Exam Questions and Verified Correct
Answers
What are the two types of penetrating chest traumas? - CORRECT
ANSWER GSW and stab
What signs will a pancreatic injury show, in the setting of
abdominal trauma?
- CORRECT ANSWER cullens sign (bruising around the umbilicus)
Grey-Turners sign (bruising of the flank area)
What may occur with trauma or rupture to the spleen - CORRECT
ANSWER bleeding, it is a highly vascular organ
what may occur with damage to the kidneys - CORRECT ANSWER
AKI, blood in urine or tea colored urine.
What organs in the abdomen are most commonly injured with a
GSW - CORRECT ANSWER small and large bowel
What are the two types of trauma? - CORRECT ANSWER blunt and
penetrating
When would an emergent ex-lap be appropriate in the setting of
abdominal trauma? - CORRECT ANSWER signs of hemodynamic
instability impalement or evisceration of abd contents s/s of
peritonitis (guarding or rebound tenderness) rectal bleeding
bloody aspirate from ng tube
, When would a patient receive a FAST scan or other diagnostic tests
instead of going straight to the OR after abd trauma? - CORRECT
ANSWER When there are no signs of hemorrage or peritonitis
following abd trauma, the patient will get a FAST scan to assess for
fluid in peritoneal cavity or if penetrating wound reached the
cavity. If there is no penetration into the abd cavity, the pt is
monitored and gets a CT scan.
Which type of trauma can affect the liver, bladder, and spleen? -
CORRECT ANSWER Both blunt and penetrating traumas can affect
these organs
What can increase risk of injury or complications from trauma to
the spleen.
What about the liver? - CORRECT ANSWER splenomegaly
(enlarged spleen) The liver being a big organ makes it more
likely to be involved in trauma injury
What ae common s/s across the bladder, liver, and spleen that
may occur following abd trauma - CORRECT ANSWER rigid
abdomen shock hemorrhage
What s/s unique to the bladder may show from abdominal trauma?
- CORRECT ANSWER hematuria, failure to void, and blood at the
meatus
What s/s unique to the spleen may show from abdominal trauma? -
CORRECT ANSWER pain, specifically left shoulder, and LUQ
tenderness