Pediatric burn injury

Pediatric burn injury

Q. 1 A 3 year old child suffers from burn injury with the following body parts involved: face including scalp, both buttocks and circumferentially around both thighs. How much is TBSA involved? 

 A 0.25

 B

0.26

 C

0.35

 D

0.45

Q. 1

A 3 year old child suffers from burn injury with the following body parts involved: face including scalp, both buttocks and circumferentially around both thighs. How much is TBSA involved? 

 A

0.25

 B

0.26

 C

0.35

 D

0.45

Ans. C

Explanation:

Ans is ‘c’ i.e. 0.35 

Using Modified Lund-Browder chart:

Area

Percentage

 

Face

9

 

Scalp

9

 

Both buttocks

2.5 + 2.5 = 5

 

Both thighs circumferentially

3.5 x 2 + 3.5 x 2 =

15

Total body surface area

38

 

 


Q. 2 Burns in children assessed by:     

AIIMS 13

 A

Rule of nine

 B

Lund and Browder

 C

Palmer surface method

 D

Hasse’s rule

Ans. B

Explanation:

Ans. Lund and Browder


Q. 3

Head and neck burns in infant constitute _____________of burns:          

Kerala 08

 A

9

 B

18

 C

24

 D

36

Ans. B

Explanation:

Ans. 18


Q. 4

A 2-year-old child had burns on buttocks, both legs, face, neck and singeing of hair. Total surface area burnt:    

JIPMER 14

 A

27%

 B

37%

 C

45%

 D

55%

Ans. B

Explanation:

Ans. 37%


Q. 5

In a 6-year-old child with burns involving whole of head and trunk, the estimated body surface area involved:      

JIPMER 09

 A

44%

 B

48%

 C

55%

 D

58%

Ans. A

Explanation:

Ans. A (44%)

The ‘rule of nines’, which states that each upper limb is 9% TBSA, each lower limb 18%, the torso 18% each side and the head and neck 9%, can be used as a rough guide to TBSA outside the hospital environment.

The Lund & Browder chart

Age in years 0 1 5 10 15 Adults
A Head 9 8 6 5 4 3
B thigh 2 3 4 4 4 4
C Leg 2 2 3 3 3 3


Q. 6

Parkland formula for burns is for:

Maharashtra 09; UP 09; Bihar 12

 A

Ringer lactate

 B

Glucose saline

 C

Normal saline

 D

25% dextrose

Ans. A

Explanation:

Ans. Ringer lactate



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