextrose

Answer

DNS

Management of the Burned Patient — MCQs

Management of the Burned Patient — MCQs

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