04: Burns Flashcards
How long would your hand have to be touching a hot pan at 140 degrees farenheit for you to get a third-degree burn?
A. 1 second
B. 10 seconds
C. 30 seconds
D. 1 minute
B
All but which of the following contributes to the severity of a thermal burn?
A. Type of material
B. Duration of exposure
C. Temperature of material
D. Thickness of skin
A
Which chemical burn penetrates the skin more deeply?
A. Acid
B. Alkali
B
Which type of chemical burn continues dissolving until neutralized?
A. Alkali
B. Acid
A
Which chemical burn appears tan and can result in necrosis?
A. Alkali
B. Acid
B
Which of the following does not contribute to the depth/severity of an electrical burn?
A. Voltage of current
B. Pathway of current
C. Tissue resistance
D. Wattage of current
E. All of the above
D
Voltage, amperage, pathway, duration, and tissue resistance all determine severity.
The iceberg effect is caused by which type of burn?
A. Thermal
B. Chemical
C. Electrical
D. Hypothermal
C
What is the iceberg effect?
Results from electrical burns; the bone heats up rapidly causing tissue and muscle destruction from the inside, while the skin surface may appear undamaged.
A patient presents with a white and yellow burn with a thick inelastic eschar; they report no pain.
Based on your observations and their report, what type of burn does this patient have?
A. First degree
B. Second degree
C. Third degree
C
This type of scar is pink, raised, and semi-rigid.
A. Immature
B. Semi-mature
C. Mature
B
Remodeling and maturation are which phase of wound healing?
A. Phase I
B. Phase II
C. Phase III
C
Phase I of wound healing is marked by:
A. Proliferation
B. Inflammation
C. Remodeling
B
A patient presents with a scar that is rigid, raised, and red. Which stage of scarring is this?
A. Stage 1: Immature
B. Stage 2: Semi-mature
C. Stage 3: Mature
A
True or false: A split-thickness graft is used for the epidermis and dermis and is typically harvested from the thigh or abdomen.
True
True or false: Split-thickness grafts are used for dermal appendages and the palm and provide the highest quality of skin cover.
False
This describes a FULL thickness skin graft.
Which of the following is a goal of burn dressings? Select all that apply.
- Cover the wound
- Prevent infection
- Encourage/provide moisture
- Cool the wound
- Decrease heat loss
- Cover the wound
- Prevent infection
- Encourage/provide moisture
- Decrease heat loss
On which post-operative day should a patient’s burn dressing be changed, every other staple be removed (if they were stapled), and be resplinted/recasted?
A. POD 1
B. POD 2
C. POD 3
D. POD 4
E. One week post discharge
C
What is the OT’s role in burn rehabilitation?
ROM, ADL support, scar management
Fluid resuscitation aims to restore volume and preserve profusion. It is suggested this be done when the total body surface area of an adult with a burn exceeds ________ percent.
A. 15
B. 25
C. 30
D. 50
A
Fluid resuscitation aims to restore volume and preserve profusion. It is suggested this be done when the total body surface area of a child with a burn exceeds ________ percent.
A. 5
B. 10
C. 20
D. 25
B
People with burns can become _____________. In other words, they’re body’s metabolism speeds up and they require a higher caloric intake.
Hypermetabolic
For individuals with burns greater than 15 percent of their total body surface area, it is recommended their caloric intake be from ___________ percent of carbs and ________ percent protein.
A. 60; 15
B. 70; 30
C. 40; 40
D. 50; 20
D
