1. A 28-year-old male patient has second-degree burns involving 3% of the total body surface area following a firecracker injury. He has now come for a regular dressing to the OPD. All of the following statements are true regarding the management of this case, EXCEPT:

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• Superficial burns generally do not require the use of topical antibiotics
• Blisters on second-degree burns should not be burst
• All topical antibiotics retard wound healing
• Facial burns of the same degree require Duoderm dressing

2. A 24-year-old male comes to the casualty following a chemical burn with white phosphorous. He works in the fireworks factory and following the exposure, he tried to wash off the crystals with water. Which of the following statements is FALSE regarding the management of this patient?

• Wounds should be covered with saline-soaked gauze
• Initial management consists of copious water irrigation
• White phosphorus particles embedded in wounds must be kept dry
• Immediate surgical debridement is often necessary

3. A child was brought to the emergency following burns after his brother burst a firecracker very close to him as a stunt. Which of the following fluid resuscitation is suitable for a 12kg child with 8% burns?

• 48ml of normal saline for the first period using Muir and Barclay’s regime
• 384ml per 24 hours for Parkland’s formula of crystalloid
• 200ml over 24 hours of hypertonic saline
• 300ml over 24 hours of human albumin solution (HAS) maintenance

4. A 30-year-old news reporter, weighing 50 kg, was brought to casualty as shown below. She suffered the burns injury as shown in the image after a firecracker had burst from her hands. On examination, there is a sparing of the front and back of the chest and face. There is painful erythema in both palms. There is uniform involvement of both lower limbs circumferentially, genitalia, and the front and back of the abdomen. It is associated with pain and it blanches on the touch. What fluid resuscitation plan will you choose as per the 2018 ATLS guidelines?

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• 2.75L over 8 hours, followed by 2.75L over 16 hours
• 4.5 L over 8 hours, followed by 4.5 L over 16 hours
• 6 L over 8 hours, followed by 6 L over 16 hours
• 9 L over 8 hours, followed by 9 L over 16 hours

5. Which of the following statements is TRUE about burns?

• Palmar surface technique is not used for the assessment of medium burns
• Lund and Browder chart is an inaccurate chart for burn assessment in children
• Erythema has to be included when making initial assessment of burns
• The greatest amount of fluid loss in burn patients is after the first 24 hours

6. An intoxicated patient is brought to the casualty with circumferential full-thickness burns to the limbs which he suffered when he accidentally came in contact with the burning fireworks. An emergency escharotomy is planned by the attending surgeon. Which of the following incision would be made by the surgeon?

• Zig- zag incision
• Circumferential incision
• Mid-axial incision
• Depends upon the limb in involved

7. A 20-year-old boy presents to you following the burn injury as shown in the below image. Your senior consultant advises you to prescribe a topical antimicrobial that can penetrate eschar. Which of the following drugs would you prescribe?

• Neomycin
• Silver nitrate
• Mafenide acetate
• Silver sulfadiazine

8. Copper sulfate is a commonly used component to create the vibrant blue-green colour in fireworks. Which of the following conditions is due to the poisoning from this constituent?

• Vineyard sprayer's lung
• Pink disease
• Erethism
• Danbury tremors

9. A 40-year-old female presents to the emergency department with complaints of nausea, vomiting, abdominal pain, and severe diarrhoea following the accidental consumption of firecrackers. The label said that the crackers contained a high quantity of arsenic. This might lead to which of the following neuropathies?

• Pure motor neuropathy
• Pure Sensory neuropathy
• Predominant sensory neuropathy
• Sensorimotor neuropathy

10.  A 55-year-old male is brought to you with a history of fire-related smoke inhalation following an accidental fire which started due to a rocket firecracker. Which of the following is NOT an indication for hyperbaric oxygen therapy in this patient?

• Loss of consciousness
• COHb level >15%
• Metabolic acidosis pH<7.1
• ECG changes