TCRN TCRN Abdominal and Pelvic Trauma 5

Question 1

What is the American Association for the Surgery of Trauma (AAST) grade of a splenic injury with vascular injury or active bleeding confined within the splenic capsule?

Accepted Answer

Grade IV

Answer

Grade IV splenic injuries involve vascular injury or active bleeding confined within the splenic capsule, representing a high-grade injury that often requires intervention.

Question 2

A patient arrives after a gunshot wound to the abdomen with eviscerated bowel through the wound. What is the appropriate initial management of the eviscerated bowel?

Accepted Answer

Cover with warm, moist saline-soaked dressings and prepare for surgery

Answer

Eviscerated bowel should be covered with warm, moist saline dressings to prevent desiccation while the patient is urgently taken to the operating room.

Question 3

When should a pelvic binder be placed on a trauma patient with suspected pelvic ring injury?

Accepted Answer

As soon as a pelvic fracture is suspected in a hemodynamically unstable patient

Answer

Pelvic binders should be applied early when a pelvic ring fracture is suspected in a hemodynamically unstable patient to reduce pelvic volume and tamponade venous hemorrhage.

Question 4

Which type of liver injury is characterized by hepatic avulsion from the retrohepatic vena cava and is typically fatal?

Accepted Answer

Grade VI (juxtahepatic venous injury)

Answer

Grade VI liver injuries (formerly described as hepatic avulsion) involve the retrohepatic vena cava or major hepatic veins and carry an extremely high mortality rate.

Question 5

A patient with blunt abdominal trauma is noted to have bile-stained peritoneal fluid on diagnostic peritoneal lavage. Which injury is most likely?

Accepted Answer

Duodenal or biliary tract injury

Answer

Bile-stained fluid on DPL indicates injury to a bile-containing structure such as the duodenum, gallbladder, or biliary tract, requiring operative exploration.

TCRN Exam Practice Test

TCRN Exam Practice Test

TCRN TCRN Abdominal and Pelvic Trauma 5