04: Burns

Question 1

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

Answer 1

B

Question 2

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

Answer 2

A

Question 3

Which chemical burn penetrates the skin more deeply?

A. Acid
B. Alkali

Answer 3

B

Question 4

Which type of chemical burn continues dissolving until neutralized?

A. Alkali
B. Acid

Answer 4

A

Question 5

Which chemical burn appears tan and can result in necrosis?

A. Alkali
B. Acid

Answer 5

B

Question 6

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

Answer 6

D

Voltage, amperage, pathway, duration, and tissue resistance all determine severity.

Question 7

The iceberg effect is caused by which type of burn?

A. Thermal
B. Chemical
C. Electrical
D. Hypothermal

Answer 7

C

Question 8

What is the iceberg effect?

Answer 8

Results from electrical burns; the bone heats up rapidly causing tissue and muscle destruction from the inside, while the skin surface may appear undamaged.

Question 9

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

Answer 9

C

Question 10

This type of scar is pink, raised, and semi-rigid.

A. Immature
B. Semi-mature
C. Mature

Answer 10

B

Question 11

Remodeling and maturation are which phase of wound healing?

A. Phase I
B. Phase II
C. Phase III

Answer 11

C

Question 12

Phase I of wound healing is marked by:

A. Proliferation
B. Inflammation
C. Remodeling

Answer 12

B

Question 13

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

Answer 13

A

Question 14

True or false: A split-thickness graft is used for the epidermis and dermis and is typically harvested from the thigh or abdomen.

Answer 14

True

Question 15

True or false: Split-thickness grafts are used for dermal appendages and the palm and provide the highest quality of skin cover.

Answer 15

False

This describes a FULL thickness skin graft.

Question 16

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

Answer 16

• Cover the wound
• Prevent infection
• Encourage/provide moisture
• Decrease heat loss

Question 17

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

Answer 17

C

Question 18

What is the OT’s role in burn rehabilitation?

Answer 18

ROM, ADL support, scar management

Question 19

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

Answer 19

A

Question 20

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

Answer 20

B

Question 21

People with burns can become _____________. In other words, they’re body’s metabolism speeds up and they require a higher caloric intake.

Answer 21

Hypermetabolic

Question 22

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

Answer 22

D