General Surgery

20 learning units • 100 chapter sections • 200 explained questions. Assess surgical disease, recognise complications and connect intervention with safe recovery and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 19 / 20

Burns, Skin Lesions & Soft-Tissue Surgery

Assess burn severity and recognise skin or soft-tissue lesions that require specialist evaluation.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. An enclosed-space fire survivor has hoarseness and soot around the mouth. What is the concern? A. Inhalational injury requiring urgent airway assessmentB. A purely cosmetic skin problemC. Exclusion of airway injury by a small burnD. Routine outpatient scar management only

Question 02. Why can a small deep hand burn merit specialist input? A. Surface area is the only referral factorB. Hand burns never require rehabilitationC. Deep burns always heal without scarringD. Location and depth can threaten function

Question 03. What is an important limitation of the visible wound in electrical injury? A. It may underestimate deeper tissue damageB. It reliably measures all internal damageC. It excludes associated traumaD. It proves cardiac monitoring is never needed

Question 04. How should a calculated burn fluid estimate be used? A. As an unchangeable prescriptionB. As a starting guide adjusted to monitored responseC. As proof urine output is irrelevantD. As a substitute for clinical reassessment

Question 05. Are systemic antibiotics routinely indicated solely because a burn is present? A. Yes, indefinitely for every burnB. No, assess for infection and specific indicationsC. Yes, without considering allergiesD. Only to replace wound assessment

Question 06. Why reassess burn depth over time? A. Depth is unrelated to managementB. Every superficial burn becomes full thicknessC. Reassessment prevents the need for analgesiaD. The injury may evolve after the initial examination

Question 07. An evolving irregular pigmented lesion should lead to what? A. Destruction without considering histologyB. Reassurance based on lack of pain aloneC. Antibiotics as the only investigationD. Appropriate skin cancer assessment and diagnostic planning

Question 08. Why preserve tissue diagnosis in a suspicious skin lesion? A. All lesions have identical treatmentB. It removes the need for clinical examinationC. Histology can guide diagnosis and definitive managementD. It guarantees no follow-up is required

Question 09. An enlarging deep thigh mass should prompt what? A. Casual excision without imaging or planningB. Planned specialist assessment before unplanned excisionC. Reassurance because the skin is intactD. Drainage without evidence of an abscess

Question 10. Which outcome belongs in burn rehabilitation? A. Skin closure alone regardless of mobilityB. Permanent avoidance of all movementC. Function, movement and psychological recoveryD. Stopping follow-up despite contracture

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.