INI-CET EXAM -2025
Medical & Surgical Nursing
Easy
Crocodile-like skin is seen in which of the following?
Appeared in: INI-CET EXAM -2025
Explanation
- High-voltage electrical current generates extreme heat as it passes through tissues, causing coagulation necrosis.
- This process results in a hard, dry, leathery eschar (dead tissue) at the entry and exit points of the current.
- The appearance of this eschar is often charred, depressed, and yellow-grey, which is clinically described as 'crocodile-like skin'.
- This type of burn is a full-thickness injury, destroying nerve endings and making the area painless.
Why Other Options Were Wrong
- Option A: Chronic arsenic poisoning causes distinct skin changes, but not 'crocodile skin'. The classic signs are hyperkeratosis (thickening of the skin, especially on palms and soles) and 'raindrop' hyperpigmentation.
- Option C: Moist burns, or scalds, are caused by hot liquids or steam. They typically result in partial-thickness burns with erythema (redness), pain, and blistering. The skin is moist, not dry and leathery.
- Option D: The appearance of chemical burns is highly variable depending on the specific chemical agent, its concentration, and duration of contact. While severe necrosis can occur, 'crocodile skin' is not a standard or specific descriptor for chemical burns.
Related Visual
- Visual 1: Image - A close-up photograph of a high-voltage electrical burn, clearly showing the dry, leathery, and charred eschar characteristic of 'crocodile skin'.
- Visual 2: Diagram - A flowchart illustrating the pathophysiology of electrical injury, from current entry to coagulation necrosis and deep tissue damage, highlighting the 'iceberg effect'.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of the cause of specific dermatological findings in trauma and toxicology as background academic context rather than a clinical decision trigger.
- A nurse must recognize that the 'crocodile skin' of a high-voltage burn signifies a severe, deep injury, not just a surface wound. The external damage is often minimal compared to the internal destruction.
- Immediate nursing priorities for a patient with high-voltage electrical injury include cardiac monitoring (ECG) for life-threatening arrhythmias, assessing for compartment syndrome, and managing potential rhabdomyolysis (muscle breakdown) which can lead to acute kidney injury.
- What if? - If the patient had a low-voltage electrical injury (e.g., from a household appliance), the presentation would be different. It might cause a small, localized contact burn or, more seriously, induce ventricular fibrillation without the characteristic 'crocodile skin' deep tissue burn.
How to Approach the Question
- First, identify the key descriptive phrase in the question: 'Crocodile-like skin'. This is a specific clinical sign.
- Next, evaluate each option based on your knowledge of pathology and trauma.
- Recall or deduce the effects of each condition on the skin. High-voltage electricity generates intense heat, causing deep tissue coagulation.
- Contrast this with the effects of arsenic (a poison causing pigmentation/keratosis), moist heat (scalds causing blisters), and chemicals (variable effects).
- The description of a dry, leathery, coagulated burn strongly matches the pathophysiology of high-voltage electrical injury, leading to the correct answer.
Concept Tested & Keywords
- Concept Tested: Identification of the cause of specific dermatological findings in trauma and toxicology.
- Stem keywords: Crocodile-like skin
- Lead-in keywords: seen in
Question ID
QeF0X0XxhyzGQzdEIrbQk3
Practise the full INI-CET EXAM -2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Integumentary Function Questions
- This type of dressing is known as:
- The following picture shows is bedsore present in bedridden patient. Which grade of bedsore is present?
- In second degree bedsore, there is an involvement of:
- What is the bath used to remove the irritation of certain types of skin diseases and provide soothing effect?
- Which maneuver used to empty the urine bladder?
- A female patient has come with facial burn injury into the emergency department in conscious condition. What will be the treatment for this patient?
- A patient comes into the emergency with a burn injury of 40% then what is first nursing intervention?
- Identify the stage of pressure ulcer
- A 23 year old man comes to the emergency department with thermal burns. In this case according to rule of nine which part of the body burned maximum?
- Identify the condition shown in image:
More INI-CET EXAM -2025 Questions
- The highlighted structure in the provided image articulates with which bone?& x20;
- Through which of the following foramina does the nerve supplying the muscles of mastication pass?& x20;
- In the given image, which region is correctly paired with its corresponding brain structure? • Middle cerebellar peduncle • Fasciculus cuneatus • Sup…
- Which of the following muscles is NOT typically associated with dysphagia or dysarthria?
- A muscle of mastication involved in opening the mouth exhibits the following characteristics. Identify the incorrect statement about it:
- In the illustrated image, which of the following structures is NOT associated with the area marked by the arrow?& x20;
- Match the following embryonic aortic arches with their respective adult derivatives: A. 1st Arch 1. Maxillary artery& x20; B. 2nd Arch 2. Common caro…
- Which of the following histology image is not an endocrine structure?& x20;
- Marked structure separates which of the following:
- Which of the following bones of the skull gives passage to a nerve arising from the brain & x20;