Burns - CEN Review

39 Questions | By Rapidresponse | Last updated: Mar 21, 2022 | Total Attempts: 904

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Burns - CEN Review questions about burns and electrocution.

Questions and Answers

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