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General Surgery · Burns
Sample itemWhich burn feature means the patient should be assessed urgently by a specialist burns service?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Circumferential full-thickness burn of a limb
Circumferential full-thickness burns can form an inelastic eschar that compromises distal circulation or chest-wall movement, making urgent specialist assessment and possible escharotomy necessary.
Option by option
A. Mild dry skin in winter
Winter dry skin is not a thermal injury.
B. Circumferential full-thickness burn of a limb (correct)
Correct: circumferential full-thickness injury can threaten perfusion or ventilation.
C. Single healed insect bite
A healed insect bite is not an acute burn referral criterion.
D. Small superficial sunburn on one shoulder
A small superficial sunburn is usually managed with simple supportive care.
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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