Absite Trauma Actual Exam Newest 2025/2026 With
Complete 200 Questions And Correct Answers
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How is serum osmolarity adjusted in head injured patients? - ANSWER-
3% NSS or Mannitol
When do the peak ICPs occur after injury? - ANSWER-48 to 72 hours
after injury
What does a unilateral dilated pupil in a head injured patient signify? -
ANSWER-Uncal herniation with compression of cranial nerve III
What GCS score indicates moderate head injury? - ANSWER-9> GCS
<12
What GCS score indicates severe head injury? - ANSWER-GCS <8
Which component of the GCS is the most predictive of serious anatomic
injury to the brain and correlates most strongly with outcome? -
ANSWER-The motor component
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What does a score of 0 on assessment of motor strength signify? -
ANSWER-No contraction of muscle
What does a score of 1 on assessment of motor strength signify? -
ANSWER-Palpable muscle contraction without limb movement
What does a score of 2 on assessment of motor strength signify? -
ANSWER-Able to move in a gravity-neutral plane
What does a score of 3 on assessment of motor strength signify? -
ANSWER-Able to move against gravity
What does a score of 4 on assessment of motor strength signify? -
ANSWER-Diminished strength
What does a score of 5 on assessment of motor strength signify? -
ANSWER-Normal strength
What artery is usually responsible for an epidural hematoma? -
ANSWER-Middle meningeal artery
What kind of deformity is seen on CT head with an epidural hematoma?
- ANSWER-Lenticular (lens-shaped) deformity
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What kind of head injury is associated with a lucid interval? -
ANSWER-Epidural hematoma
How many mm of shift on CT head is considered significant mass
effect? - ANSWER-5 mm
Bridging veins between the dura and arachnoid are torn - ANSWER-
Subdural hematoma
What kind of deformity is seen on CT head with a subdural hematoma? -
ANSWER-Crescent-shaped deformity
What are indications for drainage of a chronic subdural hematoma? -
ANSWER-Significant symptoms, large size
Where do intracerebral hematomas usually occur? - ANSWER-Frontal
or temporal lobes
What is the most common site of facial nerve injury with a temporal
skull fracture? - ANSWER-Geniculate ganglion
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Indications for operative intervention in a patient with skull fracture: -
ANSWER-Significant depression (8-10 mm), contaminated, persistent
CSF leak not responding to conservative management
What is central cord syndrome? - ANSWER-Hyperflexion or
hyperextension of the neck leads to interference with blood flow in the
spinal arteries leading to motor weakness and sensory loss primarily
affecting the distal muscles of the upper extremities.
What is Brown-Séquard syndrome? - ANSWER-Partial transection of
the spinal cord, which results in loss of ipsilateral motor function and
loss of contralateral sensory function.
What are the 3 columns of the spinal column? - ANSWER-Anterior
spinal ligament/anterior walls of the vertebral bodies, posterior spinal
ligament/posterior walls of the vertebral bodies, posterior elements of
the vertebral column (facet joints, lamina, spinous processes,
interspinous ligaments)
How many columns need to be involved for a spinal column injury to be
considered unstable? - ANSWER-≥2 columns
How are stable spinal column injuries treated? - ANSWER-
Immobilization (collar for cervical spine, molded jacket for thoracic and
lumbar spine)