CEN Trauma Emergencies

Question 1

During the primary survey of a trauma patient, which step follows airway management?

Accepted Answer

Breathing and ventilation

Answer

Disability (neurological status)

Answer

Circulation with hemorrhage control

Answer

Exposure and environment control

Question 2

A patient arrives after a motor vehicle accident. He is hypotensive with a distended abdomen and a seatbelt sign. What is the most appropriate rapid assessment?

Accepted Answer

Focused Assessment with Sonography for Trauma (FAST)

Answer

CT abdomen/pelvis with contrast

Answer

Diagnostic peritoneal lavage (DPL)

Answer

Plain abdominal X-ray

Question 3

What is the initial fluid of choice for hemorrhagic shock in a trauma patient according to current guidelines?

Accepted Answer

Packed red blood cells with balanced resuscitation

Answer

Normal saline 2L IV bolus

Answer

Dextrose 5% in water 1L

Answer

Colloid solution (albumin) 500 mL

Question 4

A trauma patient has a blood pressure of 70/40 mmHg with absent JVD and dullness to percussion at the left lung base. What injury is most likely?

Accepted Answer

Hemothorax

Answer

Tension pneumothorax

Answer

Cardiac tamponade

Answer

Diaphragmatic rupture

Question 5

A patient with a suspected C-spine injury arrives immobilized. NEXUS criteria would allow cervical spine clearance WITHOUT imaging if which criterion is met?

Accepted Answer

Patient is alert, not intoxicated, has no distracting injury, no focal neuro deficit, no midline tenderness

Answer

Patient has midline cervical tenderness

Answer

Patient is alert with GCS 15 only

Answer

Patient has no visible neck injury

Question 6

Which type of traumatic brain injury is associated with a 'lucid interval' followed by rapid deterioration?

Accepted Answer

Epidural hematoma

Answer

Subdural hematoma

Answer

Diffuse axonal injury

Answer

Intracerebral contusion