Calorific requirements for burn-injured adult , patients are: (1 Point) O A. Calculated based on the Cuschieri formula. O B. Ideally adjusted for a calorie-nitrogen ratio of 500:1. O C. 25kcal/kg + 40kcal/% burn. ©) D. 20kcal/kg in children O E. Must be given parenterally whenever possibleIn the primary treatment of burns: B. Luke-warm water should be used for first aid. C. Primary dressings should be removed to allow accurate weighing of patients for calculation of fluid for resuscitation. 3. D. Antibiotics should be given prophylactically on admission but after swabs have been taken. E. Consent should be taken from relatives or next of kin before escharotomies are undertaken. (1 Point) © A.Non-sterile cling-film must not be used as a primary dressing. © 8B. Luke-warm water should be used for first aid. O C. Primary dressings should be removed to allow accurate weigh- ing of patients for calculation of fluid for resuscitation. O D. Antibiotics should be given prophylactically on admission but after swabs have been taken. E. Consent should be taken from relatives or next of kin before escharotomies are undertaken.3. The critical zones of injury in a burn that can be (I 4. influenced by early effective management Point) include: © A Zone of coagulative necrosis. CO B. Zone of hyperaemia © ©. Zone of stasis. © D.Aandc © E.Bandc.The chemical burn caused by: 5. * (1 Point) © A. Acid. © B. Nitrogen gas © ¢. Solid © D.Hea.The newly admittedpatient has burns on both legs. The burned areas appear white and leather- like. No blisters or bleeding are present, and the patient states that he or she has little pain. How (1 “should this injury be categorized? * Point) © a. Superficial O b. Partial-thickness superficial © . Partia-thickness deep © 4. Full thickneWhat clinical manifestation indicates that an escharotomy is needed on a circumferential extremity burn? (1 i * Point) 7. © a The bumis full thickness rather than partial thickness. © b. The client is unable to fully pronate and supinate the extremity. © «. Capillary refill is slow in the digits and the distal pulse is absent. O d. The client cannot distinguish the sensation of sharp versus dull in the extremity. © 4. Document the observation as the only actionFull thickness skin graft can be taken from the 8. following sites except : -( Point) O a) Elbow © ») Back to neck CO o) Supraclavicular area CO 4) Upper eyelids © Option 2 9. Free skin graft is rejected on , (1 Point) © a) Muscle © »)Fat © ©) Deep fascia O 4)Dermis10. Skin graft for facial wounds is taken from , (1 Point) © a) Medial aspect of thigh © ») Cubital fossia O ©)Groin © 4) Post auricular region “1 The best skin graft for open wounds is , (1 Point) © a) |sogratt © »b)Homogratt O ©) Allograft © 4) AutograttThe organism causing destruction of skin 12. grafts is aa Point) © a) Streptococcus © 5) Staphylococcus CO ©) Pseudomonas O 4) Clostridium Skin flap is used in all except : 13. * (1 Point) © @)Bone O ») Tendon © ) Burn wound O 4) CartilageThe subdermal plexus forms the vascular 14. basis for — © a)Randomised flaps © »)Axial flaps © )Mucocutaneous flaps © 4)Vasciocutaneous flaps In the reconstruction following excision of 15 previously irradiated cheek cancer, the flap will “be: © a)Local tongue © b)cenical © Forehead © 4)Pectoralis major myocutaneous (1 Point) (1 * Point)Reconstruction of the breast following total 16. mastectomy for cancer is done ideally by using : a * Point) © adistant tube pedicvle © Opposite breast © o)Trapezius myocutaneous flap d)Latissmus dorsi myocunaneous flap Flap commonly used in breast reconstruction 7. is: - a Point) a) Serratus anterior b) TRAM c) Flap from arm d) Delto pectoral flap Ce OOa child with syndactyly. Following surgical treatment, the most common complication (1 “involves which of the following? * Point) © atail plate O b.Nail bed © Web commissure CO 4. Radial digital nerve O e. Radial digital artery In treatment of hand injuries, the greatest Paar na ol 19. priority is : Point) © a)Repair of tendons © b)Restoration of skin cover © Repair of nerves C) 4) Repair of blood vessels20. During the surgical procedure : , (1 Point) © a)Tendons should be repaired before nerves © b)Nerves should be repaired before tendons © oJTendons should not be repaired at the same time © @)None is true 1. In hand injuries first to be repaired is 21. *+ (1 Point) © a)Bone O 5) Tendon O ©) Muscle © 4)Nere