Trauma

Question 1

OPSS

Answer 1

Overwhelming post-splenectomy sepsis

Question 2

cause of air embolism

Answer 2

1. chest tube intubation
2. supraclavian vein opened (supraclavicular node biopsies, central venous line placement or line disconnected)
3. craniotomy of enlargement angioma

Question 3

mgmt air embolism

Answer 3

1. cardiac massage

2. Trendelenburg position

Question 4

fat embolism

Answer 4

seen in multiple long bone fractures and symp of respiratory failure

Question 5

pulmonary embolus

Answer 5

seen in late postope after severals days of reduced mobility

Question 6

tension pneumothorax

Answer 6

cause progressive hemodynamic shock and respiratory distress

Question 7

medial meniscus tear

Answer 7

• result from twisting injuries with the foot fixed
• complain popping sound followed by severe pain at the time of injury
• examination reveals localized tenderness on the medial side of knee

Question 8

bucket handle tears in meniscal tears

Answer 8

leads to locking of knee joint during terminal extension

Question 9

McMurray’s sign

Answer 9

palpable or audible snap while slowly extending leg at the knee from full flexion while simultaneously applying tibial torsion

Question 10

anterior cruciate ligament tear

Answer 10

• history of forceful hyperextension injury to knee or noncontact torsional injury of knee during deceleration
• effusion seen rapidly following injury

Question 11

clinical diagnosis for anterior cruciate ligament tear

Answer 11

1. Lachman’s test
2. ant drawer test
3. pivot shift test

Question 12

posterior cruciate ligament injury

Answer 12

seen in dashboard injury refers to forceful post directed force on tibia with knee flexed at 90

Question 13

clinical diagnosis for posterior cruciate ligament injury

Answer 13

1. posterior drawer test
2. reverse pivot shift test
3. posterior sag test

Question 14

medial collateral ligament injury

Answer 14

• abduction injury to knee

- valgus stress test

Question 15

lateral collateral ligament injury

Answer 15

• very rare and seen in adduction injury to knee

- varus stress test

Question 16

shoulder injury, positive drop arm

Answer 16

rotator cuff tear

Question 17

middle-aged adult, superficial unilateral hip pain exacerbated by external pressure to the upper lateral thigh as when lying on the affected side in bed

Answer 17

trochanteric bursitis

Question 18

todd’s paralysis

Answer 18

transient unilateral weakness following a tonic-clonic seizure

Question 19

anterior dislocation of shoulder joint

Answer 19

arm held in slight abduction and external rotation

Question 20

post dislocation of shoulder joint

Answer 20

arm adducted and internally rotated and fullness is palpable on the post shoulder