Ohio Burn Care Specialist Certification
Practice Exam Questions And Correct
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Rationales 2025|2026 Q&A | Instant
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1. The most accurate method for assessing the total body surface area
(TBSA) burned in adults is:
A. Wallace Rule of Nines
B. Lund and Browder chart
C. Palmar method
D. Parkland formula
Rationale: The Lund and Browder chart adjusts for age and provides
a detailed, accurate estimation of TBSA in adults and children.
2. The initial fluid resuscitation formula commonly used in burn
management is:
, A. Brooke formula
B. Parkland formula
C. Evans formula
D. Modified Galveston formula
Rationale: The Parkland formula (4 mL × body weight in kg × %TBSA)
using Lactated Ringer’s is the standard for initial burn resuscitation.
3. According to the Parkland formula, half of the calculated fluid volume
should be given within:
A. The first 8 hours post-injury
B. The first 4 hours post-arrival
C. The first 12 hours post-burn
D. The first 24 hours post-admission
Rationale: Half of the calculated fluids are infused in the first 8 hours
from the time of injury to prevent hypovolemia.
4. The most common cause of death in major burn patients after the first
24 hours is:
A. Hypovolemia
B. Infection/sepsis
C. Acute renal failure
D. Pulmonary embolism
Rationale: Sepsis is the leading cause of mortality following initial
stabilization in burn patients.
,5. The fluid of choice for burn resuscitation in the first 24 hours is:
A. Normal saline
B. Lactated Ringer’s solution
C. Dextrose 5% in water
D. Hypertonic saline
Rationale: Lactated Ringer’s is preferred because it closely matches
extracellular fluid composition and prevents acidosis.
6. Escharotomy is indicated when:
A. There is minor erythema
B. The burn is partial-thickness
C. Circulation is compromised due to circumferential full-thickness
burns
D. Pain persists despite analgesia
Rationale: Escharotomy relieves pressure and restores perfusion
when circumferential eschar impedes circulation.
7. The primary cause of airway compromise in a burn patient is:
A. Carbon monoxide poisoning
B. Hypovolemia
C. Inhalation injury
D. Laryngeal edema
Rationale: Inhalation injury leads to mucosal damage, edema, and
obstruction—primary airway compromise cause.
, 8. A carboxyhemoglobin level greater than 20% indicates:
A. Cyanide toxicity
B. Carbon monoxide poisoning
C. Oxygen toxicity
D. Hypovolemic shock
Rationale: Elevated carboxyhemoglobin is diagnostic of CO
poisoning, common in enclosed fire exposure.
9. What is the primary sign of upper airway burn injury?
A. Hoarseness
B. Bradycardia
C. Hypotension
D. Pallor
Rationale: Hoarseness and stridor indicate upper airway edema due
to thermal or chemical injury.
10. The first priority in burn management is:
A. Airway management
B. Pain control
C. Fluid resuscitation
D. Wound care
Rationale: Airway management always takes precedence because
inhalation injuries can rapidly obstruct breathing.
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf
1. The most accurate method for assessing the total body surface area
(TBSA) burned in adults is:
A. Wallace Rule of Nines
B. Lund and Browder chart
C. Palmar method
D. Parkland formula
Rationale: The Lund and Browder chart adjusts for age and provides
a detailed, accurate estimation of TBSA in adults and children.
2. The initial fluid resuscitation formula commonly used in burn
management is:
, A. Brooke formula
B. Parkland formula
C. Evans formula
D. Modified Galveston formula
Rationale: The Parkland formula (4 mL × body weight in kg × %TBSA)
using Lactated Ringer’s is the standard for initial burn resuscitation.
3. According to the Parkland formula, half of the calculated fluid volume
should be given within:
A. The first 8 hours post-injury
B. The first 4 hours post-arrival
C. The first 12 hours post-burn
D. The first 24 hours post-admission
Rationale: Half of the calculated fluids are infused in the first 8 hours
from the time of injury to prevent hypovolemia.
4. The most common cause of death in major burn patients after the first
24 hours is:
A. Hypovolemia
B. Infection/sepsis
C. Acute renal failure
D. Pulmonary embolism
Rationale: Sepsis is the leading cause of mortality following initial
stabilization in burn patients.
,5. The fluid of choice for burn resuscitation in the first 24 hours is:
A. Normal saline
B. Lactated Ringer’s solution
C. Dextrose 5% in water
D. Hypertonic saline
Rationale: Lactated Ringer’s is preferred because it closely matches
extracellular fluid composition and prevents acidosis.
6. Escharotomy is indicated when:
A. There is minor erythema
B. The burn is partial-thickness
C. Circulation is compromised due to circumferential full-thickness
burns
D. Pain persists despite analgesia
Rationale: Escharotomy relieves pressure and restores perfusion
when circumferential eschar impedes circulation.
7. The primary cause of airway compromise in a burn patient is:
A. Carbon monoxide poisoning
B. Hypovolemia
C. Inhalation injury
D. Laryngeal edema
Rationale: Inhalation injury leads to mucosal damage, edema, and
obstruction—primary airway compromise cause.
, 8. A carboxyhemoglobin level greater than 20% indicates:
A. Cyanide toxicity
B. Carbon monoxide poisoning
C. Oxygen toxicity
D. Hypovolemic shock
Rationale: Elevated carboxyhemoglobin is diagnostic of CO
poisoning, common in enclosed fire exposure.
9. What is the primary sign of upper airway burn injury?
A. Hoarseness
B. Bradycardia
C. Hypotension
D. Pallor
Rationale: Hoarseness and stridor indicate upper airway edema due
to thermal or chemical injury.
10. The first priority in burn management is:
A. Airway management
B. Pain control
C. Fluid resuscitation
D. Wound care
Rationale: Airway management always takes precedence because
inhalation injuries can rapidly obstruct breathing.
