<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 55-year-old woman who works as a chef is brought to the hospital for evaluation of burns sustained in a kitchen accident. Physical examination reveals 3rd-degree burns over the anterior surface of the right thigh and the lower limbs, which involve approx. 11 of the total body surface area TBSA. The skin in the burned areas is thick and painless to touch, and the dorsalis pedis pulses are palpable but weak. Which of the following is the most appropriate next step in management?? A: Early excision and full-thickness skin grafting, B: Early excision and split-thickness skin grafting, C: Delayed excision and skin grafting, D: Topical antibiotic application of mafenide acetate, E: Fluid resuscitation with Ringers lactate solution per the Parkland formula,  <response>: This is a question about the management of burns. The patient is a 55-year-old woman with 3rd degree burns over 11 TBSA involving the right thigh and lower limbs. The key findings are that she has 3rd degree full thickness burns, the burns cover 11 TBSA, and she has weak pedal pulses indicating potential circulatory compromise. The main considerations for burn management are assessing depth and extent of injury, fluid resuscitation, wound care including debridementskin grafting, infection prevention, and managing complications. For large 3rd degree burns, early excision and skin grafting is recommended to remove devitalized tissue and close the wound. Fluid resuscitation is needed to maintain tissue perfusion. Topical antibiotics are used to prevent infection but are not definitive wound treatment. Based on the information provided, the most appropriate next step would be early excision of the full thickness burns followed by split-thickness skin grafting to definitively close the wound. This allows removal of dead tissue and covering of the wound to facilitate healing. Full-thickness skin grafts are not optimal for coverage of a large surface area burn. Fluid resuscitation is also important but is not the most urgent next step. B: Early excision and split-thickness skin grafting 