Trauma

Question 1

When do you commonly see rib fractures?

Answer 1

with blunt trauma to the chest

Question 2

What ribs are uncommon to break, indicate significant force, and you need to think of associated injuries?

Answer 2

1st 3 ribs

Question 3

When fractured, what rib numbers are associated with underlying trauma to liver, spleen, or kidneys?

Answer 3

Ribs 10-12

Question 4

What ribs are commonly fractured and are important in diagnosing lung conditions if displaced?

Answer 4

Ribs 4-9

Question 5

What is the most frequent complication of blunt chest trauma?

Answer 5

pulmonary contusions

Question 6

Where do pulmonary contusions appear?

Answer 6

periphery

Question 7

What is the time frame for visualizing pulmonary contusions?

Answer 7

Appear within 6 hours, disappear within 72 hours

Question 8

What sort of trauma is associated deceleration with MVA?

Answer 8

aortic trauma

Question 9

The most common site of injury for aortic trauma is….

Answer 9

aortic isthmus or aorta distal to the origin of the left subclavian artery

Question 10

What is the imaging study of choice for abdominal trauma?

Answer 10

CT

Question 11

True/False: IV contrast is always used for a CT of abdominal trauma.

Answer 11

True

Question 12

What is the order of commonly affected organs with blunt trauma? (descending frequency)

Answer 12

liver, spleen, kidney, and urinary bladder

Question 13

What does “FAST” stand for an when is it used?

Answer 13

Focused Assessment with Sonography for Trauma

Used if patient is not stable enough to do CT

Question 14

T/F: Trauma to the liver contributes to the majority of deaths from abdominal trauma.

Answer 14

True

Question 15

What are spleen injuries mostly due to?

Answer 15

Deceleration injuries (blunt trauma)

Question 16

T/F: Spleen is a highly vascular organ and when a person has an injured spleen, they should be rushed to the OR.

Answer 16

False. Spleen is a highly vascular ogran, but injuries should be treated conservatively

Question 17

What is the most common cause of blunt abdominal trauma to the kidneys?

Answer 17

MVA

Question 18

What is it called when there is severe hypovolemia and profound hypotension, thickening of the small bowel and fluid filled loops and A/F levels?

Answer 18

Shock Bowel

Question 19

What is the imaging technique used to detect a ruptured bladder?

Answer 19

CT cystogram

Question 20

Most common, direct puncture of the bladder by bone fragment

Answer 20

Extraperitoneal

Question 21

less common, forceful blow to the pelvis with a distended bladder. Rupture occurs at the dome.

Answer 21

Intraperitoneal

Question 22

T/F: Urethral injuries are associated with pelvic fractures.

Answer 22

True

Question 23

What is retrograde urethrography?

Answer 23

Tip of foley goes into urethra and injects contrast