Exam (elaborations)
Plastic surgery practice questions
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practice questions- systems based approach(PLASTIC SURGERY)
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Plastic Surgery1) A 30 year old man was trapped in a burning 3) A 50 year old healthy man who recently
house. When he was rescued and brought underwent day surgery for right inguinal
to hospital, it was found that he had first hernia repair presents with fever and pain
degree burns to his torso, second degree over his incision area. On examination, it
burns to the anterior aspect of both his arms was found that there is a poorly defined
and third degree burns to both his legs. His erythematous region around his incision that
weight is approximately 70 kg. You are the is tender to palpation with no areas of
emergency physician that first received him necrosis. Which of the following organism is
in the Emergency Room, which fluid most likely the cause of his infection?
resuscitation would you initiate if he a) Escherichia coli
presented 1 hour after his burn injury. b) Pseudomonas aeruginosa
a) Ringer's Lactate 525 ml/hr c) Streptococcus pyogenes
b) Ringer's Lactate 788 ml/hr d) Clostridium perfringens
c) Ringer's Lactate 900 ml/hr e) Pasteurella multocida
d) Ringer's Lactate 1420 ml/hr
e) Ringer's Lactate 1620 ml/hr
2) A 56 year old woman who works as a 4) You are working in the emergency
medical secretary comes into the office department when a burn victim is brought in.
complaining of pain in her left hand. After a Which of the following is not an indication for
detailed history and physical, it was transfer to a burn center:
concluded that her pain is most likely a) A 40 year old man who fell asleep while
attributed to carpal tunnel syndrome. Which smoking and sustained a mixed 2º and
of the following is not a feature of carpal 3º burn to 15% of his body including his
tunnel syndrome? right hand, arm and chest
a) Numbness and pain in the affect hand b) A five year old boy with a mixed 2º and
leading to frequent night awakenings 3º burn to 15% total body surface area
b) Decreased ability to abduct the thumb on his back from a scald injury
c) Decreased sensation in the 4th and 5th c) A 30 year old woman who was rescued
digits from a burning building. She has a 5%
d) Flattening of the thenar eminence TBSA mixed 2º and 3º burn on her right
e) Percussion over the median nerve at the forearm and 12% mixed 2º and 3º on her
wrist reproduces symptoms thigh. She was also trapped in a smoke-
filled room and appears to be in
respiratory distress
d) A 45 year old factory worker who
sustained a 0.5% total body surface area
partial thickness burn to his left forearm
after coming into contact with
hydrofluoric acid
e) A 58 year old woman who sustained a
high voltage electrical injury
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