ABSITE - TRAUMA – QUESTIONS WITH CORRECT ANSWERS 2025

ABSITE - TRAUMA – QUESTIONS WITH
CORRECT ANSWERS 2025
AN34-year-oldNfemaleNpresentsNafterNaNhigh-
velocityNMVCNwithNrightNflankNpainNandNfrankNbrightNredNbloodNinNherNurine.NHerNprimaryNsurveyNisNintact
,NandNvitalNsignsNareNHRN112Nbpm,NBPN86/59NmmHg,NRRN20/min,NandNoxygenNsaturationNisN98%NonNroomN
air.NCTNscanNdemonstratesNaNGradeNIVNlacerationNtoNtheNrightNkidney.NTheNbestNchoiceNforNmanagementNis
:

A.NRenorrhaphy

B.NPackingNofNtheNrenalNfossa,NtemporaryNabdominalNclosure,NandNreturnNtoNtheNICU.

C.NTotalNnephrectomy

D.NObservationNinNtheNintensiveNcareNunitNwithNbloodNtransfusionNasNneeded

E.NGelfoamNangioembolizationN-NCORRECTNANSWERN-Renorrhaphy

Correct.

ThisNpatientNisNhemodynamicallyNunstable,NandNthereforeNshouldNbeNtakenNtoNtheNoperatingNroomNforNlap
arotomyNandNrenalNexploration.NPrinciplesNofNoperativeNrepairNforNaNGradeNIV,NandNforNsomeNGradeNVNkid
neyNlacerationsNincludeNrenalNpreservation,NwhenNpossible—debridementNofNnon-
viableNtissue,NhemostasisNusingNabsorbableNsuturesNinNaNfigure-of-
eightNfashionNwithNcareNtakenNtoNpreserveNarterialNsupplyNtoNdistalNsegments,NclosureNofNtheNcollectingNsy
stemNwithNabsorbableNsutureNinNaNrunningNfashion,NandNreapproximationNofNtheNcapsule.NAnNomentalNfla
pNcanNbeNsubstitutedNforNlargeNdefectsNifNnecessary.NDamageNcontrolNlaparotomyNisNnotNindicatedNinNthisN
patientNinNtheNabsenceNofNcoagulopathy,Nhypothermia,NorNacidosis.



AN19-year-
oldNmaleNpresentsNtoNtheNemergencyNroomNafterNaNmotorcycleNcrash.NDigitalNrectalNexamNincludingNtheNp
rostateNisNnormal,NandNthereNisNnoNbloodNatNtheNurethralNmeatus.NHeNhasNaNlateralNcompressionNpelvisNfra
ctureNandNgrossNhematuria.NTheNappropriateNevaluationNforNthisNpatientNwouldNinclude:

A.NRetrogradeNcystogram

B.NRetrogradeNcystogramNandNcontrastNCTNscanNofNtheNabdomenNandNpelvis

C.NContrastNCTNscanNofNtheNabdomenNandNpelvis

D.NRetrogradeNurethrogramN-NCORRECTNANSWERN-
RetrogradeNcystogramNandNcontrastNCTNscanNofNtheNabdomenNandNpelvis

Correct.

TheNcombinationNofNaNcystogramNandNaNcontrastNCTNscanNofNtheNabdomenNandNpelvisNwillNdiagnoseNpote
ntialNbladderNandNrenalNinjuries.NNoNretrogradeNurethrogramN(D)NisNneededNasNtheNpatientNdidNnotNhaveNa

, Nhigh-
ridingNprostateNonNdigitalNrectalNexamNandNdidNnotNhaveNbloodNatNtheNurethralNmeatus.NANcystogramNalon
eN(A)NwouldNnotNevaluateNforNrenalNinjuriesNwhichNareNpossibleNwithNtheNgivenNmechanismNandNhematuri
a.NANCTNscanNaloneN(C)NwouldNnotNevaluateNforNaNpotentialNbladderNinjuryNwhichNisNpossibleNwithNtheNgive
nNmechanismNandNhematuria.



AN30-year-
oldNmanNpresentsNtoNtheNEmergencyNDepartmentNafterNbeingNstruckNbyNaNmotorNvehicle;NheNwasNfoundNp
innedNunderNtheNvehicleNandNrequiredN30NminutesNofNextrication.NOnNarrival,NhisNbloodNpressureNisN76/50
NmmHg,NpulseN132Nbeats/min,NandNheNisNslowNtoNrespondNtoNstimuli.NANmassiveNtransfusionNprotocolNisNin

itiated.NTheNFASTNscanNisNpositive.NOnNexploration,NheNhasNaNlargeNzoneNINretroperitonealNhematoma,NaNla
rgeNvolumeNofNfreeNintraperitonealNblood,NseveralNsmallNbowelNlacerations,NandNaNgradeNIIINliverNlaceratio
n.NAfterNpackingNtheNfourNquadrants,NexplorationNofNtheNhematomaNdemonstratesNcompleteNtransectionN
ofNtheNvenaNcavaNbelowNtheNrenalNveins.NTheNpatientNremainsNhemodynamicallyNunstableNdespiteNtransfu
sion.NWhatNisNyourNnextNstepNinNmanagementNofNtheNvenaNcavalNinjury?

A.NPerformNaNrightNmedialNvisceralNrotation,NapplyNclampsNproximallyNandNdistallyNonNtheNcava,NandNrepai
rNtheNinjuryNprimarily.

B.NInsertNaN-NCORRECTNANSWERN-PerformNaNrightNmedialNvisceralNrotationNandNligateNtheNvenaNcava.

Correct.

InNtheNsettingNofNanNunstableNpatientNwithNcompleteNtransectionNofNtheNvenaNcava,NtheNbestNoptionNisNliga
tion.NRepairNofNtheNvenaNcavaNisNusuallyNtheNpreferredNoption;Nhowever,NthisNmayNnotNbeNfeasibleNinNtheNs
ettingNofNdamageNcontrolNlaparotomyNinNanNunstableNpatientNwithNmultipleNinjuriesNwhereNprolongingNth
eNoperativeNtimeNrisksNdevelopingNcoagulopathy,Nacidosis,NandNhypothermiaNpriorNtoNcontrolNofNallNmajor
NbleedingNsources.NANleftNmedialNvisceralNrotationNisNperformedNforNaorticNexposureNfromNtheNhiatusNtoNth

eNiliacs.NANrightNmedialNvisceralNrotationNisNrequiredNforNcavalNexposure.



AN55-year-
oldNmanNpresentsNwithNhemodynamicNinstabilityNandNsevereNabdominalNpainNafterNbeingNstruckNbyNaNcar.N
OnNexploratoryNlaparotomy,NheNisNfoundNtoNhaveNaNgradeN5NsplenicNinjuryNandNaN6-cmNleft-
sidedNzoneNIINretroperitonealNhematomaNthatNisNnotNexpanding.NMicroscopicNhematuriaNwasNalsoNdetecte
dNonNurinalysis.NAfterNperformingNsplenectomy,NwhatNisNtheNnextNstepNinNmanagement?

A.NExploreNtheNzoneNIINretroperitonealNhematoma.

B.NObserveNtheNzoneNIINhematoma.

C.NPerformNaNleftNnephrectomy.

D.NPerformNanNon-tableNangiogram.N-NCORRECTNANSWERN-ObserveNtheNzoneNIINhematoma.

Correct.