previous MCQ in medico legal aspects of burns

1. MCQ in BURNS
dr m balaji singh
COURTESY _ DR GAUTHAM BISWAS

2. 1. Depression of consciousness level in hypothermia starts when the
core body temperature falls below: COMEDK 14
A. 35°C B. 34°C
C. 33°C D. 32°C
2. In hypothermia, cause of death is: NEET 14
A. Stroke B. Cardiac arrest
C. Pulmonary embolism D. Asphyxia
3. Colour of post mortem lividity in hypothermic deaths: NEET 13
A. Purple B. Deep red
C. Cherry red D. Bright pink
4. Paradoxical undressing is seen in: MAHE 06, 10; CMC (Vellore) 10
A. Hyperthermia B. Hypothermia
C. Transvestism D. Immersion syndrome

3. 5. True about frostbite are all, except: PGI 14
A. Occurs due to extreme cold
B. Formation of ice crystals within tissues
C. Rewarming is not done
D. Seen in fingers and toes
6. Miner’s cramps are also called: NEET 13
A. Heat collapse B. Heat cramps
C. Sunstroke D. Heat exhaustion
miners' cramp : Cramp due to loss of salt from the body caused by excessive sweating. Occurs in
tropical climates and with severe exercise; mining often combines the two.

4. 7. Heatstroke is defined as a body temperature higher
than: AFMC 12
A. 37°C B. 40°C
C. 41°C D. 45°C
Heatstroke is a condition caused by your body overheating, usually as a result of prolonged
exposure to or physical exertion in high temperatures.
This most serious form of heat injury, heatstroke, can occur if your body temperature rises to
104 F (40 C) or higher. The condition is most common in the summer months.

5. 8. Sweating is absent in: DNB 10
A. Heat syncope B. Heat exhaustion
C. Heat stroke D. Heat cramps
9. NOT seen in heat stroke: Kerala 06
A. Hypovolemic shock B. Rhabdomyolysis
C. Pancreatitis D. Cerebral edema
10. Characteristic features of superficial burns are all, except: TN
06; WB 09
A. Damage no deeper than papillary dermis
B. Blisters absent
C. Loss of epidermis
D. Pinprick is not painful

7. 11. Blister formation in burn is classified as: DNB 09; Bihar 11
A. First degree B. Second degree superficial
C. Second degree deep D. Third degree
12. A lady with burns, skin appears waxy and dry with little
pain, the degree of burn is: CMC (Ludhiana) 11
A. First degree B. Second degree superficial
C. Second degree deep D. Third degree
13. Rule of 9 in burns is used to denote: NEET 14
A. Depth of burns B. Total body surface area involved
C. Severity of burns D. Type of burns

8. 14. According to ‘rule of 9’, perineum burns constitute:
A. 1% burns B. 9% burns
C. 18% burns D. 27% burns
15. Burns in children assessed by: AIIMS 13
A. Rule of nine B. Lund and Browder
C. Palmer surface method D. Hasse’s rule
16. Head and neck burns in infant constitute _______% of burns: Kerala 08
A. 9 B. 18 C. 24 D. 36
17. A 2-year-old child had burns on buttocks, both legs,
face, neck and singeing of hair. Total surface area
burnt: JIPMER 14
A. 27% B. 37% C. 45% D. 55%

10. 18. In a 6-year-old child with burns involving whole of head and
trunk, the estimated body surface area involved: JIPMER 09
A. 44% B. 48% C. 55% D. 58%
19. Percentage of surface area of palm of a burn patient: FMGE
A. 1% B. 9% C. 18% D. 27%
20. Most important aspect of management of burn injury in the
first 24 h: UPSC 07
A. Fluid resuscitation B. Dressing
C. Escharotomy D. Antibiotics

11. 21. In adults, circulatory collapse occurs after a minimum of
what percentage burns of total body surface area: NIMHANS 08;
TN 11
A. 5% B. 10%
C. 15% D. 20%
22. Best fluid for resuscitation in burns:
FMGE 11; Punjab 12
A. Dextran B. Ringer lactate
C. Albumin D. Hartmann’s solution

12. 23. Parkland formula for burns is forMaharashtra 09; UP 09;
A. Ringer lactate B. Glucose saline
C. Normal saline D. 25% dextrose
24. A 65 years male weighing 50 kg was admitted with 80% burn
and RL was transfused with Parkland method. How much fluid
should be infused in first 8 h: P 11
A. 200 ml/h B. 500 ml/h
C. 1000 ml/h D. 8000 ml/h
25. Muirs and Barclays formula is for: AFMC 11
A. Colloid resuscitation in burns B. Polytrauma fluid resuscitation
C. Crystalloid in trauma D. Dextran in burns

13. 26. Not an indication for admission in burns ward:
Bihar 10; Maharashtra 11
A. Acid burns B. Inhalational injury
C. 5% partial thickness burns in an unmarried female
D. 10% deep burns in a male
27. True of pugilistic attitude: PGI 14
A. Flexion at hip and knee B. Seen in extensive burns
C. Seen in rigor mortis D. Seen in antemortem burns only
Note :Indication for dying declaration in case of burns?
? Percentage of burns

14. 28. Pugilistic attitude is due to: Delhi 07; FMGE 10
A. Lipolysis B. Protein coagulation
C. Carbohydrate coagulation D. Lipogenesis
29. True about pugilistic attitude: MP 09; PGI 10
A. Indicate ante mortem burns B. Indicate post mortem burns
C. Cannot differentiate between ante- or post-mortem D . Indicate defence
by victim
30. Difference between incised wound and heat rupture
favouring heat rupture are: AI 09
A. Margins well-defined B. Small and multiple wounds
C. Nerves and vessels are visible in floor D. Seen only over scalp

15. 31. Feature of ruptured skin caused by excessive heat:
AIIMS 10
A. Irregular margin B. Clear regular margin
C. Contused margin D. Abraded margin
32. True about heat hematoma: PGI 12
A. Inside the brain
B. Between skull and dura mater
C. Between skull and pericranium
D. Between scalp and pericranium

16. 33. Appearance of burn hematoma: DNB 09; Punjab 10
A. Honeycomb like B. Disc shaped
C. Stellate shaped D. Smooth and rubbery
34. Curling ulcer is seen in: UP 04; WB 10; FMGE 13
A. Head injury B. Burn
C. Corticosteroids D. TPN

17. 35. Curling’s ulcer in burns is seen in: AIIMS 08
A. Esophagus B. Stomach
C. Colon D. Duodenum
36. Curling’s ulcer common in which part of duodenum:
DNB 09; AIIMS 13
A. 1st part B. 2nd part
C. 3rd part D. Between 1st and 2nd part

18. 37. Electrocution is rare below: MP 09
A. 100 volt B. 150 V
C. 200 V D. 240 V
38. Most resistant organ to electric current: UP 12
A. Bone B. Skin
C. Blood vessel D. Muscle

19. 39. High voltage contact burn is: UPSC 14
A. Deep partial thickness
B. Full thickness
C. Superficial burn
D. All of the above
40. Joule burn is seen in: Bihar 11
A. Blast injuries
B. Electrocution
C. Firearm wounds
D. Lightning stroke

20. 41. Bone pearl’s or wax drippings is pathogonomic of:
A. Burns B. Scalds
C. Lightening D. Electrocution
42. A dead body is found to have marks like
branching of a tree on front of the chest. Most likely
cause of death could be: FMGE 10
A. Firearm injury B. Lightning injury
C. Bomb blast injury D. Road traffic accident

21. 43. Lichtenberg flowers are seen in: CMC (Vellore) 14
A. Thermal burns B. Electrocution
C. Vitriolage D. Lightning
44. Filigree burn occur in: FMGE 09; NJI 10; JIPMER 11
A. Lightning B. Electrocution
C. Vitriolage D. Infanticide

22. 1. D 2. B 3. D 4. B 5. C 6. B 7. C 8. C 9. A
10. D 11. B 12. D 13. B 14. A 15. B 16. B
17. B 18. B 19. A 20. A 21. C 22. B 23. A 24. C
25. A 26. C 27. A & B 28. B 29. C 30. C 31. A
32. B 33. A 34. B 35. D 36. A 37. A 38. A 39. B
40. B 41. D 42. B 43. B 44. A

23. Thanking youdr m balaji singh