Mcqs

Group#4

Ali Fahad
Muzammil Saddique
Zain Abbas
Jamshaid Faisal
Abdul Raouf
Muhammad Uzair
1. What is a closed abdominal injury?

A. Penetrating wounds and penetrating organs

B. Object stuck in the chest

C. Direct blow from a blunt object.

D. Falling off a chair

2. How do you treat an open abdominal injury?

A. Cover the protruding organs with moist, clean, dressing.

B. Place the person in a position with their legs pulled towards their chest.

C. Cover it with a dry paper towel.

D. Do not touch and leave the wound open.

3. What is an open chest wound?

A. The ribs are broken.

B. The chest skin is NOT broken.

C. The chest appears bruised and tender.

D. The chest wall is penetrated by some type of object and the skin is broken.

4. True or False: Remove object embedded in the chest.

A. True

B. False

5.Which of the following are symptoms to look for in a chest wound?

A. Blood bubbling out of the chest wound.

B. Pain in the hip and back.

C. Air coming in and out of the wound.

D. Blood coming out of the head.

6-Nasotracheal intubation:

A. Is preferred for the unconscious patient without cervical spine injury.

B. Is preferred for patients with suspected cervical spine injury.

C. Maximizes neck manipulation.

D. Is contraindicated in the patient who is breathing spontaneously.

Answer: B

7-Cardiac contusions caused by blunt chest trauma:

A. Are fairly easy to diagnose.

B. Occur in up to 20% to 40% of patients with major blunt thoracic trauma.

C. Do not usually cause right ventricular dysfunction.

D. Demonstrate arrhythmia as the most common complication.

Answer: Both B And D

8-What percentage of patients with thoracic trauma require thoracotomy?

A. 10%–15%.

B. 20%–25%.

C. 30%–40%.

D. 45%–50%.

Answer: A

9-The radiographic findings indicating a torn thoracic aorta include:

A. Widened mediastinum.

B. Presence of an apical “pleural cap.”

C. First rib fractures.

D. Tracheal deviation to the right.

E. Left hemothorax.

Answer:- All
10-Which of the following statement(s) is/are true concerning the epidemiology of trauma?

a. Trauma is the leading cause of death of individuals less than 44 years of age

b. Trauma follows only cancer and heart disease as leading causes of productive life lost

c. Motor vehicle accidents are the most common cause of traumatic death in young males of all ethnic
groups

d. Young males are the population at highest risk for trauma death

Answer:Both a, d

11-Which of the following statement(s) is not true concerning the biomechanics of blunt trauma?

a. A small child and a large adult have a markedly different level of energy transfer in a high speed
vehicular collision

b. Shear strain injuries result from rapid acceleration or deceleration

c. Tensile strain results from direct compression of tissues

d. The tolerance of biologic tissue to trauma injury is directly proportional to the elasticity of the organ

Answer: A

12-Which of the following steps is not part of the primary survey in a trauma patient?

a. Insuring adequate ventilatory support

b. Measurement of blood pressure and pulse

c. Neurologic evaluation with the Glasgow Coma Scale

d. Examination of the cervical spine

Answer: d

13-Immediate life-threatening injuries that preclude air exchange which can be treated in the field not
included which of the following?

a. Tension pneumothorax

b. Massive open chest wounds

c. Sucking chest wounds

d. Tracheal disruption

Answer: d
14-Peritonitis would MOST likely result following injury to the:

a.Liver

b.Spleen

c.Kidney

d.Stomach

15-Which of the following organs would be the MOST likely to bleed profusely if severely injured?

a-Liver

b-Kidney

c-Stomach

d-Gallbladder

Liver

16-Even when seatbelts are worn properly and the airbags deploy, injury may occur to the:

a-Chest

b-Extremities

c-Iliac crests

d-Lower ribcage

Iliac crests

17-While inspecting the interior of a wrecked automobile, you should be MOST suspicious that the
driver experienced an abdominal injury if you find:

a-A deformed steering wheel

b-That the airbags deployed

c-A crushed instrument panel

d-Damage to the lower dashboard

A deformed steering wheel

18-You are transporting a patient with possible peritonitis following trauma to the abdomen. Which
position will he MOST likely prefer to assume?
a-Sitting up

b-Legs drawn up

c-Legs outstretched

d-On his right side

Legs drawn up

19-A 16-year-old boy was playing football and was struck in the left flank during a tackle. His vital signs
are stable; however, he is in severe pain. You should be MOST concerned that he has injured his:

a-Liver

b-Spleen

c-Kidney

d-Bladder

Kidney

20-The term "hematuria" is defined as:

a-Blood in the stool

b-Blood in the urine

c-Vomiting up blood

d-Urinary bladder rupture

Blood in the urine

21-When the chest impacts the steering wheel during a motor vehicle crash with rapid deceleration, the
resulting injury, which often kills patients, usually within seconds, is:

a-A hemothorax

b-Aortic shearing

c-A pneumothorax

d-A ruptured myocardium

Aortic shearing
22.Signs and symptoms of a chest injury include all of the following, EXCEPT:

a-Hemoptysis

b-Hematemesis

c-Asymmetrical chest movement

d-Increased pain with breathing

Hematemesis

23.During your assessment of a patient who was stabbed, you see an open wound to the left anterior
chest. Your MOST immediate action should be to:

a-Position the patient on the affected side

b-Transport immediately

c-Assess the patient for a tension pneumothorax

d-Cover the wound with an occlusive dressing

Cover the wound with an occlusive dressing

24.When caring for a patient with signs of a pneumothorax, your MOST immediate concern should be:

a-Hypovolemia

b-Intrathoracic bleeding

c-Ventilatory inadequacy

d-Associated myocardial injury

Ventilatory inadequacy

25.Signs of a cardiac tamponade include all of the following, EXCEPT:

a-Muffled heart tones

b-A weak, rapid pulse

c-Collapsed jugular veins

d-Narrowing pulse pressure

Collapsed jugular veins

26.Paradoxical chest movement is typically seen in patients with:

a-A flail chest

b-A pneumothorax

c-Isolated rib fractures

d-A ruptured diaphragm