Multiple Choice Questions (MCQ)

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Category: Critical Care Medicine-Surgery, Trauma, and Transplantation--->Burns
Page: 2

Question 6# Print Question

Your previously described 47-year-old burn patient is in the midst of being appropriately resuscitated based on your Parkland formula. The patient’s hourly urine output is measured to be about 1 mL/kg. During the last couple of hours of your initial 24-hour postinjury resuscitation, you note that the patient’s urine output starts to decrease. In addition, you note that the patient is having difficulty breathing with frequent episodes of desaturation despite being on a nonrebreather. Your physical examination reveals a distended abdomen with increased abdominal girth. The patient is intubated, and you note elevated peak airway pressures at 45 mm Hg. You ask the nurse to perform a bladder pressure, which is noted to be 25 mm Hg.

What is your diagnosis, and what is the appropriate treatment? 

A. Intra-abdominal hypertension, continue to monitor for signs of end-organ dysfunction
B. Intra-abdominal hypertension, decrease fluid resuscitation
C. Abdominal compartment syndrome, escharotomies
D. Abdominal compartment syndrome, decompressive laparotomy

Question 7# Print Question

A 24-year-old male is admitted to the ICU after suffering 54% deep partial- and full-thickness burns to his face, torso, and arms after being involved in a house fire. At 72 hours post burn, his heart rate and cardiac output remain significantly elevated.

Which of the following would best treat this patient’s tachycardia and prevent subsequent cardiac stress and myocardial dysfunction?

A. Propranolol
B. Verapamil
C. Crystalloid resuscitation
D. Disopyramide

Question 8# Print Question

A 66-year-old male sustains a 25% second-degree scald burn when a large pot of boiling water is spilled onto his torso and lower extremities. He is immediately transferred to a burn center. During his course of treatment, he is started on 5 mg oxandrolone PO BID.

Which of the following physiologic changes has been associated with the administration of this drug?

A. Improved muscle protein catabolism
B. Reduced weight loss
C. Increased donor-site wound healing
D. All of the above

Category: Critical Care Medicine-Surgery, Trauma, and Transplantation--->Burns
Page: 2 of 2