CEN Trauma Emergencies 3

Question 1

A patient presents with a traumatic amputation of the right hand. What is the proper preservation method for the amputated part before replantation?

Accepted Answer

Wrap in dry sterile gauze, place in a sealed bag, then place the bag on ice

Answer

Submerge directly in ice water

Answer

Wrap in wet saline gauze and pack directly in ice

Answer

Apply pressure dressing to the amputated part and discard

Question 2

A burn patient has burns covering the entire anterior trunk, both arms completely, and the head. Using the Rule of Nines, what is the TBSA burned?

Accepted Answer

45%

Answer

36%

Answer

54%

Answer

63%

Question 3

For fluid resuscitation of a burn patient, the Parkland formula calculates volume based on which variables?

Accepted Answer

TBSA burned (%) and weight (kg): 4 mL × kg × %TBSA of LR in 24 hours

Answer

Weight and age only

Answer

TBSA burned and serum sodium level

Answer

Height, weight, and depth of burn

Question 4

A patient with a stab wound to the right chest has decreased breath sounds on the right, hypotension, and tracheal deviation to the left. What is the immediate priority?

Accepted Answer

Needle decompression at 2nd ICS right MCL

Answer

Chest X-ray

Answer

IV fluid resuscitation

Answer

Pericardiocentesis

Question 5

Damage control surgery (DCS) in trauma is characterized by which primary principle?

Accepted Answer

Controlling hemorrhage and contamination quickly, then closing and resuscitating before definitive repair

Answer

Performing definitive repair in the first operation regardless of stability

Answer

Using only laparoscopic techniques to minimize blood loss

Answer

Delaying any surgery until fully resuscitated

Question 6

Which clinical finding is most indicative of a ruptured spleen following blunt abdominal trauma?

Accepted Answer

Left upper quadrant pain with Kehr's sign (referred left shoulder pain)

Answer

Hematuria and flank pain

Answer

Guarding in the right lower quadrant

Answer

Femoral pulse deficit