PHTLS - Prehospital Trauma Life Support Abdominal and Pelvic Trauma 2

Question 1

Which organ is the most commonly injured solid organ in blunt abdominal trauma?

Accepted Answer

Spleen

Answer

Liver

Answer

Kidneys

Answer

Pancreas

Question 2

What is the primary prehospital concern with penetrating abdominal trauma?

Accepted Answer

Internal hemorrhage and hollow organ injury

Answer

Infection at the wound site

Answer

Cosmetic damage to the abdominal wall

Answer

Need for tetanus prophylaxis

Question 3

How should eviscerated abdominal organs be managed in the prehospital setting?

Accepted Answer

Cover with moist sterile dressings and protect from further injury

Answer

Push the organs back into the abdomen

Answer

Apply direct pressure to the eviscerated organs

Answer

Leave completely uncovered for continuous monitoring

Question 4

A patient involved in a motorcycle crash complains of left flank pain and has signs of shock. Which injury should be suspected?

Accepted Answer

Splenic laceration with hemorrhage

Answer

Ruptured appendix

Answer

Bladder rupture

Answer

Small bowel obstruction

Question 5

What is the significance of pelvic instability found during physical assessment of a trauma patient?

Accepted Answer

It suggests potential life-threatening pelvic hemorrhage

Answer

It confirms a simple pelvic fracture only

Answer

It indicates the patient has osteoporosis

Answer

It means the sacroiliac joint is dislocated

Question 6

Which of the following findings during abdominal assessment is most suggestive of peritoneal irritation?

Accepted Answer

Involuntary guarding and rigidity

Answer

Soft, non-tender abdomen

Answer

Hyperactive bowel sounds

Answer

Umbilical bruising only