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A series of practice questions related to thoracic and abdominal trauma, covering key concepts and clinical scenarios. It includes multiple-choice questions, true/false statements, and open-ended questions with detailed answers. The questions address various aspects of trauma management, including airway management, chest injuries, abdominal injuries, and vascular injuries. This resource is valuable for students and professionals seeking to enhance their knowledge and understanding of trauma care.
Typology: Exams
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When should impaled objects be removed? - correct answer ✅Preferably in the OR, under controlled circumstances. True or false: Bullet wounds follow a predictable pattern of injury? - correct answer ✅False: A bullet wound is an example of a "blast" wound which has an unpredictable trajectory and must consider path of tissue injury related to shock/stress waves. Name six life-threatning chest injuries: - correct answer ✅1. Laryngeotracheal Injury/Airway Obstruction
Is cyanosis an early or late finding of hypoxemia? - correct answer ✅Late During a tension pneumothorax the mediastinal structures shift where? - correct answer ✅Opposite the affected side A needle thoracentesis is performed where anatomically? - correct answer ✅2nd- 3rd intercostal space, mid-clavicular line A tube thoracostomy (chest tube insertion) is performed where anatomically? - correct answer ✅4th-5th intercostal space, mid-axillary line How should an open pneumothorax initally be managed? What should you be cautious of? - correct answer ✅Application of a sterile 3-sided dressing. Caution exercised to avoid creating an occlusive dressing which can lead to a tension pneumothorax. True or false: blood from a massive hemothorax can be transfused? - correct answer ✅True, autotranfusion can be done if a facility uses autotransfusion equipment. How can the discomfort of flail chest be managed during pulmonary toileting? Does flail chest always require surgical repair? - correct answer ✅Splinting the chest with a supportive device (ex. pillow, folded and taped towel). No, flail chest is usually managed non-operatively.
How much fluid does it take to distend the pericardial sac and lead to cardiac tamponade? - correct answer ✅75-100 ml. Patient's report a "feeling of impending doom" A widened mediastinum on xray is concerning for? - correct answer ✅Traumatic aortic disruption What drug drip would you anticipate to be running a patient with an aortic injury awaiting operative management? - correct answer ✅Esmolol (short-acting beta blocker): decreases vessel wall tension and keeps patient's blood pressure lower until patient stabilized for operative procedure. What is the most common symptom of a tracheobronchial injury? - correct answer ✅Subcutaneous emphysema True or false: An esophageal perforation is a surgical emergency? - correct answer ✅True What is the most common mechanism of abdominal trauma? - correct answer ✅Blunt trauma via Motor vehicle crashes (75%) A positive seatbelt sign across the lower abdomen should raise suspicion for? - correct answer ✅Small bowel injury *Seatbelt should be low and close-fitting to hips
Blunt duodenal injuries are the result of? - correct answer ✅Compression injuries *Commonly seen with Chance fracture, transverse process fractures, etc. Trauma to the stomach is most common in what group? - correct answer ✅Rare, more common in children What is the most common cause of trauma to the large intestine? - correct answer ✅Penetrating trauma Trauma to the liver places the patient at greatest risk for? - correct answer ✅Severe hemorrhage True or false: Treatment of spleen injury requires splenectomy? - correct answer ✅False, splenectomy is avoided if at all possible related to resulting immunocompetence. You are discharging a patient who had a splenectomy during this hospitalization. What must be done prior to discharge? - correct answer ✅Administration of vaccinations: Pneumococcal, H. influenza, and meningococcal What percentage of the pancreas can be removed without concern for resulting diabetes? - correct answer ✅90% Retroperitoneal injuries are commonly seen with what other injury? - correct answer ✅Pelvic fractures
True or false: Abdominal vascular injury can lead to abdominal compartment syndrome? - correct answer ✅True, the retroperitoneal space can hold up to 4L of blood