Burns & Scar Management

What is the first priority in a patient with extensive flame burns arriving from a house fire?

According to the Parkland formula for adults, how much fluid is needed in the first 24 hours for a 70-kg patient with 30% TBSA burns?

In adults during burn resuscitation, the urine output target is:

Which burn depth typically appears red, blanches, very painful, and heals within ~2 weeks without grafting?

Which finding most strongly suggests inhalation injury requiring early intubation?

Which statement about carbon monoxide poisoning is true?

In suspected cyanide toxicity from smoke inhalation, the preferred antidote is:

For pediatric burn resuscitation, which is correct?

Which burns should be referred to a burn center?

Lightning strike triage principle:

Optimal timing for early excision and grafting of deep burns in stable adults:

Best indicator to titrate burn fluids during the first 24 hours:

When calculating adult TBSA, which areas are not included?

First-line pruritus management after burn wound healing:

Pressure garment therapy recommendations after epithelialization:

Post-burn hypertrophic scar early erythema and thickness—most evidence-supported laser:

A key difference between keloids and hypertrophic scars is that keloids:

Best first-line intralesional regimen for symptomatic keloids unresponsive to silicone/pressure:

Post-burn hand contracture prevention in the acute phase should include:

Best next step for a 25% TBSA adult with rising creatinine kinase and dark urine after electrical burn:

Nutritional strategy in major burns includes:

Tetanus prophylaxis in burn patients:

Which dressing strategy is preferred for superficial partial-thickness burns?

Best management of a painful, erythematous autograft with purulent exudate and fever on day 5:

A neck anterior contracture limiting extension—best reconstructive plan after scar maturation:

In adults, which quick method is most accurate for bedside TBSA estimation when a chart is unavailable?

For children, which chart is preferred for accurate TBSA estimation?

Which is the clearest early indication for prophylactic intubation in suspected inhalation injury?

Which laboratory clue most supports cyanide toxicity in smoke inhalation?

Compared with thermal burns, high-voltage electrical injury resuscitation typically requires:

“Fluid creep” during burn resuscitation is best prevented by:

Upper extremity escharotomy lines are ideally placed:

Hand escharotomy for circumferential full-thickness burns should include:

Which compartment pressure suggests need for fasciotomy rather than escharotomy alone?

Which burn depth is most likely to require grafting if not healed by 3 weeks?

Endpoint of tangential excision in deep dermal/full-thickness burns is:

Expected risk during extensive tangential excision is highest for:

Preferred topical therapy for superficial facial burns near the eyes is:

For ear burns at risk of chondritis, the best topical agent is often:

Optimal early management for perineal/groin burns includes:

Which measure best prevents hypothermia during large burn excisions?

Preferred analgesia for painful burn dressing changes (hemodynamically stable adult):

Which clinical pattern suggests non-accidental pediatric scald injury?

The most definitive test for inhalation injury is:

Key ventilatory strategy in inhalation injury with ARDS pattern is:

Burn sepsis is best identified by:

Most likely organisms in early burn wound infection are:

Clinical clue suggesting toxic shock syndrome in a burn patient:

A benefit of enzymatic eschar debridement (e.g., bromelain-based) is:

Best initial care for an STSG donor site is:

After hand autografting, typical immobilization before initiating ROM is:

Major risk factor for hypertrophic scarring after burns is:

Laser choice to improve thick, contracted burn scars by remodeling collagen:

For mature neck contracture with limited extension, the option that best resists recurrence is:

Which pediatric formula includes maintenance when calculating resuscitation?

Nutritional support in major burns is optimized by:

A contraindication to immediate early excision/grafting is:

Common site of heterotopic ossification after major burns causing ROM limits is:

First-line regimen for severe post-burn pruritus unresponsive to antihistamines/moisturizers:

Most appropriate VTE prophylaxis in adults with major burns (no contraindication):

Key step after HF acid burn pain persists despite topical calcium gel:

Optimal management of circumferential full-thickness neck burn compromising ventilation:

Best dressing approach for small superficial partial-thickness facial burns:

For a large deep burn with suspected invasive fungal infection (e.g., zygomycosis), next best step:

Appropriate timing to begin pressure garment therapy after re-epithelialization in high-risk scars:

In pediatric burn resuscitation, the urine output target is:

Preferred initial crystalloid for adult major burn resuscitation is:

A massively resuscitated burn patient now has tense abdomen, rising peak airway pressures, and declining urine output. Best next step?

Stress-ulcer (Curling ulcer) prevention in major burns should include:

On 100% oxygen, the approximate half-life of carboxyhemoglobin is:

When is hyperbaric oxygen therapy most appropriately considered for CO poisoning after a house fire?

A digit with circumferential full-thickness burn has absent capillary refill and no Doppler signal. Best immediate action?

Most definitive diagnostic method for invasive burn wound infection is:

Typical interval before re-using an STSG donor site for re-harvesting is:

For small cosmetically sensitive facial defects after excision of deep dermal burns, the graft of choice is often:

Temporary allograft placed over an excised burn wound should be replaced with autograft:

Which intervention best reduces pain at a thigh STSG donor site intra/postoperatively?

In the first 24 hours postburn, colloid (e.g., albumin) administration is generally:

Sun protection after epithelialization of burn wounds/scars should be:

First-line regimen for symptomatic hypertrophic burn scars failing silicone/pressure:

Timing of definitive contracture release after burns is generally: