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ABSITE > Trauma > Flashcards

Trauma Flashcards

1
Q

Zone III retroperitoneal hematoma most common source of bleed

A

Presacral and prevesical veins

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2
Q

Pathophys open ptx and tx

A

Ventilation-perfusion defect, partially occluded dressing

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3
Q

Blunt thoracic aorta rupture; most common location and diagnostic imaging

A

Level of the ligament arteriosum, CT angio

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4
Q

Odontoid fx types and tx

A

Type I oblique through upper part of dens, nonop
Type II extend into base of dens, rigid collar or halo vs surgery
Type III extend into C2 body, rarely surgical

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5
Q

Peripheral lung lesions in trauma, tx

A

Wedge resection

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6
Q

Clinically insignificant pancreatic drainage with amylase >3x upper limit of serum normal

A

Biochemical leak, not a fistula

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7
Q

Repair of cardiac ventricle injury

A

Nonabsorbable pledgetted suture

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8
Q

Unstable with penetrating retroperitoneal injury; tx

A

Ex lap

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9
Q

Pancreatic Injury Grade

A

Grade I - Minor contusion or superficial laceration
Grade II - Major contusion ro major laceration
Grade III - Distal transection or duct injury
Grade IV - Proximal transection or ampulla involvement
Grade V - Massive head disruption

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10
Q

Appropriate indications for non-op management of liver lacerations

A

Grade I-III, HDS, without active extrav, lack of continued transfusion requirements or other indications for laparotomy

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11
Q

Facial trauma requiring intubation; next step

A

ET via DL

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12
Q

Timing of reconstruction of ureteral injuries

A

ASAP, unless hemodynamically unstable

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13
Q

Penetrating injury with large left retroperitoneal hematoma; surgical tx

A

Mattox maneuver

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14
Q

Most effective analgesic therapy for flail chest

A

neuraxial blockade

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15
Q

Traumatic transection of ureter or UPJ; tx

A

Debridement and primary anastomosis

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16
Q

Initial resuscitation in pediatric trauma

A

20mL/kg crystalloid x2 then 10mL/kg PRBC

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17
Q

Urethral injury imaging modality

A

CT after Pelvic X-ray in trauma bay

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18
Q

Zone 1, structures

A

Clavicle to circoid, lung, trachea, subclavians

19
Q

Zone 2, structures

A

Cricoid to angle of mandible, Carotid, verterbrals, jugs, esophagus, trachea

20
Q

Zone 3, structures

A

Angle of mandible to skull base, Ext/int carotids, Jugs, CNs

21
Q

Management of penetrating neck trauma

A

Sx intervention if hard signs vascular injury or tracheal injury. Nonop needs CTA, endoscopy/upper GI, bronchoscopy

22
Q

Pediatric burn resuscitation

A

UOP 0.5-1.0cc/kg/hr, if >30kg 1-2cc/kg/hr

23
Q

Traumatic nephrectomy surgical technique

A

Ligate artery before vein

24
Q

Brown recluse tx

A

Observation, elevation

25
Q

Pericardial fluid in trauma stable enough for OR; tx

A

Pericardial window, extended into median sternotomy if blood

26
Q

Liver trauma vascular isolation steps

A

Clamping porta hepatis, infrahepatic suprerenal IVC, supreahepatic IVC, if persists then aberrant hepatic art exists

27
Q

Major complication in flail chest

A

Underlying pulmonary contusion

28
Q

Flank stab wound stable; next step

A

Triple contrast CT

29
Q

Abdominal pain and vaginal bleeding s/p trauma in pregnancy; dx

A

Placental abruption

30
Q

Positioning in pregnant trauma patient

A

Left lateral decubitus

31
Q

All high-grade liver and biliary injuries need this intraop

A

Drains

32
Q

Approach to suspected diaphragmatic injury in trauma

A

Diagnostic laparoscopy

33
Q

Pyloric laceration <50%; management

A

Transverse primary closure

34
Q

Indications for emergent c-section in trauma

A

severe fetal brady or sinusoidal, prolapsed cord, placental abruption, uterine rupture or cardiac arrest in mother

35
Q

Technique to expose inferior portion of zone I

A

Cattell-Braasch

36
Q

Blunt liver injury stable with blush; next step

A

Angiography

37
Q

Pediatric duodenal hematoma; next step

A

Gastric decompression and observation

38
Q

Marker for adequate resuscitation in trauma

A

Lactate

39
Q

Approach to innominate artery injury

A

Median sternotomy

40
Q

Extraperitoneal rectal injury management

A

Fecal diversion with loop colostomy and primary repair

41
Q

Hard signs of vascular injury and management

A

Expanding hematoma, hemorrhage, thrill -> explore

42
Q

Gallbladder injury during trauma; tx

A

Cholecystectomy and drain placement

43
Q

Splenic injury grading

A

I - <10% or <1cm
II - 10-50%, 1-3cm
III>50%, >3cm
IV - hilar
V - shattered

ABSITE (34 decks)

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