2. Pressure Ulcers.

???) The most important factor in the development of ulcers in a spinal cord injury patient is:

Malnutrition

Septic episodes

Anemia

Local pressure

Diminished sensation

Answer: 4*Local pressure

• Burns pl16- pl21.

1. Burns.

???) All of the following are signs of burn inhalation Injury except:

Erythema of oral mucosa

Coughing

Black sputum

Red colored burn

Burn of nasal hair

Answer: 4* Red colored burn

???) All of the following are true regarding second degree burn except:

It involves the epidermis and part of the dermis

Red to white

Wet

Painless

Blisters

Answer: 4* Painless

???) The burn that is difficult to estimate in percentage is the:

Electrical burn

Sun burn

Scald burn

Direct flame burn

Chemical bum

Answer: 1* Electrical burn

???) The best dressing for an excised burn wound is:

Silver sulfadiazine (Flamazine)

Nitrofurazone (Furacine)

Mafenide acetate (Sulfamylon).

Autograft

Allograft

Answer: 4* Autograft

???) Immediate shock in the burn patient is caused by:

Fluid loss through the burn wound

Fluid shift to the extravascular compartment

Edema of burned tissues

Edema of unburned tissues

Other injury

Answer: 5* Other injury

???) The most important step in the early management of extensive burns is:

Prevention of burn shock by giving i.v. fluids and analgesics

Giving tetanus toxoid

Antibiotics administration

Immediate split thickness grafting

Dressing of the burn area

Answer: 1* Prevention of burn shock by giving i.v. fluids and analgesics

???) 40 years old patient presented to ER with 10% thickness burns, is best treated by:

Admission to hospital + 2 liters i.v. R/L daily

Admission to hospital + i.v. fluids + antibiotics

Dressing + outpatient follow up

Immediate excision + grafting

Admission to hospital + i.v. fluid + blood transfusion

Answer: 2* Admission to hospital + i.v. fluids + antibiotics

???) All of the following features are common in the early period after severe burns, except:

Hypotension

Tachycardia

Oliguria

Low hematocrit value

Confusion

Answer: 2* Tachycardia

???) A 20 years old patient arrived at the accident and emergency department with a burn involving the whole right lower extremity. The surface area involved will be:

10%

7%

18%

9%

36%

Answer: 3* 18%

???) If the whole skin of one of the lower extremities is burnt the, percentage of burn is:

9%

18%

27%

36%

50%

Answer: 2* 18%

• Hand pl21-pl27.

1. Hand Infections.

***) In hand infections all of the following are true, except:

1. Early antibiotic therapy is essential and may abort the inflammation

2. Early recognition of the presence of pus is necessary

3. Incision, evacuation of the pus and debridement of the wall of the abscess must be done

4. Physiotherapy and exercises form an important part of the late after-treatment

5. Lowering of the affected limb is essential to reduce pain, edema and spread of the inflammation

Answer: E* Lowering of the affected limb is essential to reduce pain, edema and spread of the inflammation