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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

Pregunta 1 de 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

Selecciona una de las siguientes respuestas posibles:

  • exploratory laparotomy with splenectomy

  • exploratory laparotomy with splenorrhaphy

  • splenic angioembolization

  • video-assisted thoracoscopy with evacuation of hemothorax

  • observation with serial abdominal examinations

Explicación

Pregunta 2 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • hypovolemic shock

  • spontaneous rupture

  • postsplenectomy sepsis

  • delayed rupture of the spleen

  • none of the above

Explicación

Pregunta 3 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 4 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • liver

  • spleen

  • lungs

  • stomach

  • pancreas

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • grade I

  • grade II

  • grade III

  • grade IV

  • grade V

Explicación

Pregunta 6 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • Plain radiograph of the abdomen

  • Focused abdominal sonography in trauma (FAST)

  • Diagnostic peritoneal lavage

  • Abdominal CT scan

  • MRI of the abdomen

Explicación

Pregunta 7 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 8 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • bile leaks

  • biloma formation

  • hemobilia

  • liver abscesses

  • all of the above

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • grade I

  • grade II

  • grade III

  • grade IV

  • grade V

Explicación

Pregunta 10 de 15

1

Gastric injuries will often be identified on physical examination by

Selecciona una de las siguientes respuestas posibles:

  • the presence of peritonitis

  • the evidence of shock

  • jaundice and biliary colic

  • hypovolemia

  • all of the above

Explicación

Pregunta 11 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 12 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 13 de 15

1

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

Selecciona una de las siguientes respuestas posibles:

  • spleen

  • pancreas

  • small intestine

  • liver

  • gallbladder

Explicación

Pregunta 14 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 15 de 15

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

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