Deck 1: Abdominal and Genitourinary Trauma

Question 1

The most frequent type of abdominal trauma is?

A)Penetrating trauma
B)Blunt force trauma
C)Visceral trauma
D)All of the above

Answer 1

Blunt force trauma

Question 2

The most common cause of penetrating abdominal trauma is?

A)Stabbing
B)Gun shots
C)Foreign object
D)Both A and B

Answer 2

Both A and B

Question 3

The most frequently injured urologic organ, as consequence of blunt trauma is?

A)Urinary bladder
B)Kidney
C)Ureters
D)Adrenal glands

Answer 3

Kidney

Question 4

The major sites of hemorrhage in patients sustaining blunt or penetrating abdominal trauma are?

A)The viscera
B)The mesentery
C)The major abdominal vessels
D)All of the above

Question 5

In abdominal trauma all of the following are most commonly injured abdominal vessels except?

A)Aortic arch
B)Aorta
C)Superior mesenteric artery (SMA),
D)Iliac arteries

Question 6

The most common sign of renal trauma is?

A)Pain in the flank
B)Abdominal bruising, swelling, and pain
C)Hematuria (blood in urine)
D)Decreased urine output or inability to urinate

Question 7

A hollow organ is an organ that contains a lumen, or a hollow space. All of the following are considered hollow organs except?

A)Esophagus
B)Small intestine
C)Stomach
D)Gall bladder

Question 8

A 50 year old patient hit by a truck was brought to the emergency department the patient was hypotensive having abdominal pain and rigidity his abdomen was distended which of the following organs are most commonly injured in abdominal trauma ?

A)Liver
B)Spleen
C)Stomach
D)Both A and B

Question 9

The occurrence of acute pain at shoulder tip as a result of presence of irritants or blood in peritoneal cavity when the patient is lying down and the legs are elevated this sign is a classical symptom of ruptured spleen what this sign is called ?

A)Kehr's sign
B)Homan ,s sign
C)Moses sign
D)All of these

Question 10

A 30 year old patient was brought to the emergency department was history of blunt abdominal trauma the patient was having left shoulder pain left upper quadrant pain and tenderness you suspect that the patient spleen is ruptured you are going to start examination of the patient on which quadrant of the abdomen the spleen is located ?

A)Right upper quadrant
B)Left upper quadrant
C)Right lower quadrant
D)Left lower quadrant

Question 11

A 30 year old is having blunt abdominal trauma one of the complication of blunt abdominal trauma is peritonitis which one of the following cause immediate peritonitis?

A)Blood
B)Chemical peritonitis from stomach acids
C)Bacterial peritonitis
D)All of these

Question 12

The main step in the management of patient having a penetrating trauma by Gunshot wounds is?

A)Laparotomy
B)hemodynamically stabilizing the patient
C)conservative management
D)Both A and B

Question 13

Which one of the following is correct regarding the definition of abdominal evisceration?

A)The removal of the viscera from the abdominal cavity; disembowelment.
B)The removal of the contents from an organ or an organ from abdominal cavity
C)The protrusion of an internal organ through a wound or surgical incision in the abdominal wall
D)All of these

Question 14

A 30 year old man having penetrating abdominal trauma by knife and his small bowel are protruded out through the wound site all of the following are correct regarding the evisceration of abdominal organs except ?

A)Careful cleaning and evaluation of eviscerated organ
B)Covering of protruding abdominal contents with sterile dressing
C)Reinserting the organ in the prehospital setting
D)Surgery

Question 15

A 25 year old female was brought to the emergency department having penetrating abdominal trauma and her abdominal organs were eviscerated you are going to start management of this patient which one of the following will be first aid in her management ?

A)Check airway, breathing and circulation
B)Providing first aid for shock
C)Controlling external bleeding.
D)All of these

Question 16

A 20 year old patient is having blunt abdominal trauma to the left side of the lower abdomen which one the following organ is not injured/least injured?

A)Liver
B)Adrenals
C)Ureters
D)Kidneys

Question 17

The signs and symptoms of traumatic retroperitoneal Hematoma are?

A)Abdominal pain
B)Abdominal distension
C)Back and lower quadrant pain
D)All of the above

Question 18

The retroperitoneal hematoma in centro-medial zone is usually the consequence of the injury of all of the following structures except?

A)Duodenum,
B)Pancreas
C)Kidney
D)Great vessels

Question 19

A 25 year old male was brought to the emergency department with history of trauma to testes which of the following are Symptoms of testicular injury?

A)Nausea
B)Bruising or discoloration of the scrotum
C)Swelling of the scrotum
D)Blood in the urine
E)All of the above

Question 20

A 26 year old women having injury to external genitalia is admitted in gynae ward she had given birth to a child two days ago what is the most likely cause of genital injury in females?

A)Child birth
B)Falls
C)Rough sex
D)Physical abuse or assault

Question 21

The abdomen is the ________ most commonly injured anatomic region in children?

A)First
B)Second
C)Third
D)Fourth

Question 22

A 62 year old male was brought to the emergency department having history of blunt abdominal trauma which one of the following organs are most commonly involved in old age abdominal injuries

A)Kidney
B)Spleen
C)Liver
D)All of these

Question 23

Why are children more vulnerable to blunt abdominal injury than adults? Choose all that apply?

A)The torsos of children are compact and has small anterior -posterior diameter this provide a smaller area and over this force injury can occur.
B)Larger viscera, especially liver and spleen
C)Weaker abdominal musculature
D)Less overlying fat
E)All of the above