Multiple Choice Questions (MCQ)

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Category: Surgery--->Trauma
Page: 2

Question 6#Print Question

In which patient is emergency department thoracotomy contraindicated? 

a. Motor vehicle accident victim, cardiac tamponade seen on ultrasound, SBP decreasing to 50 mm Hg
b. Motor vehicle accident victim, became asystolic during transport with 5 minutes of cardiopulmonary resuscitation (CPR) with no signs of life
c. Patient with chest stab wound, SBP decreasing to 50 mm Hg
d. Patient with chest stab wound, became asystolic during transport with 20 minutes of CPR with no signs of life

Question 7#Print Question

A patient with spontaneous eye opening, who is confused and localizes pain has a Glasgow Coma Score ( GCS) of :

a. 9
b. 11
c. 13
d. 15

Question 8#Print Question

Neck injuries:

a. Less than 15% penetrating injuries require neck exploration, a majority can be managed conservatively
b. Divided into three zones, with zone I above the angle of the mandible, zone II between the thoracic outlet and angle of mandible, and zone III inferior to the clavicles
c. All patients with neck injury should receive computed tomography angiogram ( CTA) of the neck
d. Patients with dysphagia, hoarseness, hematoma, venous bleeding, hemoptysis, or subcutaneous emphysema should undergo neck exploration

Question 9#Print Question

Appropriate surgical management of a through-and-through gunshot wound to the lung with minimal bleeding and some air leak is:

a. Chest tube only
b. Oversewing entrance and exit wounds to decrease the air leak
c. Pulmonary tractotomy with a stapler and oversewing of vessels or bronchi
d. Wedge resection of the injured lung

Question 10#Print Question

What is true regarding the evaluation ofblunt abdominal trauma? 

a. Patients with abdominal wall rigidity and negative abdominal CT should undergo diagnostic peritoneal lavage (DPL) to rule out small bowel injury
b. If FAST examination is negative in a hemodynamically unstable patient then DPL is indicated to rule out abdominal bleeding
c. FAST examination cannot detect intraperitoneal fluid if the total volume is < 1000 mL
d. Bowel injury can be ruled out in hemodynamically stable patients with abdominal CT scanning

Category: Surgery--->Trauma
Page: 2 of 6