Burns

Boys are burned how many times as often as girls?
1. 10 times
2. 5 times
3. 2 times
4. Equally frequently
In children more than 4 years of age what is the order of frequency of types of burns
1. Flame burn - chemical contact - electrical (least)
2. Electrical burn - chemical contact - flame (least)
3. Chemical burn > Flame > electrical (least)
Which type of burn has the highest morbidity and mortality?
1. Flame
2. Electrical
3. Chemical
4. Scald
Small children have almost what times the surface area to body weight ratio of an adult?
1. 10 times
2. 5 times
3. 3 times
4. 1.5 times
T or F: Children have more heat and water losses from burns than do adults.
1. True
2. False
True or false: children have a larger pulmonary reserve than adults?
1. True
2. False
Free water clearance in children is worse or better the younger the child?
1. Younger children have better free water clearance
2. Younger children have worse free water clearance
3. Younger children have equivalent free water clearance
The rule of 9's is helpful to estimate burned surface area in children more than how many years old?
1. 2 years
2. 4 years
3. 6 years
4. 10 years
What is the approximate surface area of one-half of the head in a newborn versus an adult?
1. 14 percent in a newborn versus 3 1/2 percent in adult
2. 9 1/2 percent in a newborn versus 3 1/2 percent in adult
3. 6 percent in a newborn versus 3 1/2 percent in adult
Children have a lower or higher fluid requirement after burn than adults?
1. Higher
2. Lower
3. Same
Which pediatric burns do NOT require hospitalization?
1. Partial thickness more than 10% BSA
2. Airway injury
3. Electrical
4. Noncircumferential extremity
T or F: Biobrane is a two-layer membrane--a dermal layer that's a porous lattice of cross-linked collagen fibers, and a synthetic epidermal layer.
1. True
2. False
Why isn't colloid used in burn resuscitation in the first 24 hours?
1. Antigen - Antibdy complexes form
2. Capillary leakage
3. Both
4. Neither
T or F: Standard maintenance fluids continue to be given in children along with Parkland formula.
1. True
2. False
In pediatric burns, how are evaporative losses are estimated?
1. 0.5 ml/kg/% BSA burn
2. 1 - 2 ml/kg/% BSA burn
3. 3 - 5 ml/kg/% BSA burn
If the evaporative losses are being replaced enterally, requirements differ in what way ?
1. 10% lower
2. 10 - 15% higher
3. 20% higher
4. No difference
Extensive deep burns may cause acute tubular necrosis due to what?
1. Myoglobinuria
2. Hemoglobinuria
3. Ag-Ab complex injury to tubules/glomerulus
What happens INITIALLY to the red blood cell mass in patients with extensive burns?
1. Polycythemia
2. Anemia
3. No initial change, later anemia
True or false: Burn injured patients with severe malnutrition have been shown to have increased mortality from sepsis?
1. True
2. False
What constitutes a positive quantitative burn culture?
1. Greater than 1,000 organisms per gm tissue
2. Greater than 10,000 organisms per gm tissue
3. Greater than 100,000 organisms per gm tissue
4. Greater than 1,000,000 organisms per gm tissue
Is gamma globulin ever used in burns?
1. No evidence of benefit
2. Yes, if more than 50% burn
Early excision and grafting is indicated for severe burns more than what percent body surface area?
1. Used for electrical burns; not BSA-based
2. More than 30% BSA
3. More than 60% BSA
4. More than 80% BSA
Hypertrophic scarring is minimized by using constant pressure dressings over healed burns for one year, at pressures of what?
1. 10 mm Hg
2. 20 mm Hg
3. 30 mm Hg
4. 50 mm Hg
Which topical burn agent has metabolic acidosis as a side effect?
1. Mafenide (sulfamylon)
2. SSD (sodium sulfadiazide)
3. Betadine (povidine iodine)
4. Silver Nitrate
Neutropenia is a side effect of which topical burn agent?
1. Mafenide (sulfamylon)
2. SSD (sodium sulfadiazide)
3. Betadine (povidine iodine)
4. Silver Nitrate

Burns

Quiz