DISTINCTION GUARANTEED
Trauma and Acute Care Surgery Symposium 2025
TNCC
DETAILED SOLUTIONS, EXPLANATIONS,
WORKINGS AND REFERENCES
March 2025 EXAMINATION PREDICTION
DISCTINCTION GUARANTEED
NO PLAGARISM
,Trauma and Acute Care Surgery Exam Questions (2025 Edition)
Total Questions: 20 (with answer key)
1. Trauma Assessment and Initial Management
Q1: A 35-year-old male presents with a penetrating chest injury and is in respiratory distress.
Breath sounds are absent on the right side. What is the next best step?
A) Perform an immediate needle thoracostomy in the second intercostal space
B) Obtain a chest X-ray before proceeding with treatment
C) Administer high-flow oxygen and monitor for deterioration
D) Perform an emergency pericardiocentesis
(Correct Answer: A – Immediate needle thoracostomy for suspected tension pneumothorax)
2. Hemorrhagic Shock Management
Q2: In a patient with Class III hemorrhagic shock, what is the expected percentage of blood
loss?
A) <15%
B) 15–30%
C) 30–40%
D) >40%
(Correct Answer: C – 30–40% blood loss characterizes Class III hemorrhagic shock)
3. Abdominal Trauma
Q3: A hemodynamically stable patient with a blunt liver injury on CT scan (Grade III)
should be managed by:
A) Immediate laparotomy
B) Angiographic embolization if bleeding is suspected
C) Observation with serial hematocrit checks and imaging
D) Peritoneal lavage to assess internal bleeding
(Correct Answer: C – Most hemodynamically stable liver injuries can be managed
conservatively with observation)
4. Burns and Fluid Resuscitation
Q4: What is the correct formula for fluid resuscitation in an adult burn patient with >20%
total body surface area (TBSA) burns?
A) 4 mL/kg/%TBSA of crystalloid in 24 hours, with half given in the first 8 hours
B) 2 mL/kg/%TBSA of crystalloid in 24 hours, with half given in the first 8 hours
, C) 1 mL/kg/%TBSA of colloid in 24 hours
D) 3 mL/kg/%TBSA of lactated Ringer’s in the first 12 hours
(Correct Answer: A – Parkland formula: 4 mL/kg/%TBSA, with half given in the first 8
hours)
5. Acute Abdomen and Surgical Emergencies
Q5: A patient presents with sudden onset of severe abdominal pain, peritonitis, and free air
under the diaphragm on X-ray. What is the most likely diagnosis?
A) Acute appendicitis
B) Perforated peptic ulcer
C) Small bowel obstruction
D) Ischemic colitis
(Correct Answer: B – Perforated peptic ulcer is indicated by free air under the diaphragm
and peritonitis)
6. Neurotrauma and Head Injury
Q6: A patient arrives with a Glasgow Coma Scale (GCS) score of 8 after a motor vehicle
collision. The initial management should include:
A) Immediate administration of mannitol
B) Endotracheal intubation for airway protection
C) Administration of hypertonic saline
D) Immediate neurosurgical decompression
(Correct Answer: B – A GCS of ≤8 indicates the need for airway protection via intubation)
7. Trauma Radiology
Q7: The "FAST" exam in trauma stands for:
A) Focused Assessment with Sonography for Trauma
B) Fluid Assessment in Shocked Trauma
C) Focused Advanced Scanning of Thorax
D) Focused Abdominal Screening Test
(Correct Answer: A – The FAST exam is used to detect free fluid in trauma patients)
8. Pediatric Trauma
Trauma and Acute Care Surgery Symposium 2025
TNCC
DETAILED SOLUTIONS, EXPLANATIONS,
WORKINGS AND REFERENCES
March 2025 EXAMINATION PREDICTION
DISCTINCTION GUARANTEED
NO PLAGARISM
,Trauma and Acute Care Surgery Exam Questions (2025 Edition)
Total Questions: 20 (with answer key)
1. Trauma Assessment and Initial Management
Q1: A 35-year-old male presents with a penetrating chest injury and is in respiratory distress.
Breath sounds are absent on the right side. What is the next best step?
A) Perform an immediate needle thoracostomy in the second intercostal space
B) Obtain a chest X-ray before proceeding with treatment
C) Administer high-flow oxygen and monitor for deterioration
D) Perform an emergency pericardiocentesis
(Correct Answer: A – Immediate needle thoracostomy for suspected tension pneumothorax)
2. Hemorrhagic Shock Management
Q2: In a patient with Class III hemorrhagic shock, what is the expected percentage of blood
loss?
A) <15%
B) 15–30%
C) 30–40%
D) >40%
(Correct Answer: C – 30–40% blood loss characterizes Class III hemorrhagic shock)
3. Abdominal Trauma
Q3: A hemodynamically stable patient with a blunt liver injury on CT scan (Grade III)
should be managed by:
A) Immediate laparotomy
B) Angiographic embolization if bleeding is suspected
C) Observation with serial hematocrit checks and imaging
D) Peritoneal lavage to assess internal bleeding
(Correct Answer: C – Most hemodynamically stable liver injuries can be managed
conservatively with observation)
4. Burns and Fluid Resuscitation
Q4: What is the correct formula for fluid resuscitation in an adult burn patient with >20%
total body surface area (TBSA) burns?
A) 4 mL/kg/%TBSA of crystalloid in 24 hours, with half given in the first 8 hours
B) 2 mL/kg/%TBSA of crystalloid in 24 hours, with half given in the first 8 hours
, C) 1 mL/kg/%TBSA of colloid in 24 hours
D) 3 mL/kg/%TBSA of lactated Ringer’s in the first 12 hours
(Correct Answer: A – Parkland formula: 4 mL/kg/%TBSA, with half given in the first 8
hours)
5. Acute Abdomen and Surgical Emergencies
Q5: A patient presents with sudden onset of severe abdominal pain, peritonitis, and free air
under the diaphragm on X-ray. What is the most likely diagnosis?
A) Acute appendicitis
B) Perforated peptic ulcer
C) Small bowel obstruction
D) Ischemic colitis
(Correct Answer: B – Perforated peptic ulcer is indicated by free air under the diaphragm
and peritonitis)
6. Neurotrauma and Head Injury
Q6: A patient arrives with a Glasgow Coma Scale (GCS) score of 8 after a motor vehicle
collision. The initial management should include:
A) Immediate administration of mannitol
B) Endotracheal intubation for airway protection
C) Administration of hypertonic saline
D) Immediate neurosurgical decompression
(Correct Answer: B – A GCS of ≤8 indicates the need for airway protection via intubation)
7. Trauma Radiology
Q7: The "FAST" exam in trauma stands for:
A) Focused Assessment with Sonography for Trauma
B) Fluid Assessment in Shocked Trauma
C) Focused Advanced Scanning of Thorax
D) Focused Abdominal Screening Test
(Correct Answer: A – The FAST exam is used to detect free fluid in trauma patients)
8. Pediatric Trauma
