Trauma Mcq

Front 1

1) Blood loss of 1000ml in adult patient (70kg) has clinical symptom

Back 1

a. Tachycardia, increased diastolic blood pressure

Front 2

2) Unconscious patient with spontaneous breathing activity should be

Back 2

a. Put to stable position

Front 3

3) Tension pneumothorax has typical symptom on clinical thorax examination

Back 3

a. Ipsilateral inspiration chest position, hypersonoric percussion, the absence of breathing

Front 4

4) Tension pneumothorax

Back 4

a. Clinical picture is dominated by dyspnea, tachycardia, fear, hemodynamic instability

Front 5

5) Tension pneumothorax causes a shock like state by

Back 5

a. Compression of SVC and decreased functional volume

Front 6

6) Tension pneumothorax leads to

Back 6

a. Decreased venous return of neck veins

Front 7

7) Hourly diuresis after adequate resuscitation

Back 7

a. At least 35ml

Front 8

8) When taking 750ml blood what is the result of lab exam of HB in 5 minutes

Back 8

a. Same hemoglobin

Front 9

9) Basic pathological response to shock

Back 9

a. Generalized inflammatory response

Front 10

10) Consequence of deep prolonged shock known as malignant triad are

Back 10

a. Core hypothermia, metabolic acidosis, coagulopathy

Front 11

11) We must be thinking in case of murmur at the clavicular bone region about

Back 11

a. All answers correct (stenotic carotid artery, valvula disease, stenotic subclavian artery)

Front 12

12) Patient with chronic venous insufficiency of lower extremities must be managed by

Back 12

a. Anticoagulative drugs

Front 13

13) Blood derivates are

Back 13

a. Frozen plasma, resuspended erythrocytes, platelets

Front 14

14) Essentials of traumatic hemorrhagic shock

Back 14

a. Hypovolemia and hypoxia

Front 15

15) Axial deviation of any extremity we deal by means of

Back 15

a. Reduction to physiological alignment and immobilization

Front 16

16) Compartment syndrome is mentioned disorder in perfusion of tissue in some bordered spaces due by

Back 16

a. Increasing pressure in this space

Front 17

17) Risk of rupture of abdominal aortic aneurysm higher at diameter

Back 17

a. >5cm

Front 18

18) Ischemia of lower extremity

Back 18

a. Recanalization of subintimal

Front 19

19) Crash syndrome

Back 19

a. Hyperkalemia, hemoglobinemia

Front 20

20) Most common source of hemoperitoneum

Back 20

a. Spleen

Front 21

21) Normal postoperative abdominal pressure

Back 21

a. 10 – 15

Front 22

22) Penis fracture

Back 22

a. Rupture of tunica albuginea

Front 23

23) Falling from a tree

Back 23

a. Neurogenic shock

Front 24

24) Body core hypothermia

Back 24

a. 34

Front 25

25) Temperature with coagulation problem

Back 25

a. <34

Front 26

26) Continuous perfusion pressure given by

Back 26

a. Mean arterial pressure and intra compartment pressure

Front 27

27) What is shock

Back 27

a. Hypoxia of tissue caused by hypovolemia

Front 28

28) Main principle of surgery of musculo skeletal trauma

Back 28

a. Stabilization and early rehabilitation

Front 29

29) Compartment syndrome

Back 29

a. Usually lower leg

Front 30

30) Main cause of toddle respiratory and cardiac arrest is

Back 30

a. Upper airway obstruction

Front 31

31) How to deal with patient delivered to you with an open fracture

Back 31

a. Remove sterile bandage applied by paramedics (treat in operating room)

Front 32

32) Initial measure to stop bleeding in patient on site of accident

Back 32

a. Application of sterile compression bandage

Front 33

33) In ICU what does the patient with hemothorax show on X – ray

Back 33

a. Homogenous ipsilateral decrease in transparency of the lung

Front 34

34) What is a rapid and sensitive test for cardiac tamponade

Back 34

a. Ultrasound

Front 35

35) Which position ensures maximum venous return in a pregnant woman

Back 35

a. Supine to left

Front 36

36) What to do with patient with suspected spinal injury

Back 36

a. FROM THE START, restrict movement of spine

Front 37

37) What is the most important intervention of an open pneumothorax

Back 37

a. Airtight bandage over hole

Front 38

38) What is the most important intervention of a tension pneumothorax

Back 38

a. Mid clavicular chest puncture (2nd intercostal space)

Front 39

39) What is the most urgent intervention for a pericardial tamponade

Back 39

a. Pericardiocentesis

Front 40

40) What is the correct preparation of an amputated limb in order to transport it to a hospital

Back 40

a. Sterile bandage over limb, placed in a plastic bag with saline. Seal the bag, place in ice water

Front 41

41) Signs of pericardial tamponade

Back 41

a. Absent heart sound, increased filling of veins

Front 42

42) Thoracic outlet syndrome is a compression of

Back 42

a. Brachial plexus and subclavian artery

Front 43

43) Indication for lung transplantation in terminal stage of lung disease is not

Back 43

a. Lung carcinoma

Front 44

44) For trauma pericardial tamponade

Back 44

a. Penetrating injury of chest, increase filling of cervical veins, inaudible heart sounds

Front 45

45) Paradoxical breathing

Back 45

a. Flail chest (breaking of more than 2 rib floating about)

Front 46

46) Adrenalectomy

Back 46

a. Laparoscopic

Front 47

47) Most common breast cancer site

Back 47

a. Upper lateral

Front 48

48) Sternal fracture

Back 48

a. Cardiac contusion (ECG with enzymes)

Front 49

49) Lung cancer

Back 49

a. Small cell is chemosensitive

Front 50

50) Most frequent ischalgia

Back 50

a. Slipped disc

Front 51

51) Clock fact position of anal fissure in pregnant women

Back 51

a. 6

Front 52

52) Necrotizing enterocolitis

Back 52

a. Does not use ultrasound

Front 53

53) Incidentaloma

Back 53

a. Lesion found in adrenal gland during diagnostic imaging

Front 54

54) Pancoast tumour

Back 54

a. Always found in upper lung

Front 55

55) Small cell lung cancer vs non small cell

Back 55

a. Small cell metastasize early

Front 56

56) Hydrothorax

Back 56

a. In inflammation and tumour

Front 57

57) Subclavian artery injury

Back 57

a. Oblique fracture of diaphysis after a fall

Front 58

58) Adenocarcinoma of lung

Back 58

a. Slow growth

Front 59

59) Discoligamentous spine instability

Back 59

a. Halo attachment, C1 – C2 fusion injury

Front 60

60) Bronchogenic carcinoma

Back 60

a. Metastasis to liver

Front 61

61) Lung cancer

Back 61

a. It is located centrally

Front 62

62) Technique on how to insert chest drain

Back 62

a. No answer is right

Front 63

63) Incidence of breast cancer in central Europe

Back 63

a. 115 per 100,000

Front 64

64) Thymus tumour

Back 64

a. Similar symptoms to myasthenia gravis

Front 65

65) Metastasis into lung

Back 65

a. Absence of primary carcinoma is a condition for surgical treatment

Front 66

66) Trauma in patient with limb trauma and profuse bleeding

Back 66

a. Observe patient and transport to hospital

Front 67

67) Symptom of L5 root compression

Back 67

a. Cannot stand on heel

Front 68

68) Spontaneous pneumothorax

Back 68

a. Painful and breathlessness in different degrees

Front 69

69) Mesothelioma

Back 69

a. Generally poor prognosis

Front 70

70) Displaced fracture of sternum

Back 70

a. Osteosynthesis

Front 71

71) Staging of lung cancer

Back 71

a. PET – CT

Front 72

72) Glasgow outcome scale = 5 points

Back 72

a. Recovery after brain injury = 1 = death, 5 = low disability

Front 73

73) Frankels classification

Back 73

a. A is worst, E is best (nothing – sensory, motor a bit, motor present, normal)

Front 74

74) Heart contusion

Back 74

a. Regular check – up/surveillance

Front 75

75) Lymphatic drainage from breast

Back 75

a. 3 stages (low, medium and apical axilla to pectoralis minor)

Front 76

76) Precancerous breast lesion

Back 76

a. Ductal carcinoma in situ

Front 77

77) Partial resection of spleen

Back 77

a. If distal part is damaged

Front 78

78) After checking airways and breathing, essential treatment of hemorrhagic shock is

Back 78

a. Hemostasis and volume treatment

Front 79

79) In a young patient who has lost 20% of blood

Back 79

a. 2L of ringers lactate