Trauma/Emergency

Question 1

The kidney is the most commonly injured genitourinary organ. Male to female ration is:

A. 1 to 1
B. 2 to 1
C. 3 to 1
D. 3 to 2

Answer 1

C. 3 to 1

Question 2

According to the American Association for the Surgery of Trauma (AAST) classification, renal laceration: shattered kidney (as shown in the image) is of Grade:

A. 3
B. 4
C. 5
D. 6

Answer 2

C. 5

Question 3

What is the preferred diagnostic modality to rule out blunt bladder injury?

A. Flexible cystoscopy
B. MRI urography
C. Cystography
D. Abdominal ultasound

Answer 3

C. Cystography

Question 4

What is the most common cause of ureteric trauma?

A. Stab wounds
B. Iatrogenic trauma
C. Motor vehicle accident
D. Rapid deceleration injuries

Answer 4

B. Iatrogenic trauma

Question 5

A 34-year-old motorcyclist was involved in a road traffic accident. On contrast enhanced CT scan he was found to have a 2 cm renal laceration with a perirenal heamtoma and urine extravasation. What is the grade of renal injury according to the Amercian Association of Surgery for Trauma?

A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4

Answer 5

D. Grade 4

Question 6

How do you immediately approach posterior urethral injury associated with pelvic fracture in hemodynamically unstable patient?

A. Urethroplasty
B. Endoscopic re-alignement
C. Cystostomy
D. Nephrostomy

Answer 6

C. Cystostomy

Question 7

What is the preferred diagnostic modality for suspected renal injury in stable patients?

A. Contrast-enhanced CT
B. Ultrasonography
C. Angiography
D. Plain X-ray of the abdomen

Answer 7

A. Contrast-enhanced CT