Burns: fluid resuscitation: practice question

A General Surgery 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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General Surgery · Burns: fluid resuscitation

Sample item

The Parkland formula estimates initial burn-resuscitation fluid using which measure?

ABlood loss aloneBFour mL times body weight times percent total body surface area burnedCOnly urine outputDOne litre for every burn

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

The answer and the reasoning

B. Four mL times body weight times percent total body surface area burned

The Parkland formula estimates 24-hour crystalloid needs for major burns as 4 mL times kg times percent TBSA; half is given in the first eight hours from injury.

Option by option

A. Blood loss alone
Burn shock involves capillary leak, not measured blood loss alone.
B. Four mL times body weight times percent total body surface area burned (correct)
Correct. Weight and burn size determine the starting estimate.
C. Only urine output
Urine output guides adjustment but does not replace initial calculation.
D. One litre for every burn
Fixed-volume resuscitation ignores burn severity.

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.

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Four mL times body weight times percent total body surface area burned. The Parkland formula estimates 24-hour crystalloid needs for major burns as 4 mL times kg times percent TBSA; half is given in the first eight hours from injury.

Why is "Blood loss alone" not the answer?

Burn shock involves capillary leak, not measured blood loss alone.

Why is "Only urine output" not the answer?

Urine output guides adjustment but does not replace initial calculation.

Why is "One litre for every burn" not the answer?

Fixed-volume resuscitation ignores burn severity.

What concept does this question test?

It tests Burns: fluid resuscitation in General Surgery. The correct option holds because: Correct. Weight and burn size determine the starting estimate.

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 Burns: fluid resuscitation?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.