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Which of the following chemicals must be brushed off the skin, then covered with oil?


A) Phenol
B) Sodium metal
C) Oleoresin capsicum
D) Dry lime

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Flash burns associated with electricity occur because:


A) air is a moderately good conductor of electricity, generating moderate heat.
B) air is an excellent conductor of electricity, generating moderate heat.
C) air is mildly resistant to the passage of electricity, generating only enough heat to cause superficial burns.
D) air is highly resistant to the passage of electricity, generating intense heat.

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Which of the following patient factors increases the criticality of the patient's burn injuries?


A) Taking antidepressants
B) Male gender
C) Prior history of burns
D) Being in the geriatric age group

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During which phase of a burn injury does extravasation of proteins, water, and electrolytes occur, resulting in edema and potential hypovolemia?


A) Emergent
B) Hyperemia
C) Hypermetabolic
D) Fluid shift

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Your patient has circumferential full thickness burns of the thorax. He is intubated, and you have noticed an increase in resistance as you bag him. His skin is very tight and inflexible as you try to ventilate. Which of the following is required to improve this patient's ventilatory status?


A) IV sedation
B) Needle thoracostomy
C) Escharotomy
D) Fasciotomy

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Which of the following best describes the pathophysiology of most burns to the human body?


A) Heat causes evaporation of water and denatures protein.
B) Radiation, including solar radiation and radiant heat, alters cell structures.
C) Chemicals cause an endothermic reaction that destroys tissue.
D) The skin, and sometimes deeper tissues, are destroyed through combustion.

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Which of the following accounts for the most severe thermal burns of the airway?


A) Inhalation of toxic gases
B) Inhalation of radioactive particles in smoke
C) Inhalation of superheated steam
D) Inhalation of superheated air

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Which of the following represents the modified body surface area percentages in the "rule of nines" for pediatric patients?


A) Posterior chest is 7 percent.
B) Upper extremities are 13.5 percent each.
C) External genitalia is 1 percent.
D) Lower extremities are 13.5 percent each.

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The seriousness of burns in the pediatric population is put into perspective by realizing that burns are the ________ leading cause of death in children under age 12 years.


A) first
B) second
C) third
D) fourth

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Your patient is a 23-year-old woman who was rescued from a burning house. She was asleep in a back bedroom when the fire started, and there was no smoke alarm. She has a pulse oximetry reading of 99 percent after receiving oxygen by nonrebreather mask. What is the most appropriate interpretation of this finding?


A) Effects of smoke inhalation have been resolved by oxygen administration.
B) You cannot rely on this alone to assess oxygenation.
C) There was minimal smoke inhalation.
D) Carboxyhemoglobin is less than 1 percent.

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Which of the following agents is the best choice for analgesia in a patient with 9 percent partial thickness burns involving the right lower extremity?


A) Naproxen sodium
B) Ketorolac
C) Acetaminophen
D) Fentanyl

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Which classification of burn is characterized mainly by blisters?


A) Full thickness
B) Superficial
C) Partial thickness
D) Minor

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Which of the following has contributed most significantly to the decline in U.S. burn mortality?


A) Public service announcements on radio, television, and billboards
B) Paramedic involvement in public education
C) Visits to elementary schools by firefighters
D) Improved building codes and construction and sprinkler and smoke detector use

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Which of the following is TRUE of the heat generated when electricity flows through the body?


A) Dry skin offers less resistance to electricity, generating more heat.
B) Wet skin offers less resistance to electricity, generating more heat.
C) Wet skin offers greater resistance to electricity, generating more heat.
D) Dry skin offers more resistance to electricity, generating more heat.

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The voltage of a bolt of lightning may be as much as ________ volts, and its temperature may reach ________ degrees Fahrenheit.


A) 5,000; 150,000
B) 150,000; 5,000
C) 50,000; 100,000
D) 100,000; 50,000

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Patients who survive the first several days of a moderate to critical burn are MOST likely to die from which of the following complications?


A) Hypovolemia
B) Organ failure
C) Infection
D) Hypothermia

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An area of burned tissue that is not painful is MOST likely a ________ burn injury.


A) second-degree
B) full thickness
C) superficial
D) partial thickness

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The first step for treating a patient who has been contaminated with dry lime is to:


A) neutralize the lime with a mild acidic solution, such as vinegar and water.
B) brush away as much of the powder as possible.
C) flush the skin with large amounts of isopropyl alcohol.
D) flush with copious amounts of tepid water.

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You are assessing a 37-year-old woman who was rescued from an apartment fire. She has a harsh, stridorous, "brassy"-sounding cough productive of sooty sputum. Her eyebrows and the hair around her face are singed. Respirations = 28, heart rate = 108, and blood pressure = 124/84. You have a 30-minute transport time. Which of the following is the best intervention for this patient?


A) One hundred percent oxygen by nonrebreather mask
B) Sedation and cricothyrotomy
C) A nebulized albuterol treatment
D) Rapid sequence intubation and endotracheal intubation

Correct Answer

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Contact with strong alkalis results in burns involving ________ necrosis of the tissue.


A) coagulation
B) liquefaction
C) thermal
D) ischemic

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