1 Choose the best possible answer. In order of priority, what conditions should be assessed when a trauma patient arrives at the casualty unit?

Breathing, airway, circulation.
Breathing, circulation, airway.
Airway, Breathing, circulation.
Circulation, breathing, airway.

2 When a patient has an airway obstruction, the first action to take is to verify that the airway is clear by:

Clear the mouth and do a chin lift.
Inserting a laryngoscope and intubate.
Observing the patients chest movement.
Putting the patient in recovery position.

3 The first action to take when a trauma patient has difficulty breathing is to:

Order an urgent chest x-ray.
inspect chest movement and listen for breath sounds.
Intubate the patient immediately.
Place a chest tube in the patient.

4 A patient arrives at the casualty room with a bleeding wound in the leg. The first measure to take is:

Apply a tourniquet to stop hemorrhage.
Do aggressive fluid resuscitation.
Apply direct pressure to the wound.
Clean the wound

5 The Kampala Trauma Score II is a score for:

Determining how fast casualty doctors treat patients.
Determining the severity of patient injury.
Comparing the number of trauma cases in Kampala hospitals
Measuring the use of medical equipment in casualty units

6 Choose the correct answers. During teamwork:

Tasks are chosen by the individual
All team members are accountable for their tasks
Activities are implemented by the senior member
Competition is encouraged in completing tasks

7 Physical exam findings for a patient with suspected pneumothorax would include:

Dullness to percussion and reduced breath sounds
High note on percussion and increased breath sounds
High note on percussion and reduced breath sounds
Dullness to percussion and increased breath sounds

8 In assessing the level of consciousness, AVPU is defined as

A: alert V: verbal P: posturing U: unresponsive
A: alert V: vocal commands P: posturing U: unresponsive
A: awake V: vocal commands P: pain U: unresponsive
A: awake V: verbal P: pain U: unresponsive

9 In adult burn patients, how do you calculate the volume of intravenous fluids required?

Volume = 2mL x weight in Kg x body surface burned with 2nd and 3rddegree burns
Volume = 2mL x weight in Kg x body surface burned. Give ½ in first 8 hours.
Volume= 4mL x weight in Kg x body surface burned
Volume = 4mL x weight in Kg x body surface burned with 2nd and 3rd-degree burns. Give ½ in the first 8 hours.

10 The most common type of shock in the injured patient is:

Cardiogenic
Neurogenic
Hemorrhagic
Septic

11 Intubation in children is different than adults as:

Their tongue is relatively larger than adults
Their head is larger which rotates the larynx forward
The larynx is more anterior
All of the above

12 A 70-year-old man involved in a road traffic crash has a KTS score of 7. Which one of the following is true?

The patient’s level of injury is severe.
The level of injury is mild.
The level of injury is moderate.
The KTS calculation does not apply to such a patient.

13 Which of the following is not the reason for applying a sling?

To reduce pain
To reduce swelling
To reduce blood pressure
To reduce bleeding

14 Which among the following is an indication for applying an elevated sling?

Ankle fractures
Shoulder immobilization
Distal arm injuries
Elbow injuries

15 A Trauma Patient who develops distended neck veins, tracheal deviation to the right and respiratory distress while in transit is best treated with:

chest tube decompression of the left chest
needle decompression of the left chest
endotracheal intubation
Chest x-ray

16 All of the following are true regarding log rolling except.

Must be performed by a team of healthcare workers.
Used to safely examine the back.
Is performed to prevent injury to the spinal cord.
Must be directed by a healthcare professional.

17 Which statement about chest injury is correct?

Blunt chest trauma treatment usually only requires a chest tube
most penetrating trauma does not require open surgery.
the chest is assessed in the secondary survey.
Underlying lung injury is rare

18 Which one of the following is true concerning fracture management?

A cylindrical slab should be applied to immobilize fractures before transfer.
A back slab should be applied to immobilize fractures before transfer.
Immobilization of a fracture should happen after transfer.
Either a back slab or cylindrical slab should be applied to immobilize fractures before transfer

19 Thermal burns occur more frequently in the following groups:

School aged children and the elderly
The Elderly
Small children and the elderly
Small children and school aged children


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Created December 13, 2023 by Canadian Network for International Surgery
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