1. A patient of burn should be given

A. 5% dextrose
B. Hypertonic saline 0.9%
C. Dextrose saline
D. Human albumin 4.5%

Ans. D

As 5% dextrose and dextrose saline can also be given. 4.5% Human albumin is a must as protein loss is maximum in burn patients.

2. An adult whose both lower limbs are charred along with genitalia has …………. burns

A. 18%
B. 19%
C. 36%
D. 37%

Ans. D
According to rule of nine:
Both lower limbs = 18% + 18%
Genitalia = 1%
Total = 37%
This rule does not apply strictly to infants and children. IV fluid replacement will be required in adults more than 20% of body surface involved and children with more than 10% body surface involved.

3. One of the following is not seen in severe burns

A. Hypovolemia
B. Sepsis
C. Duodenal ulcer
D. Hyperthermia

Ans. D
The effects of burn injury are:
Local:

● Cell necrosis
● Collagen denaturation
● Infection
● Inflammation

Systemic:

● Hypovolemia
● Gastric or duodenal ulcer
● Multiple organ failure
● Hypoxia

4. The initial colonization of a burn is by which micro organisms

A. Proteus
B. Pseudomonas
C. Staphylococcus
D. E.coli

Ans. B

5. Deep skin burn is treated with

A. Split thickness graft
B. Full thickness graft
C. Amniotic membrane
D. Synthetic skin derivatives

Ans. A
Partial thickness burns can heal without surgical intervention but full thickness burns require surgical management with split thickness graft.

6. Scalds are due to

A. Chemicals
B. Dry heat
C. Moist heat
D. Electric burns

Ans. C

7. Rule of nines in burns may be used to estimate

A. Body weight
B. Dehydration
C. Body surface area
D. All of the above

Ans. C

8. Local effects of burns may include

A. Increased capillary permeability
B. Infection
C. Inflammation
D. All of the above

Ans. D

9. Systemic effects from burning may include

A. Fluid loss
B. Multiple organ failure
C. Infection
D. All of the above

Ans. D

10. 3rd degree burns, all are seen except

A. Vesicles are absent
B. Painful
C. Leathergy skin
D. Charred and black

Ans. B
Full thickness or 3rd degree burns:

● Whole of the dermis destroyed
● Charred and black
● Completely anaesthetised- no pain and bleeding