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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Your patient works with power-lines and b. Electrical (construction, power-lines, farming)
come into the ED from work-related burns.
What type of burn would you suspect?
a. Thermal
b. Electrical
c. Chemical
d. Radiation
Your patient works at a gas station and c. Chemical (bleach, cement, lime, gasoline, bleach, acids)
come into the ED from work-related burns.
What type of burn would you suspect?
a. Thermal
b. Electrical
c. Chemical
d. Radiation
Your patient works at a fancy restaurant and a. Thermal (fire, smoking, cooking)
come into the ED from work-related burns.
What type of burn would you suspect?
a. Thermal
b. Electrical
c. Chemical
d. Radiation
Your patient was "sun tanning" outside in UV d. Radiation (sunburn, industrial)
11 for over 1 hour and comes into the ED for
a sunburn. What type of burn would you
suspect?
a. Thermal
b. Electrical
c. Chemical
d. Radiation
, You are performing patient education on c. "I should tuck long cords away from high activity areas."
how to avoid a scald burn. Which of the
following statements from the patient would
indicate understanding?
a. "I should hold my child while handling hot
liquids."
b. "I should turn my handles towards the
edge of the stove."
c. "I should tuck long cords away from high
activity areas."
d. "I should let my toddler help with the
baby's bottle warmer."
What type of burn injury would you be most b. Electrical- an electrical current will enter through one point
concerned about internal organ damage and exit through another. Deep, hidden tissue damage may be
with? present. Risk of internal organ damage.
a. Thermal
b. Electrical
c. Chemical
d. Radiation
When looking at a burn patient, you notice a. Zone of coagulation
that there is a pale, waxy white chunk in the
center of the wound. What zone is this?
a. Zone of coagulation
b. Zone of hyperemia
c. Zone of stasis
d. Zone of dismemberment
While looking at a burn patient, your patient c. "This is the place where the most amount of damage was
asks you why there is a pale, waxy white done."
chunk in the center of the wound. You From Physiopedia- "Zone of coagulation: This occurs at the
explain... point of maximum damage and this zone is characterized by
a. "This is the outermost zone of your irreversible tissue damage due to coagulation of the
wound, the tissue will recover." constituent proteins that occurs as a result of the insult."
b. "This is an area with a moderate amount of
damage, but the tissue will be saved."
c. "This is the place where the most amount
of damage was done."
d. b. "This is an area with a moderate amount
of damage, but the tissue can not be saved."
True/False Hypervolemia is the expected False, hypovolemia would be expected.
initial bodily response to a severe burn.
In what thickness injury would you expect to d. Full thickness
see myoglobinuria? Burning muscle leads to myoglobinuria
a. Superficial
b. Superficial partial thickness
c. Deep partial thickness
d. Full thickness
With burns, there is massive cell destruction. b. K+
Which electrolytes would you expect to be c. Na+
elevated? SATA Skin burns can cause hyperkalemia, hypernatremia,
a. Cl hypochloremia, hypomagnesemia, and hypocalemia.
b. K
c. Na
d. Mg
e. Ca