Ohio Burn Care Specialist Certification Practice Exam | 100 Verified Q&A with Rationales

Ohio Burn Care Specialist Certification
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Practice Exam Questions And Correct
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Rationales 2026|2027 Q&A | Instant
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1. The most accurate method for assessing the total body surface
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barea (TBSA) burned in adults is:
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A. Wallace Rule of Nines b b b




B. Lund and Browder chartb b b




C. Palmar method b




D. Parkland formula b




Rationale: The Lund and Browder chart adjusts for age and provides
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ba detailed, accurate estimation of TBSA in adults and children.
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2. The initial fluid resuscitation formula commonly used in burn
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bmanagement is: b

, A. Brooke formula b




B. Parkland formula b




C. Evans formula b




D. Modified Galveston formula b b




Rationale: The Parkland formula (4 mL × body weight in kg × %TBSA)
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busing Lactated Ringer’s is the standard for initial burn resuscitation.
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3. According to the Parkland formula, half of the calculated fluid volume
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bshould be given within:
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A. The first 8 hours post-injury
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B. The first 4 hours post-arrival
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C. The first 12 hours post-burn
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D. The first 24 hours post-admission
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Rationale: Half of the calculated fluids are infused in the first 8
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bhours from the time of injury to prevent hypovolemia.
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4. The most common cause of death in major burn patients after the first
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b24 hours is:
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A. Hypovolemia
B. Infection/sepsis
C. Acute renal failure b b




D. Pulmonary embolism b




Rationale: Sepsis is the leading cause of mortality following initial
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bstabilization in burn patients. b b b

,5. The fluid of choice for burn resuscitation in the first 24 hours is:
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A. Normal saline b




B. Lactated Ringer’s solution b b




C. Dextrose 5% in water b b b




D. Hypertonic saline b




Rationale: Lactated Ringer’s is preferred because it closely matches
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extracellular fluid composition and prevents acidosis.
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6. Escharotomy is indicated when: b b b




A. There is minor erythema
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B. The burn is partial-thickness
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C. Circulation is compromised due to circumferential full-thickness
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b burns
D. Pain persists despite analgesia
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Rationale: Escharotomy relieves pressure and restores perfusion
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when circumferential eschar impedes circulation.
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7. The primary cause of airway compromise in a burn patient is:
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A. Carbon monoxide poisoning
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B. Hypovolemia
C. Inhalation injury b




D. Laryngeal edema b




Rationale: Inhalation injury leads to mucosal damage, edema, and
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obstruction—primary airway compromise cause.
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, 8. A carboxyhemoglobin level greater than 20% indicates:
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A. Cyanide toxicity b




B. Carbon monoxide poisoning
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C. Oxygen toxicity b




D. Hypovolemic shock b




Rationale: Elevated carboxyhemoglobin is diagnostic of CO
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b poisoning, common in enclosed fire exposure.
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9. What is the primary sign of upper airway burn injury?
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A. Hoarseness
B. Bradycardia
C. Hypotension
D. Pallor
Rationale: Hoarseness and stridor indicate upper airway edema due
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b to thermal or chemical injury.
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10. The first priority in burn management is:
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A. Airway management b




B. Pain control b




C. Fluid resuscitation
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D. Wound care b




Rationale: Airway management always takes precedence because
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b inhalation injuries can rapidly obstruct breathing.
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