1|Page
ABSITE TRAUMA EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
How would you manage a blunt hepatic injury in hemodynamically
stable patient without extravasation on the arterial phase of CT
scan? - ANSWER-Nonoperatively: follow with serial hematocrit,
vital signs, serial abdominal examinations, repeat CT scan to
evaluate and quantify hemoperitoneum if the hematocrit drops,
angiography with superselective embolization with persistent
bleeding/fluid requirement
What procedure would you perform for an obvious traumatic injury
to the gallbladder? - ANSWER-Cholecystectomy
How would you repair a minor injury to the common bile duct
<50% of the duct's circumference? - ANSWER-Primary repair and
placement of a T-tube with a closed suction drain in the vicinity of
the repair
How would you repair a major injury to the common bile duct
>50% of the duct's circumference? - ANSWER-Choledochoenteric
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anastomosis with placement of a closed suction drain near the
anastomosis
When does the first mortality peak for trauma occur? - ANSWER-
Within seconds to minutes after injury
The trauma system and acute patient care has the greatest
impact on patients in which mortality peak for trauma? -
ANSWER-Second mortality peak (golden hour)
Most of the deaths during the second mortality peak for trauma
occur from? - ANSWER-Hemorrhage, central nervous system
injuries
When does the third mortality peak for trauma occur? - ANSWER-
24 hours after injury, from multisystem organ failure and sepsis
How long should the primary survey in the initial evaluation of a
trauma patient take? - ANSWER-No more than 5 minutes, unless
an intervention is needed.
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What mnemonic is used to conduct the primary survey? -
ANSWER-ABCDE: Airway, Breathing, Circulation, Disability,
Exposure
What are the goals during airway assessment? - ANSWER-
Secure the airway, protect the spinal cord
What is required for spinal immobilization? - ANSWER-A rigid
cervical collar, use of a full backboard
Contraindications to nasotracheal intubation: - ANSWER-Apnea,
maxillofacial fracture
What is the quickest way to test for an adequate airway in an
awake, alert patient? - ANSWER-Ask a question, if the patient is
able to speak the airway is intact.
Indications for a surgical airway: - ANSWER-Anatomic distortion
as a result of neck injury, massive maxillofacial trauma, inability to
visualize the vocal cords (blood, secretions, airway edema)
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What are the goals during the breathing assessment? -
ANSWER-Secure oxygenation and ventilation; treat life-
threatening thoracic injuries
What should be done on physical examination to adequately
assess breathing? - ANSWER-Inspection (air movement,
cyanosis, tracheal shift, JVD, respiratory rate, asymmetric chest
expansion, open chest wounds, use of accessory muscles of
respiration)
Auscultation/percussion (hyperresonance or dullness over lung
fields)
Palpation (flail segments, subcutaneous emphysema)
What life-threatening conditions must be treated during the
breathing assessment if encountered? - ANSWER-Open
pneumothorax, tension pneumothorax, massive hemothorax
What is the most common cause for upper airway obstruction? -
ANSWER-The tongue
ABSITE TRAUMA EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
How would you manage a blunt hepatic injury in hemodynamically
stable patient without extravasation on the arterial phase of CT
scan? - ANSWER-Nonoperatively: follow with serial hematocrit,
vital signs, serial abdominal examinations, repeat CT scan to
evaluate and quantify hemoperitoneum if the hematocrit drops,
angiography with superselective embolization with persistent
bleeding/fluid requirement
What procedure would you perform for an obvious traumatic injury
to the gallbladder? - ANSWER-Cholecystectomy
How would you repair a minor injury to the common bile duct
<50% of the duct's circumference? - ANSWER-Primary repair and
placement of a T-tube with a closed suction drain in the vicinity of
the repair
How would you repair a major injury to the common bile duct
>50% of the duct's circumference? - ANSWER-Choledochoenteric
,2|Page
anastomosis with placement of a closed suction drain near the
anastomosis
When does the first mortality peak for trauma occur? - ANSWER-
Within seconds to minutes after injury
The trauma system and acute patient care has the greatest
impact on patients in which mortality peak for trauma? -
ANSWER-Second mortality peak (golden hour)
Most of the deaths during the second mortality peak for trauma
occur from? - ANSWER-Hemorrhage, central nervous system
injuries
When does the third mortality peak for trauma occur? - ANSWER-
24 hours after injury, from multisystem organ failure and sepsis
How long should the primary survey in the initial evaluation of a
trauma patient take? - ANSWER-No more than 5 minutes, unless
an intervention is needed.
,3|Page
What mnemonic is used to conduct the primary survey? -
ANSWER-ABCDE: Airway, Breathing, Circulation, Disability,
Exposure
What are the goals during airway assessment? - ANSWER-
Secure the airway, protect the spinal cord
What is required for spinal immobilization? - ANSWER-A rigid
cervical collar, use of a full backboard
Contraindications to nasotracheal intubation: - ANSWER-Apnea,
maxillofacial fracture
What is the quickest way to test for an adequate airway in an
awake, alert patient? - ANSWER-Ask a question, if the patient is
able to speak the airway is intact.
Indications for a surgical airway: - ANSWER-Anatomic distortion
as a result of neck injury, massive maxillofacial trauma, inability to
visualize the vocal cords (blood, secretions, airway edema)
, 4|Page
What are the goals during the breathing assessment? -
ANSWER-Secure oxygenation and ventilation; treat life-
threatening thoracic injuries
What should be done on physical examination to adequately
assess breathing? - ANSWER-Inspection (air movement,
cyanosis, tracheal shift, JVD, respiratory rate, asymmetric chest
expansion, open chest wounds, use of accessory muscles of
respiration)
Auscultation/percussion (hyperresonance or dullness over lung
fields)
Palpation (flail segments, subcutaneous emphysema)
What life-threatening conditions must be treated during the
breathing assessment if encountered? - ANSWER-Open
pneumothorax, tension pneumothorax, massive hemothorax
What is the most common cause for upper airway obstruction? -
ANSWER-The tongue
