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Working Place
CPD Number (Not required
for Miri Hospital Staff)

1. Based on the Rule of 9’s, you can estimate the percentage body surface area that has
been burned by using multiples of 9 to help determine treatment options.

• Head = 9%
• Chest (front) = 9%
• Abdomen (front) = 9%
• Upper/mid/low back and buttocks = 18%
• Each arm = 9%
• Each palm = ?
• Groin = 1%
• Each leg = 18% total (front = 9%, back = 9%)

The palm can be used as a quick reference to estimate the total surface area burnt.
What is the total area represented by each palm?
A. 9%
B. 1%
C. 2 %
D. 4.5%
2. Estimation of the body surface area using the rule of 9’s on children is less precise as
their head and lower extremities differ in proportion compared with adults.
For adults, any burn covering greater than 15% of the body surface area is considered
serious and requires hospitalization.
In children, what percentage of surface body area burnt is considered serious?
A. 10%
B. 20%
C. 15%
D. 18% Ans. _____

3. In third degree burns (full thickness), spontaneous healing is not possible. It extends to
the dermis layer. Which of the following is not a cause for third degree burns?

A. Electricity shock or lightning

B. Fire
C. Hot liquid
D. Prolonged exposure to a hot object Ans.____

4. First aid – If you encounter a burn victim, what is the first thing that you could do
while attending to that person?
Ans. Immerse the burnt site in cool water (not ice) for 30 mins to prevent further damage.
If this is not possible, you can cool the site with running water from the tap. Remove all
burnt clothing.

5. Which of the following statement is NOT TRUE.

A. Patients with serious burns and significant pain should be treated with IV narcotics.
B. Pruritus is common and can be treated with systemic antihistamines.
C. Elevation of foot and hand burns above the level of the heart can reduce swelling and
pain at the site.
D. Tetanus immune globulin should be given to every patient, particularly for burns
deeper than superficial thickness.


6. Why is aggressive management (including parenteral antibiotics) necessary in all

suspected burn infections?
Burn infections can extend the depth of the burn and become severe since there is a large
amount of necrotic tissue and protein rich exudates which provide a good environment
for bacterial growth.

7. A basic gauze dressing is necessary for protection to prevent further contamination of

the site. The following is the correct order of dressing layers.
A. First layer of non-adherent gauze over burn, topical antibiotic over the gauze, second
layer of fluffed dry gauze and third layer of elastic gauze.
B. Topical antibiotic over burn site, first non-adherent gauze layer over burn, second
layer of fluffed dry gauze and third layer of elastic gauze.
C. First layer of fluffed dry gauze over burn, then topical antibiotic over the gauze,
second layer or non-adherent gauze and third layer of elastic gauze.
D. First layer of elastic gauze, then a layer of topical antibiotic, second layer of fluffed
dry gauze and third layer of non-adherent gauze.