Question 1

Which among the following IS NOT one of the three arteries that supply oxygenated blood to the abdominal organs?&#10;A) Inferior vena cava&#10;B) Coeliac trunk&#10;C) Superior mesentery artery&#10;D) Inferior mesentery artery

Accepted Answer

The Inferior vena cava is not an artery; it is a large vein that carries deoxygenated blood from the lower and middle body into the heart. The Coeliac trunk, Superior mesenteric artery, and Inferior mesenteric artery are all arteries that supply oxygenated blood to the abdominal organs.

Question 2

In an evisecerating open abdominal injury, what should be the appropriate initial intervention in a pre-hospital set-up?&#10;A) Cover the contents with a wet dressing and prepare for transport&#10;B) Put the contents back in and secure with dressing&#10;C) Place the patient in a recovery position&#10;D) Put the contents back in and secure with dressing and Place the patient in a recovery position

Accepted Answer

Covering the contents with a wet dressing and preparing for transport is the appropriate initial intervention in a pre-hospital setup for an eviscerating open abdominal injury. This helps to keep the organs moist and reduces the risk of further injury or infection. Attempting to replace the organs can cause additional damage and should be performed by medical professionals in a controlled environment.

Question 3

What is the proper order of assessment in evaluating the abdomen?&#10;A) Inspection, percussion, palpation, auscultation&#10;B) Inspection, palpation, percussion, auscultation&#10;C) Inspection, auscultation, percussion, palpation&#10;D) Inspection, auscultation, palpation, percussion

Accepted Answer

The correct sequence for abdominal assessment is inspection, auscultation, percussion, and palpation. This order is important to avoid altering bowel sounds before they are auscultated.

Question 4

The following conditions are indications of laparotomy, EXCEPT:&#10;A) Rib fracture&#10;B) Evisceration&#10;C) Stab wound&#10;D) Peritonitis

Accepted Answer

Rib fracture is not typically an indication for laparotomy. Laparotomy is a surgical procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity. It is indicated for conditions such as evisceration, stab wounds penetrating into the abdominal cavity, and peritonitis, which directly involve the abdominal organs or the abdominal cavity itself. Rib fractures, however, primarily involve the chest and are managed differently, often without the need for abdominal surgery unless there is concurrent abdominal trauma.

Question 5

What assessment is used to determine for presence of a distended bladder?&#10;A) Inspection&#10;B) Percussion&#10;C) Palpation&#10;D) Auscultation

Accepted Answer

Palpation is used to determine the presence of a distended bladder.

Question 6

The following are considered as 'the triad of death' in trauma patients, EXCEPT:&#10;A) Hypothermia&#10;B) Coagulopathy&#10;C) Metabolic acidosis&#10;D) Hypovolaemia

Accepted Answer

The triad of death in trauma patients consists of hypothermia, coagulopathy, and metabolic acidosis. Hypovolemia, while a critical concern in trauma patients, is not part of this specific triad. The triad highlights the interrelated processes that exacerbate each other, leading to a worsening clinical state.

Question 7

What grade of liver injury does a laceration of the liver of more than 3 cm deep belong to?&#10;A) Grade I&#10;B) Grade II&#10;C) Grade III&#10;D) Grade IV

Accepted Answer

A laceration of the liver more than 3 cm deep is classified as a Grade III liver injury according to the American Association for the Surgery of Trauma (AAST) liver injury scale.

Question 8

An injury to the spleen may be indicated by which of the following symptoms?&#10;A) Kehr's sign&#10;B) Left upper quadrant pain&#10;C) Kehr's sign and Left upper quadrant pain&#10;D) None are correct

Accepted Answer

Kehr's sign (pain in the left shoulder due to irritation of the diaphragm) and left upper quadrant pain are both indicative of a spleen injury.

Question 9

This injury is commonly characterised by a butterfly-shaped bruise on the area beneath the scrotum.&#10;A) Penile trauma&#10;B) Testicular injury&#10;C) Rectal injury&#10;D) Straddle injury

Accepted Answer

Straddle injury is commonly characterized by a butterfly-shaped bruise on the area beneath the scrotum due to the mechanism of injury, where force is applied on either side of the pelvis or perineum, often when an individual falls and hits an object between their legs.

Question 10

A patient complains of severe penile pain and has reported hearing a 'cracking or popping sound' during intercourse, you should suspect:&#10;A) Penile fracture&#10;B) Testicular injury&#10;C) Rectal injury&#10;D) Straddle injury

Accepted Answer

A penile fracture typically presents with severe penile pain and the report of a 'cracking or popping sound' during intercourse, indicating a tear in the tunica albuginea surrounding the corpora cavernosa.

Deck 46: Abdominal and Genitourinary Trauma