CEN Trauma Emergencies 2

Question 1

A patient sustains a gunshot wound to the abdomen with evisceration of bowel through the wound. What is the correct initial management of the eviscerated bowel?

Accepted Answer

Cover with a moist, sterile dressing

Answer

Push the bowel back into the abdomen

Answer

Apply a dry sterile gauze and pressure dressing

Answer

Clamp and ligate protruding bowel

Question 2

Which fracture pattern is associated with massive pelvic hemorrhage and hemodynamic instability?

Accepted Answer

Open-book pelvic fracture (AP compression injury)

Answer

Isolated pubic ramus fracture

Answer

Stable lateral compression fracture

Answer

Avulsion fracture of the ischial tuberosity

Question 3

The 'lethal triad' in trauma refers to which three conditions?

Accepted Answer

Hypothermia, acidosis, and coagulopathy

Answer

Hypovolemia, hypoxia, and hyponatremia

Answer

Tachycardia, hypotension, and anemia

Answer

Metabolic alkalosis, hyperkalemia, and hypothermia

Question 4

A patient has a zone II penetrating neck injury with active bleeding. Which is the priority intervention?

Accepted Answer

Direct pressure and airway management

Answer

CT angiography of the neck

Answer

Immediate surgical exploration

Answer

Diagnostic angiography and embolization

Question 5

A patient has a suspected tension pneumothorax in the field. What is the prehospital treatment?

Accepted Answer

Needle thoracostomy at the 2nd intercostal space, midclavicular line

Answer

Wait for chest X-ray before treatment

Answer

Apply a flutter valve occlusive dressing

Answer

Immediate chest tube placement

Question 6

Which scoring system is used prehospital to predict which trauma patients need transfer to a trauma center?

Accepted Answer

Revised Trauma Score (RTS)

Answer

APACHE II

Answer

Glasgow Coma Scale alone

Answer

SOFA score