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

Children have proportionally larger heads and smaller legs than adults, and the Lund and Browder chart adjusts body segment percentages by age to reflect these differences accurately.

Question 2

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

Accepted Answer

Scald burns from hot liquids

Answer

Scald burns from hot liquids such as hot water, beverages, and cooking liquids are the leading cause of burns in toddlers, frequently occurring in kitchens and bathrooms.

Question 3

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

Accepted Answer

Maintenance fluid requirements

Answer

Pediatric burn resuscitation must add maintenance fluids to the resuscitation volume because children require ongoing baseline hydration support that adult formulas do not address.

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

Healthcare providers are mandatory reporters; injury patterns inconsistent with stated history require immediate reporting to child protective services while continuing burn care.

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

The larger surface area-to-body mass ratio in children causes proportionally greater heat loss through the skin, making hypothermia a significant risk during resuscitation and wound care.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Special Populations in Burn Care