Deck 12: Traumatic Disease

Question 1

What pathologic condition following trauma to the head is characterized by headache,vertigo,and vomiting?

A)Contusion
B)Coup lesion
C)Contrecoup lesion
D)Concussion

Answer 1

Concussion

Question 2

What imaging modality is best utilized for skeletal trauma?

A)Radiography
B)CT
C)MR
D)Nuclear medicine

Answer 2

Radiography

Question 3

What type of distribution pattern do most deaths from trauma assume?

A)Monocloidal
B)Bimodal
C)Trimodal
D)Bell curve

Answer 3

Trimodal

Question 4

What is the most common type of fracture associated with the vertebrae?

A)Burst fracture
B)Compression fracture
C)Spondylolisthesis
D)Pars defect

Question 5

What anatomic structures are common areas for fatigue fractures?

A)Metatarsals
B)Metacarpals
C)Distal radius
D)Distal tibia

Question 6

Which imaging modality has superseded the use of cervical spine radiography for trauma patients?

A)Computed tomography
B)Nuclear medicine
C)Sonography
D)Angiography

Question 7

What is the preferred modality for imaging trauma to the abdomen and pelvis?

A)Radiography
B)Magnetic resonance
C)Computed tomography
D)Sonography

Question 8

Which of the following is not a secondary assessment or vital sign of the patient who has sustained a traumatic injury?

A)Pulse
B)Blood pressure
C)Respiration
D)Range of motion of the head and neck

Question 9

With a basilar skull fracture,what anatomic structure is important radiographically?

A)Sphenoid sinus
B)Ethmoid sinuses
C)Maxillary sinuses
D)Frontal sinuses

Question 10

When analyzing cervical spine radiographs of the trauma patient,what is not a significant consideration?

A)Prevertebral fat stripe
B)Size and shape of vertebral structures
C)Nucleus pulposus
D)Alignment of spinolaminal lines

Question 11

Which type of cerebral hematoma has the highest mortality rate?

A)Intracerebral hematoma
B)Subdural hematoma
C)Epidural hematoma
D)Subarachnoid hematoma

Question 12

What classification is given to a fracture that fails to heal?

A)Delayed union
B)Poor union
C)Malunion
D)Nonunion

Question 13

Which bone is involved with a tripod fracture?

A)Maxilla
B)Mandible
C)Malar
D)Nasal

Question 14

Which fracture classification generally requires surgical intervention such as an irrigation and debridement?

A)Closed
B)Buckle
C)Open
D)Impacted

Question 15

Which of the following is an example of a growth plate injury?

A)Avascular necrosis
B)Buckle fracture
C)Colles fracture
D)SCFE

Question 16

Trauma is the leading cause of death for which of the following age groups?

A)1-44 years
B)45-50 years
C)40-65 years
D)60-75 years

Question 17

What is the Glasgow Coma Scale number recommended by the New Orleans helical computed tomography rule (HCT)to order a CT head examination for a traumatic head injury in conjunction with a headache or intoxication?

A)1-5
B)6-10
C)10-13
D)15

Question 18

What type of fracture classification often occurs as a twisting or rotary movement to a long bone?

A)Transverse fracture
B)Spiral fracture
C)Impacted fracture
D)Comminuted fracture

Question 19

Which type of cerebral hematoma often demonstrates a midline shift on CT or MR images?

A)Intracerebral hematoma
B)Subdural hematoma
C)Epidural hematoma
D)Subarachnoid hematoma

Question 20

What is the term commonly used to describe fractures involving the epiphysis of children?

A)Glasgow scale
B)Trauma scale
C)Salter-Harris
D)Fracture scale

Question 21

A high school football player sustained a stress injury to his right knee and was diagnosed with a medial meniscal tear.What additional pathology may be demonstrated on the MRI exam?

A)Impacted fracture of the hip
B)Bone bruise of the medial femoral condyle
C)Salter-Harris fracture of the distal fibula
D)Avascular necrosis of the proximal femur

Question 22

Which bone has the slowest healing time following traumatic injury?

A)Maxilla
B)Mandible
C)Malar
D)Nasal

Question 23

Which of the following is not a radiographic sign of battered child syndrome?

A)Impacted radial fracture
B)Multiple rib fractures
C)Spiral fracture of a long bone
D)Skull fracture

Question 24

What pathology can cause a mediastinal shift on a chest radiograph?

A)Lobar bibasilar atelectasis
B)Pleurisy
C)Pneumonia
D)Rib fracture

Question 25

Bilateral shoulder radiographs are generally obtained to diagnose shoulder dislocations.

Question 26

Which imaging modality best demonstrates avascular necrosis?

A)CT
B)MRI
C)Nuclear medicine
D)Radiography

Question 27

According to the ACR,which of the following imaging modalities is most appropriate in assessing abdominal trauma?

A)CT
B)MRI
C)Radiography
D)Sonography

Question 28

The radiographic "football sign" is usually indicative of what pathologic condition?

A)Ileus
B)Perforated ulcer
C)Pneumoperitoneum
D)Pneumothorax