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Multiple Choice Questions (MCQ)

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Category: Surgery--->Trauma
Page: 6

Question 26#Print Question

A 19-year-old man fell off his skateboard, reporting blunt injury to his upper abdomen. Abdominal CT and magnetic resonance cholangiopancreatography (MRCP) confirmed he suffered transection of the main pancreatic duct at the middle of the pancreatic body.

Which of the following would be the most appropriate next step in management? 

a. Nonoperative treatment
b. Endoscopic retrograde cholangiopancreatography (ERCP) with stenting of pancreatic duct
c. Distal pancreatectomy with splenic preservation
d. Primary repair of pancreatic duct with closed suction drainage


Question 27#Print Question

The most appropriate treatment for a gunshot wound to the hepatic flexure of the colon that cannot be repaired primarily is:

a. End colostomy and mucous fistula
b. Loop colostomy
c. Exteriorized repair
d. Resection of the right colon with ileocolostomy


Question 28#Print Question

Which of the following statements is FALSE regarding traumatic genitourinary injury? 

a. If exploratory laparotomy is performed for trauma, all blunt and penetrating wounds to the kidneys should be explored
b. Renal vascular injuries are common after penetrating trauma, and can be deceptively tamponaded by surrounding fascia
c. Success of renal artery repair after blunt trauma is slim, but can be attempted if injury occurred within 5 hours or patient does not have any reserve renal function (solitary kidney or bilateral injury)
d. Suspected ureteral injuries in patients with penetrating trauma or pelvic fractures can be evaluated intraoperatively with methylene blue or indigo carmine administered intravenously
e. Bladder injuries with extraperitoneal extravasation can be managed with Foley decompression for 2 weeks


Question 29#Print Question

At what pressure is operative decompression of a compartment mandatory?

a. 15 mm Hg
b. 25 mm Hg
c. 35 mm Hg
d. 45 mm Hg


Question 30#Print Question

Which is true regarding trauma in geriatric patients?

a. Admission GCS score after severe head injury is a good predictor of outcome
b. Rib fractures are associated with pulmonary contusion in 35% of patients, and complicated by pneumonia in 10 to 30% of patient
c. Approximately 10% of patients older than 65 years will sustain a rib fracture from a fall <6 ft
d. Chronologic age older than 65 years is associated with higher morbidity and mortality after trauma




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