Chest Trauma Imaging Practice Questions

Question 1

Thoracotomy is indicated in all the following conditions except:

Accepted Answer

Pulmonary contusion

Answer

Rapidly accumulating haemothorax

Answer

Massive air leak

Answer

Penetrating chest injuries

Question 2

Which of the following injuries is the most serious?

Accepted Answer

Open pneumothorax (sucking chest wound)

Answer

Flail chest (multiple rib fractures with paradoxical movement)

Answer

Diaphragmatic injury (rupture of the diaphragm)

Answer

Single rib fracture (isolated rib injury)

Question 3

The imaging modality primarily used in FAST (Focused Assessment with Sonography for Trauma) exam is:

Accepted Answer

USG

Answer

X-ray

Answer

CT

Answer

MRI

Question 4

All of the following are true regarding flail chest, EXCEPT:

Accepted Answer

Emergency thoracotomy should be required

Answer

Fracture of at least three consecutive ribs in two places

Answer

Mechanical ventilation and endotracheal intubation are not required in all cases

Answer

Paradoxical breathing may be less apparent in conscious patients due to chest wall splinting

Question 5

A 60-year-old woman presents with a history of smoking and cough. Chest X-ray shows a solitary pulmonary nodule. Which of the following is the most appropriate next step in management?

Accepted Answer

CT scan of the chest

Answer

Sputum cytology

Answer

Bronchoscopy

Answer

PET scan

Question 6

Identify the most likely diagnosis based on the chest X-ray findings in a patient with low-grade fever.

Accepted Answer

Miliary TB

Answer

ILD

Answer

Bronchopneumonia

Answer

Consolidation

Question 7

The following are direct signs of lung collapse seen on a chest X-ray, which one of the following is NOT a direct sign?

Accepted Answer

Mediastinal shift

Answer

Crowding of the vessels

Answer

Loss of aeration

Answer

Displacement of the fissure

Question 8

A patient after a heavy meal comes with epigastric pain. On examination, there is tenderness and rigidity in the upper abdomen. An X-ray shows pneumomediastinum. What could be the cause?

Accepted Answer

Spontaneous rupture of the esophagus

Answer

Penetrating injury to the esophagus

Answer

Perforated ulcer of the stomach

Answer

Rupture of an emphysematous bulla

Question 9

Most common type of shock in emergency room is

Accepted Answer

Hypovolaemic

Answer

Obstructive

Answer

Cardiogenic

Answer

Neurogenic

Question 10

An incised-looking laceration is seen in all except:

Accepted Answer

Chest

Answer

Shin

Answer

Zygomatic bone

Answer

Iliac crest

Chest Trauma Imaging — MCQs

Chest Trauma Imaging — MCQs

Want unlimited practice?