ENA Abdominal and GI Trauma. Exam 2025
Questions and Answers
An intoxicated patient staggers into the emergency department with a stab wound in the left
lower chest and difficulty breathing. He has decreased breath sounds over the left lower lungs,
and auscultation reveals bowel sounds in the left lower chest. Based on these assessment
findings, which abdominal injury should you suspect?
A. Liver injury
B. Diaphragmatic rupture
C. Splenic injury
D. Intestinal injury - ANS B
Which membrane lines the abdominal wall?
A. Visceral peritoneum
B. Parietal peritoneum
C. Mesenteries
D. Pleura - ANS B
Which laboratory test is considered the best indicator of a pancreatic injury?
A. White blood cell count
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, B. Amylase level
C. Lipase level
D. Hemoglobin level and hematocrit - ANS C
A flat or concave abdomen may be a sign of which injury?
A. Ruptured diaphragm
B. Massive bleeding
C. Pneumoperitoneum
D. Ileus - ANS A
Which organ can be injured in a patient with a fracture of the right eighth rib?
A. Stomach
B. Spleen
C. Diaphragm
D. Liver - ANS D
Which diagnostic test can best detect a retroperitoneal injury?
A. Magnetic resonance imaging
B. Focused assessment sonography in trauma
C. Diagnostic peritoneal lavage
D. Computed tomography scan of the abdomen - ANS D
Injuries to which structure are diagnosed based on patient assessment and the presence of free
air on abdominal radiography?
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Questions and Answers
An intoxicated patient staggers into the emergency department with a stab wound in the left
lower chest and difficulty breathing. He has decreased breath sounds over the left lower lungs,
and auscultation reveals bowel sounds in the left lower chest. Based on these assessment
findings, which abdominal injury should you suspect?
A. Liver injury
B. Diaphragmatic rupture
C. Splenic injury
D. Intestinal injury - ANS B
Which membrane lines the abdominal wall?
A. Visceral peritoneum
B. Parietal peritoneum
C. Mesenteries
D. Pleura - ANS B
Which laboratory test is considered the best indicator of a pancreatic injury?
A. White blood cell count
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, B. Amylase level
C. Lipase level
D. Hemoglobin level and hematocrit - ANS C
A flat or concave abdomen may be a sign of which injury?
A. Ruptured diaphragm
B. Massive bleeding
C. Pneumoperitoneum
D. Ileus - ANS A
Which organ can be injured in a patient with a fracture of the right eighth rib?
A. Stomach
B. Spleen
C. Diaphragm
D. Liver - ANS D
Which diagnostic test can best detect a retroperitoneal injury?
A. Magnetic resonance imaging
B. Focused assessment sonography in trauma
C. Diagnostic peritoneal lavage
D. Computed tomography scan of the abdomen - ANS D
Injuries to which structure are diagnosed based on patient assessment and the presence of free
air on abdominal radiography?
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
