Trauma

Question 1

Management of small pneumothorax

Answer 1

supplemental oxygen, serial CXRs

Question 2

Management of large pneumothorax

Answer 2

Tube thoracotomy until 48 hours after resolution

Question 3

Indications for surgery in hemothorax

Answer 3

> 1500ml or >200ml/hr for 4 hours

Question 4

Leading cause of death in blunt trauma

Answer 4

Blunt cardiac injury

Question 5

Which diagnosis? widened mediastinum, downward deviation of left bronchus, right deviation of NG tube

Answer 5

Traumatic Rupture of the Aorta

Question 6

Management of TRA

Answer 6

Controlled Hypotension (systolic 100), TEVAR or open aortic repair

Question 7

Which diagnosis? subcutaneous emphysema and air leak from chest tube

Answer 7

Bronchus rupture

Question 8

Diagnosis of bronchus rupture

Answer 8

CXR, fiberoptic bronchoscopy

Question 9

Lethal triad of trauma

Answer 9

Hypothermia, coagulopathy, acidosis

Question 10

Management of skull fracture

Answer 10

operative if comminuted or depressed

Question 11

Management of epidural hematoma

Answer 11

Craniotomy

Question 12

Management of acute subdural hematoma

Answer 12

ICP monitoring, hyperventilation and other measures to reduce ICP, craniotomy if midline shift

Question 13

Management of blunt neck trauma

Answer 13

CT neck

Question 14

Which zone of the neck requires the most workup for penetrating trauma?

Answer 14

Lower

Question 15

Common cause of anterior cord syndrome in trauma

Answer 15

Burst fractures of vertebral body

Question 16

Which diagnosis? caused by forced hyperextension of the spine in trauma (e.g. rear end collision)

Answer 16

Central cord syndrome

Question 17

Which diagnosis? Respiratory distress in context of long bone fracture

Answer 17

Fat embolus

Question 18

Management of fat embolism

Answer 18

respiratory support

Question 19

Management of pelvic fractures with significant bleeding

Answer 19

external fixation, IR embolization of internal iliac vessels

Question 20

Which diagnosis?

Answer 20

High riding prostate

Question 21

Diagnosis of urethral injury

Answer 21

Retrograde urethrogram

Question 22

Diagnosis of bladder injury

Answer 22

retrograde cystogram, including post-void films

Question 23

Diagnosis of renal injuries

Answer 23

CT

Question 24

Management of scrotal hematoma

Answer 24

Expectant unless testicular rupture

Question 25

Management of penile fracture

Answer 25

Emergent surgical repair

Question 26

Evaluation of vascular injuries to extremities

Answer 26

Doppler, CTA

Question 27

Management of obvious vascular injuries

Answer 27

surgical exploration and repair

Question 28

Management if low likelihood of vascular injury to extremity

Answer 28

Tetanus ppx

Question 29

Complications of crush injuries (4)

Answer 29

Hyperkalemia, myoglobinemia, renal failure, compartment syndrome

Question 30

Parkland Formula

Answer 30

4mlweight(kg)%TBSA

Question 31

Burn agent for superficial burns (does not penetrate eschars)

Answer 31

Sulfur sulfadiazine

Question 32

Burn agent for deep burns

Answer 32

Mafenide

Question 33

Side effect of mafenide (sulfamylon)

Answer 33

Metabolic acidosis

Question 34

Burn agent applied near the eyes

Answer 34

Triple Antibiotic Ointment

Question 35

CV complications of severe burns

Answer 35

myocardial depression, VTE