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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU

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Abdominal Truama MCQs- Surgical Diseases- 4th Year PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student over 5 years ago
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Question 1

Question
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
Answer
  • exploratory laparotomy with splenectomy
  • exploratory laparotomy with splenorrhaphy
  • splenic angioembolization
  • video-assisted thoracoscopy with evacuation of hemothorax
  • observation with serial abdominal examinations

Question 2

Question
What is a surgeon's greatest concern for patients who undergo nonoperative management of splenic injuries?
Answer
  • hypovolemic shock
  • spontaneous rupture
  • postsplenectomy sepsis
  • delayed rupture of the spleen
  • none of the above

Question 3

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

Question 4

Question
Which of these organs is the most commonly injured abdominal organ?
Answer
  • liver
  • spleen
  • lungs
  • stomach
  • pancreas

Question 5

Question
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?
Answer
  • grade I
  • grade II
  • grade III
  • grade IV
  • grade V

Question 6

Question
Which imaging test do we use first in ar unstable trauma patient with suspected abdornina trauma?
Answer
  • Plain radiograph of the abdomen
  • Focused abdominal sonography in trauma (FAST)
  • Diagnostic peritoneal lavage
  • Abdominal CT scan
  • MRI of the abdomen

Question 7

Question
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?
Answer
  • 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

Question 8

Question
What complications of nonoperative management of liver traumas can we expect after the initial success?
Answer
  • bile leaks
  • biloma formation
  • hemobilia
  • liver abscesses
  • all of the above

Question 9

Question
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?
Answer
  • grade I
  • grade II
  • grade III
  • grade IV
  • grade V

Question 10

Question
Gastric injuries will often be identified on physical examination by
Answer
  • the presence of peritonitis
  • the evidence of shock
  • jaundice and biliary colic
  • hypovolemia
  • all of the above

Question 11

Question
What is the treatment for small hematomas of the duodenal wall?
Answer
  • 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

Question 12

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

Question 13

Question
Which of these organs is one of the most frequently injured organs after penetrating abdominal trauma?
Answer
  • spleen
  • pancreas
  • small intestine
  • liver
  • gallbladder

Question 14

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

Question 15

Question
If you want flash cards go to https://quizlet.com/_5q298a
Answer
  • True
  • False
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