Paediatric emergencies: burns in children: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Paediatric emergencies: burns in children

Sample item

Which chart is used to estimate the burn surface area in a child, and what is the first consideration when a toddler has immersion burns over the buttocks with clear demarcation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Lund-Browder chart; the possibility of child abuse

The Lund-Browder chart adjusts for the changing proportions of head and limbs in children, unlike the adult rule of nines. Sharply demarcated stocking or glove burns, or buttock immersion burns, raise suspicion of inflicted injury. Fluid replacement follows the Parkland formula for significant burns.

Option by option

  • A. Lund-Browder chart; the possibility of child abuse (correct)

    Correct. Lund-Browder is used and abuse should be considered.

  • B. Apgar chart; dietary cause

    Apgar is a neonatal score.

  • C. Tanner chart; allergic reaction

    Tanner staging assesses puberty.

  • D. Rule of nines for adults; accidental splash

    The adult rule of nines ignores the proportionally larger head and smaller legs of children.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is A, Lund-Browder chart; the possibility of child abuse. The Lund-Browder chart adjusts for the changing proportions of head and limbs in children, unlike the adult rule of nines.

Why is "Apgar chart; dietary cause" not the answer?

Apgar is a neonatal score.

Why is "Tanner chart; allergic reaction" not the answer?

Tanner staging assesses puberty.

Why is "Rule of nines for adults; accidental splash" not the answer?

The adult rule of nines ignores the proportionally larger head and smaller legs of children.

What concept does this question test?

It tests Paediatric emergencies: burns in children in Pediatrics. Sharply demarcated stocking or glove burns, or buttock immersion burns, raise suspicion of inflicted injury. Fluid replacement follows the Parkland formula for significant burns.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric emergencies: burns in children?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.