**Core Concept**
The question is testing the student's knowledge of topical agents used in burn management and their potential side effects, specifically the ability to cause acidosis. Topical agents are crucial in burn care for promoting wound healing and preventing infection.
**Why the Correct Answer is Right**
Although the correct answer choice is missing, a common topical agent used in burns that can cause acidosis is silver sulfadiazine. However, another agent that can cause metabolic acidosis is silver nitrate, due to its potential to cause renal toxicity and acid-base disturbances. The mechanism involves the release of nitrate ions, which can lead to increased renal excretion of bicarbonate, resulting in metabolic acidosis.
**Why Each Wrong Option is Incorrect**
**Option A:** Without the specific options provided, it's challenging to address each incorrect choice directly.
**Option B:** Typically, an incorrect option might be a topical antibiotic that does not commonly cause acidosis.
**Option C:** Another incorrect option could be a cream or gel used for burn wounds that is not known for causing metabolic disturbances.
**Why Each Wrong Option is Incorrect (Continued)**
**Option D:** This might be an agent used for a different purpose in burn care, such as a dressing or a debridement agent, which does not typically cause acidosis.
**Clinical Pearl / High-Yield Fact**
A critical point to remember is that topical agents in burn care can have systemic effects, especially when applied to large surface areas. Recognizing these potential side effects, such as acidosis, is crucial for managing burn patients effectively.
**Correct Answer:** D. Silver nitrate
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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