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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

Frage 1 von 15

1

A 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

Wähle eine der folgenden:

  • exploratory laparotomy with splenectomy

  • exploratory laparotomy with splenorrhaphy

  • splenic angioembolization

  • video-assisted thoracoscopy with evacuation of hemothorax

  • observation with serial abdominal examinations

Erklärung

Frage 2 von 15

1

What is a surgeon's greatest concern for patients who undergo nonoperative management of splenic injuries?

Wähle eine der folgenden:

  • hypovolemic shock

  • spontaneous rupture

  • postsplenectomy sepsis

  • delayed rupture of the spleen

  • none of the above

Erklärung

Frage 3 von 15

1

Although, there are still different opinions on this matter, many agree that nonoperative management of splenic injuries should be reserved for

Wähle eine der folgenden:

  • grade I injuries according to the AAST Spleen Injury Scale

  • grade II injuries according to the AAST Spleen Injury Scale

  • grade I, II and III injuries according to the AAST Spleen Injury Scale

  • grade IV injuries according to the AAST Spleen Injury Scale

  • grade V injuries according to the AAST Spleen Injury Scale

Erklärung

Frage 4 von 15

1

Which of these organs is the most commonly injured abdominal organ?

Wähle eine der folgenden:

  • liver

  • spleen

  • lungs

  • stomach

  • pancreas

Erklärung

Frage 5 von 15

1

Hematoma 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?

Wähle eine der folgenden:

  • grade I

  • grade II

  • grade III

  • grade IV

  • grade V

Erklärung

Frage 6 von 15

1

Which imaging test do we use first in ar unstable trauma patient with suspected abdornina trauma?

Wähle eine der folgenden:

  • Plain radiograph of the abdomen

  • Focused abdominal sonography in trauma (FAST)

  • Diagnostic peritoneal lavage

  • Abdominal CT scan

  • MRI of the abdomen

Erklärung

Frage 7 von 15

1

Which 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?

Wähle eine der folgenden:

  • Plain radiograph of the abdomen

  • Focused abdominal sonography in trauma (FAST)

  • Abdominal CT with IV administration of a contrast agent

  • Diagnostic peritoneal lavage

  • MRI of the abdomen

Erklärung

Frage 8 von 15

1

What complications of nonoperative management of liver traumas can we expect after the initial success?

Wähle eine der folgenden:

  • bile leaks

  • biloma formation

  • hemobilia

  • liver abscesses

  • all of the above

Erklärung

Frage 9 von 15

1

Hematoma 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?

Wähle eine der folgenden:

  • grade I

  • grade II

  • grade III

  • grade IV

  • grade V

Erklärung

Frage 10 von 15

1

Gastric injuries will often be identified on physical examination by

Wähle eine der folgenden:

  • the presence of peritonitis

  • the evidence of shock

  • jaundice and biliary colic

  • hypovolemia

  • all of the above

Erklärung

Frage 11 von 15

1

What is the treatment for small hematomas of the duodenal wall?

Wähle eine der folgenden:

  • duodenal transection with primary anastomosis

  • gastric decompression and initiation of total parenteral nutrition

  • primary repair using a single- or double-layer approach

  • mobilization of the duodenum with a wide Kocher maneuver

  • typically they require no treatment

Erklärung

Frage 12 von 15

1

The pancreas is well protected because of its retroperitoneal location. What is the commonly identified mechanism of most pancreatic injuries?

Wähle eine der folgenden:

  • direct compression of the organ in the left upper quadrant of the abdomen

  • penetrating wound to the right thoracoabdominal! area

  • shearing forces, which tear pancreatic tissue

  • acute increase in intraluminal pressure from external forces

  • crushing of the body between a rigid structure and the vertebral column

Erklärung

Frage 13 von 15

1

Which of these organs is one of the most frequently injured organs after penetrating abdominal trauma?

Wähle eine der folgenden:

  • spleen

  • pancreas

  • small intestine

  • liver

  • gallbladder

Erklärung

Frage 14 von 15

1

Diffuse liver bleeding due to coagulopathy will not respond to repeated attempts at placement of suture. How do we proceed in this situation?

Wähle eine der folgenden:

  • we apply perihepatic packing and manual compression

  • we apply the Pringle maneuver

  • we apply a vascularized pedicle of omentum within the liver injury

  • we apply perihepatic packing and reversal of physiologic derangements in the ICU

  • none of the above

Erklärung

Frage 15 von 15

1

If you want flash cards go to
https://quizlet.com/_5q298a

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

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