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Multiple Choice Questions (MCQ)


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Category: Surgery--->Trauma
Page: 5

Question 21# Print Question

A patient with penetrating injury to the chest should undergo thoracotomy if:

A. There is more than 500 mL of blood which drains from the chest tube when placed
B. There is more than 200 mL/h of blood for 3 hours from the chest tube
C. There is an air leak that persists for >48 hours
D. There is documented lung injury on CT scan


Question 22# Print Question

After sustaining a gunshot wound to the right upper quadrant of the abdomen, the patient has no signs of peritonitis. Her vital signs are stable, and CT scan shows a grade III liver injury.

What is the next step in management? 

A. Exploratory laparotomy with control of hepatic parenchymal hemorrhage
B. Admission to SICU with serial complete blood count
C. Admission to SICU with repeat CT in 24 hours
D. Hepatic angiography


Question 23# Print Question

A 25-year-old man has multiple intra-abdominal injuries after a gunshot wound. Celiotomy reveals multiple injuries to small and large bowel and major bleeding from the liver. After repair of the bowel injuries, the abdomen is closed with towel clips, leaving a large pack in the injured liver. Within 12 hours, there is massive abdominal swelling with edema fluid, and intra-abdominal pressure exceeds 35 mm Hg. The immediate step in managing this problem is to:

A. Administer albumin intercavernously
B. Give an IV diuretic
C. Limit IV fluid administration
D. Open the incision to decompress the abdomen


Question 24# Print Question

Which of the following statements is correct regarding traumatic spleen injury?

A. An elevation in WBC to 20,000/mm3 and platelets to 300,000/mm3 on postoperative day 7 is a common benign finding in postsplenectomy patients
B. Delayed rebleeding or rupture will typically occur within 48 hours of injury
C. Common complications after splenectomy include subdiaphragmatic abscess, pancreatic tail injury, and gastric perforation
D. Postsplenectomy vaccines against encapsulated bacteria is optimally administered preoperatively or immediately postoperative


Question 25# Print Question

The most appropriate treatment for a duodenal hematoma that occurs from blunt trauma is:

A. Exploratory laparotomy and bypass of the duodenum
B. Exploratory laparotomy and evacuation of the hematoma
C. Exploratory laparotomy to rule out associated injuries
D. Observation




Category: Surgery--->Trauma
Page: 5 of 6