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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

Med Student 15 questions Updated 22 May 2019

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Questions in this quiz (15)

  1. 1A 22 year-old man is brought to the emergency department after falling from a 10-foot ladder, landing on his left side. He has multiple left-sided rib fractures and a pneumothorax requiring a chest tube. Physical examination of the abdomen is unremarkable. He remains hemodynamically stable throughout the primary and secondary surveys and undergoes contrast-enhanced CT scanning of the abdomen and pelvis. CT scan reveals a grade II laceration of the spleen, with no evidence of active contrast extravasation. The next appropriate step in management is
    1. Aexploratory laparotomy with splenectomy
    2. Bexploratory laparotomy with splenorrhaphy
    3. Csplenic angioembolization
    4. Dvideo-assisted thoracoscopy with evacuation of hemothorax
    5. Eobservation with serial abdominal examinations
  2. 2What is a surgeon's greatest concern for patients who undergo nonoperative management of splenic injuries?
    1. Ahypovolemic shock
    2. Bspontaneous rupture
    3. Cpostsplenectomy sepsis
    4. Ddelayed rupture of the spleen
    5. Enone of the above
  3. 3Although, there are still different opinions on this matter, many agree that nonoperative management of splenic injuries should be reserved for
    1. Agrade I injuries according to the AAST Spleen Injury Scale
    2. Bgrade II injuries according to the AAST Spleen Injury Scale
    3. Cgrade I, II and III injuries according to the AAST Spleen Injury Scale
    4. Dgrade IV injuries according to the AAST Spleen Injury Scale
    5. Egrade V injuries according to the AAST Spleen Injury Scale
  4. 4Which of these organs is the most commonly injured abdominal organ?
    1. Aliver
    2. Bspleen
    3. Clungs
    4. Dstomach
    5. Epancreas
  5. 5Hematoma in the spleen- subcapsular, 10% to 50% surface area; intraparenchymal, <1 5 cm in diameter corresponds to which injury grade according to the AAST Spleen Injury Scale?
    1. Agrade I
    2. Bgrade II
    3. Cgrade III
    4. Dgrade IV
    5. Egrade V
  6. 6Which imaging test do we use first in ar unstable trauma patient with suspected abdornina trauma?
    1. APlain radiograph of the abdomen
    2. BFocused abdominal sonography in trauma (FAST)
    3. CDiagnostic peritoneal lavage
    4. DAbdominal CT scan
    5. EMRI of the abdomen
  7. 7Which is the primary method of imaging of the stable blunt trauma patient and has supported the evolution of the nonoperative management of many solid abdominal organ injuries?
    1. APlain radiograph of the abdomen
    2. BFocused abdominal sonography in trauma (FAST)
    3. CAbdominal CT with IV administration of a contrast agent
    4. DDiagnostic peritoneal lavage
    5. EMRI of the abdomen
  8. 8What complications of nonoperative management of liver traumas can we expect after the initial success?
    1. Abile leaks
    2. Bbiloma formation
    3. Chemobilia
    4. Dliver abscesses
    5. Eall of the above
  9. 9Hematoma of the liver - subcapsular, > 50% surface area of ruptured, subcapsular or parenchymal hematoma; intraparenchymal hematoma > 10 cm or expanding corresponds to which injury grade according to the AAST Liver Injury Scale?
    1. Agrade I
    2. Bgrade II
    3. Cgrade III
    4. Dgrade IV
    5. Egrade V
  10. 10Gastric injuries will often be identified on physical examination by
    1. Athe presence of peritonitis
    2. Bthe evidence of shock
    3. Cjaundice and biliary colic
    4. Dhypovolemia
    5. Eall of the above

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Description
Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU
Language
English
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History
Created on 21 May 2019 · updated on 22 May 2019
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