burns

Question 1

a middle aged man has been admitted to the burns unit for management of his injuries (choose the incorrect answer)
which one of the following statements regarding the Jackson Burn Wound Model is not correct:
a. the intermediate zone involves damage to the microvasculature and risk of ischaemia

b.the key feature of the outer zone is vasoconstriction

c. effective resuscitation may play a role in reducing ischaemia

d. the inner zone involves coagulation and cell death

Answer 1

the key feature of the outer zone is vasoconstriction

Question 2

a middle aged man has been admitted to the burns unit for management of his injuries (choose the incorrect answer)

which one of the following statements regarding systemic effects of burns is not correct?

a. inflammatory mediators such as tumour necrosis factor play a role
b. systemic effects are only seen when the burn injury involves >50% of the total body surface area
c. immunity may be suppressed, exposing the patient to infection
d. nutrition is compromised because the body enters a catabolic state

Answer 2

systemic effects are only seen when the burn injury involves >50% of the total body surface area

Question 3

a middle aged man has been admitted to the burns unit for management of his injuries (choose the incorrect answer)
which one of hte following statements regarding burn deppth is not correct?
a. third degree burns are full thickness burns
b. UV light may produce a second degree burn
c. UV light may produce a first degree burn
d. pain is directly proportional to the depth/thickness of the burn

Answer 3

pain is directly proportional to the depth/thickness of the burn

Question 4

a middle aged man has been admitted to the burns unit for management of his injuries (choose the incorrect answer)
which one of the following would not be a criterion for the admission to a burn unit
a) Extremes of age.
b) Superficial, partial thickness or painful burns in an adult.
c) Circumferential burns involving limbs.
d) Minor chemical or electrical burns.
e) All septic burns.
F) burns involving face, neck, flexures, hands and feet
OR
a) a burned pt witha significant pre-existing medical condition e.g diabetes
b) a patient with an inhalation burn
c)a burn involving the perineum
D) a pt with the best prognostic ‘age profile’ i.e. admit young and fit rather the elderly

Answer 4

b) Superficial, partial thickness or painful burns in an adult.
e) All septic burns.
OR
a pt with the best prognostic ‘age profile’ i.e. admit young and fit rather the elderly

Question 5

which one of the following statements regarding scar management is not correct?
a) application of silicone promotes scar occlusion and hydration
b) pressure to the scar should be avoided as it limits blood flow and delays healing
c)massage has a role in remodeling underlying adhesions
d)massage promotes scar pliability

Answer 5

pressure to the scar should be avoided as it limits blood flow and delays healing