CBRN Exam UPDATED ACTUAL Questions and CORRECT Answers
Wounds that take longer than weeks to heal are at
three
an increased risk of hypertrophic scarring
an effective pressure garment should exert approximately
to mmHg of pressure to decrease underlying 15 to 40
collagen production
Silicone should be worn for approximately hours per
twelve hours
day to reduce scarrng
Silicone should be initiated within weeks of wound
two
healing
a patient should be encouraged to take a glycemic diet
with protein content, non-starchy vegetables and low, high, high, low
sugar content after discharge
may be prescribed to manage insulin resistance after
Metformin
discharge
Compliance with a long-term home exercise program is
functional independence
crucial to increasing the patient's
Scalds, flash burns, and flame burns are all examples of
thermal
burn injuries
the viscosity of a liquid, the longer it will remain in
higher
contact with the skin
acidic burns result in cell death by means of necrosis coagulation
Alkalotic burns result in cell death by means of
liquefaction
necrosis
the thinner a person's skin, the their risk of heat
higher
related injury
the is a bioactive layer of skin which contains blood
dermis
vessels, nerves, hair follicles, and sweat glands
,the is the base layer of the epidermis and the
stratum basale
site of skin cell production
burns are confined to the epidermis and are painful
superficial
and red in presenation
The inflammatory phase of wound healing begins imme-
diately after injury with activation of the cascade and clotting, cellular mediators
release of
During the phase of wound healing, fibroblasts
build an extracellular matrix of granulation tissue on the
proliferation
scaffolding, which allows for vascular growth and wound
contraction.
increased capillary permeability results in the formation of
gaps
in the endothelial walls.
In the flow of cardiovascular dysfunction (or long phase),
increase
concentrations of catecholamines
increased capillary permeability in the GI mucosa con-
gut barrier failure
tributes to
the hyperdynamic phase of cardiac dysfunction (the flow
2-3 days
phase), begins after burns.
Skeletal muscle catabolism impairs uptake thus con-
glucose
tributing to post-burn hyperglycemia
is an anabolic steroid used to promote muscle growth
oxandrolone
and mitigate the hypermetabolic response
standard diagnostic method of evaluating inhalation in-
juries involves direct visualization of the airways by means bronchoscopy
of a
intubation
,the rapid and severe formation of edema associated with
burn pathology can distort anatomical landmarks and
compress the airway, making diflcult
if blue/green discharge is noted on a wound assessment
Mafenide Acetate (sulfamylon) solution is used to treat
and a pseudomonas infection is suspected, what topical
Pseudomonas infections
solution is likely to be prescribed
Topical solutions are applied to absorbed, multilayered
dressings (50 gauze of surgical fluff) then wrapped
How are topical soaks applied?
around the intended site of application. Dressings should
be kept damp to ensure optimal antimicrobial effects.
what is the active ingredient is dakins solution? Sodium hypochlorite (bleach) is the active ingredient
At what point following a burn injury should patients be-
As soon as possible after graft takes
gin wearing pressure garments?
If Triamcinolone (TAC) of Flurouracil (5-U) are prescribed
in the management of burn wounds, how would they be Intralesional injections to reduce the severity of scarring
administered
At what point following a burn injury should burn mas- After graft take when wounds have matured and can tol-
sage therapy be initated erate shearing force and friction
following laser therapy for burn scars, the area should be
Describe local wound care to areas treated with laser washed twice daily with a antimicrobial cleanser and a
therapy hydrophilic ointment should be applied frequently as the
wound is re-epithelialized
antihistamines
cold compresses
moisturizers
List six interventions to manage pruritis in burn wounds. aloe vera
teaching patient to avoid tight fighting clothing
teaching the patient to avoid irritating fabrics (cotton is
recommended)
what the benefits of HAM treatments
, HAM treatments (Heparin, albuterol and Mucomyst) brek
up and mobilize debris in the lower airway after inhalation
injury
Deep partial thickness and full thickness burns will require
Burns of what depth benefit from surgical intervention?
surgical interventions
What depth of burns is treated with topical salves or oral
Superficial
NSAIDs?
What is the initial intervention for treatment of burn shock? Fluid resuscitation to restore intravascular volume
Applying wound dressings, nutritional support and ag-
non-pharmological interventions to manage and limit the
gressive physical therapy are treatments geared towards
hypermetabolic response
reducing what aspect of burn pathology?
What medication, given as a daily injection, can reduce the Recombinant human growth hormone can reduce the hy-
hypermetabolic response after burn injury? permetabolic response after burn injury
What is the hallmark of lung protective ventilatory strate-
Low tidal volumes at 4-8mL/kg
gies
Albuterol is a bronchodilator. Administering this medica-
tion will reduce airway constriction and open the airways.
What are the benefits of giving nebulized albuterol to a
this will alleviate shortness of breath while also opening
patient with inhalation injury?
the airways for administration of other nebulized medica-
tions
What is the focus of prehospital care after the patient has Using the ABC mnemonic, giving comfort and pain control
been stabilized following stabilization
Application of direct pressure at the wound or over the
How should the prehospital care provider respond to a
proximal artery, elevating the affected extremity or utilizing
external hemorrhage
hemostatic devices and dressings
what is the most appropriate response to bleeding sec- Bleeding secondary to pelvic fractures should result in the
ondary to pelvic fractures application of a pelvic binder
Pressure support and volume assist control
Wounds that take longer than weeks to heal are at
three
an increased risk of hypertrophic scarring
an effective pressure garment should exert approximately
to mmHg of pressure to decrease underlying 15 to 40
collagen production
Silicone should be worn for approximately hours per
twelve hours
day to reduce scarrng
Silicone should be initiated within weeks of wound
two
healing
a patient should be encouraged to take a glycemic diet
with protein content, non-starchy vegetables and low, high, high, low
sugar content after discharge
may be prescribed to manage insulin resistance after
Metformin
discharge
Compliance with a long-term home exercise program is
functional independence
crucial to increasing the patient's
Scalds, flash burns, and flame burns are all examples of
thermal
burn injuries
the viscosity of a liquid, the longer it will remain in
higher
contact with the skin
acidic burns result in cell death by means of necrosis coagulation
Alkalotic burns result in cell death by means of
liquefaction
necrosis
the thinner a person's skin, the their risk of heat
higher
related injury
the is a bioactive layer of skin which contains blood
dermis
vessels, nerves, hair follicles, and sweat glands
,the is the base layer of the epidermis and the
stratum basale
site of skin cell production
burns are confined to the epidermis and are painful
superficial
and red in presenation
The inflammatory phase of wound healing begins imme-
diately after injury with activation of the cascade and clotting, cellular mediators
release of
During the phase of wound healing, fibroblasts
build an extracellular matrix of granulation tissue on the
proliferation
scaffolding, which allows for vascular growth and wound
contraction.
increased capillary permeability results in the formation of
gaps
in the endothelial walls.
In the flow of cardiovascular dysfunction (or long phase),
increase
concentrations of catecholamines
increased capillary permeability in the GI mucosa con-
gut barrier failure
tributes to
the hyperdynamic phase of cardiac dysfunction (the flow
2-3 days
phase), begins after burns.
Skeletal muscle catabolism impairs uptake thus con-
glucose
tributing to post-burn hyperglycemia
is an anabolic steroid used to promote muscle growth
oxandrolone
and mitigate the hypermetabolic response
standard diagnostic method of evaluating inhalation in-
juries involves direct visualization of the airways by means bronchoscopy
of a
intubation
,the rapid and severe formation of edema associated with
burn pathology can distort anatomical landmarks and
compress the airway, making diflcult
if blue/green discharge is noted on a wound assessment
Mafenide Acetate (sulfamylon) solution is used to treat
and a pseudomonas infection is suspected, what topical
Pseudomonas infections
solution is likely to be prescribed
Topical solutions are applied to absorbed, multilayered
dressings (50 gauze of surgical fluff) then wrapped
How are topical soaks applied?
around the intended site of application. Dressings should
be kept damp to ensure optimal antimicrobial effects.
what is the active ingredient is dakins solution? Sodium hypochlorite (bleach) is the active ingredient
At what point following a burn injury should patients be-
As soon as possible after graft takes
gin wearing pressure garments?
If Triamcinolone (TAC) of Flurouracil (5-U) are prescribed
in the management of burn wounds, how would they be Intralesional injections to reduce the severity of scarring
administered
At what point following a burn injury should burn mas- After graft take when wounds have matured and can tol-
sage therapy be initated erate shearing force and friction
following laser therapy for burn scars, the area should be
Describe local wound care to areas treated with laser washed twice daily with a antimicrobial cleanser and a
therapy hydrophilic ointment should be applied frequently as the
wound is re-epithelialized
antihistamines
cold compresses
moisturizers
List six interventions to manage pruritis in burn wounds. aloe vera
teaching patient to avoid tight fighting clothing
teaching the patient to avoid irritating fabrics (cotton is
recommended)
what the benefits of HAM treatments
, HAM treatments (Heparin, albuterol and Mucomyst) brek
up and mobilize debris in the lower airway after inhalation
injury
Deep partial thickness and full thickness burns will require
Burns of what depth benefit from surgical intervention?
surgical interventions
What depth of burns is treated with topical salves or oral
Superficial
NSAIDs?
What is the initial intervention for treatment of burn shock? Fluid resuscitation to restore intravascular volume
Applying wound dressings, nutritional support and ag-
non-pharmological interventions to manage and limit the
gressive physical therapy are treatments geared towards
hypermetabolic response
reducing what aspect of burn pathology?
What medication, given as a daily injection, can reduce the Recombinant human growth hormone can reduce the hy-
hypermetabolic response after burn injury? permetabolic response after burn injury
What is the hallmark of lung protective ventilatory strate-
Low tidal volumes at 4-8mL/kg
gies
Albuterol is a bronchodilator. Administering this medica-
tion will reduce airway constriction and open the airways.
What are the benefits of giving nebulized albuterol to a
this will alleviate shortness of breath while also opening
patient with inhalation injury?
the airways for administration of other nebulized medica-
tions
What is the focus of prehospital care after the patient has Using the ABC mnemonic, giving comfort and pain control
been stabilized following stabilization
Application of direct pressure at the wound or over the
How should the prehospital care provider respond to a
proximal artery, elevating the affected extremity or utilizing
external hemorrhage
hemostatic devices and dressings
what is the most appropriate response to bleeding sec- Bleeding secondary to pelvic fractures should result in the
ondary to pelvic fractures application of a pelvic binder
Pressure support and volume assist control
