CBM Special Populations in Burn Care

Question 1

Why is the Lund and Browder chart preferred over the Rule of Nines for estimating TBSA in pediatric burn patients?

Accepted Answer

It accounts for age-related differences in body proportions

Answer

It is faster to complete in emergency settings

Answer

It is required by JCAHO standards for pediatric care

Answer

It uses fewer anatomical landmarks

Question 2

What is the most common burn mechanism in children under age 5?

Accepted Answer

Scald burns from hot liquids

Answer

Flame burns from house fires

Answer

Electrical contact injuries

Answer

Chemical exposure burns

Question 3

Pediatric fluid resuscitation formulas for burns differ from adult formulas primarily by including:

Accepted Answer

Maintenance fluid requirements

Answer

Higher albumin concentrations

Answer

Electrolyte bolus supplementation

Answer

Fresh frozen plasma volumes

Question 4

A child presents with burn injuries that are inconsistent with the caregiver's explanation. The burn care team's first priority is to:

Accepted Answer

Report suspected non-accidental trauma to child protective services

Answer

Perform additional diagnostic imaging

Answer

Consult psychiatry for caregiver assessment

Answer

Repeat the history interview with the child alone

Question 5

Children are more susceptible to hypothermia during burn resuscitation than adults primarily because:

Accepted Answer

They have a higher surface area-to-body mass ratio

Answer

They have a higher resting metabolic rate

Answer

Their pain response triggers systemic vasodilation

Answer

They produce less endogenous heat through shivering

Question 6

Per American Burn Association guidelines, partial-thickness burns in children under 10 years warrant burn center referral at what minimum TBSA threshold?

Accepted Answer

10% TBSA

Answer

5% TBSA

Answer

15% TBSA

Answer

20% TBSA

Question 7

The Galveston formula for pediatric burn nutrition calculates caloric needs based on:

Accepted Answer

Body surface area and percent TBSA burned

Answer

Ideal body weight and percent TBSA burned

Answer

Actual body weight and age in months

Answer

Resting energy expenditure adjusted for fever