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General Surgery · Burns: fluid resuscitation
Sample itemIn a major burn, which clinical parameter is commonly used to judge adequacy of initial fluid resuscitation in an adult?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Urine output
Urine output is a practical marker of end-organ perfusion and is used with hemodynamics and clinical assessment to guide burn-fluid resuscitation. Targets vary with patient factors and inhalation injury.
Option by option
A. Serum cholesterol
Cholesterol does not guide acute burn fluids.
B. Urine output (correct)
Correct. Urine output reflects renal perfusion during resuscitation.
C. Hair growth rate
Hair growth has no acute resuscitation value.
D. Pupil size alone
Pupil size alone is nonspecific.
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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