Burns - CEN Review
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Burns - CEN Review questions about burns and electrocution.
- 1.The largest organ of the body:
- A.
Brain
- B.
Liver
- C.
Skin
- D.
Lungs
- 2.Four functions of the skin that are crucial to life:(may choose more than one)
- A.
Maintains auto-regulation of capillary endothelium, maintains normal pokilothermic response
- B.
Prevention of loss of body fluid, regulation of temperature
- C.
Protection from infection and injury, sensory contact with the environment
- D.
Prevents injury from trauma, allows heat to be absorbed via pores
- 3.Major functions of the skin: (may choose more than one)
- A.
Metabolic
- B.
Immunologic
- C.
Social and Interactive
- 4.Sebum has antibacterial qualities and :
- A.
Absorbs topical bacteria through natural desquamation
- B.
Helps shed topical bacteria through natural desquamation
- 5.A metabolic process of skin is to:
- A.
Breakdown vitamin B
- B.
Produce vitamin D
- C.
Produce vitamin B
- D.
Breakdown vitamin D
- 6.The thinnest skin on the body is:
- A.
Lips
- B.
Eyelids
- C.
Neck
- 7.Types of burns:(may choose more than one)
- A.
Convection
- B.
Radiation
- C.
Chemical
- D.
Electrical
- E.
Thermal
- 8.Partial thickness burns include: (may choose more than one)
- A.
First degree
- B.
Second degree
- C.
Third degree
- D.
Fourth degree
- 9.Pain, dry red skin, no blisters, involves epidermis, describes which type of burn:(may choose more than one)
- A.
First degree
- B.
Second degree
- C.
Partial thickness
- D.
Third degree
- 10.Painful blisters, appears moist, red, mottled, involves epidermis and part of the dermal layer, describes which type of burn:(may choose more than one)
- A.
Second degree
- B.
Third degree
- C.
Full thickness
- D.
Partial thickness
- 11.Full thickness burns include:(may choose more than one)
- A.
Third degree
- B.
Fourth degree
- C.
Partial thickness with blistered eschar
- D.
Second degree with open blisters
- 12.An insensate burn involves:(may choose more than one)
- A.
Dermis
- B.
Subcutaneous tissue
- C.
Muscle
- D.
Bone
- 13.Characteristics of burns that require referral to a burn center: (may choose more than one)
- A.
Partial thickness >5% of TBSA
- B.
Burns involving face, hands, feet, genitalia, perineum, major joints
- C.
Any third degree burn
- D.
Electrical burns including lightning strikes, chemical, inhalation, concomitant trauma and/or pre-existing medical conditions
- E.
Any second degree burn
- 14.Methods of calculating % BSA burned include: (may choose more than one)
- A.
Fowler's ratio
- B.
Rule of Nines
- C.
Lund and Browder's rule
- D.
Palm of hand = 1/2% TBSA
- E.
ABA burn map
- 15.The rule of nines:(may choose more than one)
- A.
Various anatomical regions represent 9% or a multiple of 9% of TBSA
- B.
Adults and children are scored on the same scale
- C.
The pediatric score deviates from the adult score because of the large surface area of the child's head
- D.
Is rarely used to assess the extent of burn injury
- 16.Flame, flash, contact, scald are the causes of this type of burn:
- A.
Chemical
- B.
Electrical
- C.
Thermal
- D.
Radiation
- 17.Age groups at high risk for scald injuries:(may choose more than one)
- A.
- B.
5-10 years old
- C.
>65 years old
- 18.The depth of the thermal burn injury is determined by:(may choose more than one)
- A.
The temperature of the skin
- B.
The duration of contact with the burning agent
- C.
The temperature of the burning agent
- D.
The difference between the time of initial contact of the burning agent and the temperature of the skin
- 19.Burn shock may cause:(may choose more than one)
- A.
Hypovolemia: intra-vascular/extracellular
- B.
Decreased cardiac index and peripheral blood flow
- C.
Oliguria
- D.
Fluid shift from interstitial to vascular space
- E.
Increased peripheral blood flow
- 20.Burn shock can simply be categorized as hypovolemia.
- A.
True
- B.
False
- 21.Order of priorities of burn resuscitation:a. secondary survey: head to toe assessment, r/o other injuriesb. estimate extent of injuryc. plan and calculate fluid resuscitationd. ABCs
- A.
A, b, c, d
- B.
B, a, c, d
- C.
D, a, b, c
- D.
D, a, c, b
- 22.This formula is used to calculate IV fluid resuscitation for burn patients:
- A.
Rule of Nines
- B.
Parkland formula (consensus formula)
- C.
Eppley formula (ratio formula)
- 23.The Parkland formula (consensus) calculates fluid resuscitation requirements for adults and children with burns by:(may choose more than one)
- A.
Adults = 2-4 ml LR x kg x %TBSA
- B.
Adults and children = 4 ml D5W x kg x TBSA
- C.
Children = 3-4 ml LR x kg x %TBSA (may require additional dextrose solution)
- D.
Adults and children = 1 L LR bolus q 4 H x 8 hrs
- 24.What is the IV crystalloid of choice for burns?
- A.
Normal Saline
- B.
D5W
- C.
Lactated Ringers
- D.
NS 0.45
- 25.Fluid resuscitation is not generally indicated for patients with burn injuries involving <15-20% of TBSA.
- A.
True
- B.
False
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