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Chapter 14. Burns & Other Thermal Injuries

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Burn severity can be informed by each of the following except

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A. Fraction of body surface area affected

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B. Patient’s age

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C. Death of others in the same incident

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D. Accompanying other major trauma

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E. Concurrent inhalational injury

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C. Death of others in same incident

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Hypermetabolism after burn injuries

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A. Can contribute to coagulopathy

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B. Causes a disproportionate loss of muscle mass

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C. Can approach a threefold increase in basal metabolic rate after severe burns

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D. Can be slowed with beta-adrenergic blockade

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E. Is not catabolic and can be limited by decreased caloric intake

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A. Can contribute to coagulopathy

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Care of the burn wound may include each of the following except

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A. Closed method occlusive dressings with twice daily dressing changes

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B. May accompany tension pneumothorax

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C. Exposure therapy with topical agents applied to uncovered areas of the face

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D. Primary management with bismuth-containing antimicrobial topical agents

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E. Temporary coverage with a skin substitute

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D. Primary management with bismuth-containing antimicrobial topical agents

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Maintenance of functional motion during burn wound healing

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A. Benefits from early consideration with functional position splinting and active motion

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B. Is benefitted, in general, by the tendency of the wounds to contract

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C. Suffers after early skin grafting due to promotion of wound contracture

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D. Is easier to maintain around joints due to increased natural motion

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E. A and C

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A. Benefits from early consideration with functional position splinting and active motion

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Respiratory compromise after burn wounds is commonly due to

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A. Early pulmonary emboli (12-36 hours after injury)

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B. Inhalational injury

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C. Cardiogenic pulmonary edema

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D. Fungal bronchitis

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