Trauma — MCQs

In the management of excessive burns, which of the following is least useful?

A young motorist suffered injuries in a major road traffic accident. He was diagnosed to have a fracture of the left femur and left humerus. He was also having fractures of multiple ribs anteriorly on both sides. In the examination, the blood pressure was 80/60 mm Hg and heart rate was 140/minute. The patient was agitated, restless, and tachypneic. Jugular veins were distended. Air entry was adequate in both lung fields. Heart sounds were barely audible. Femoral pulses were weakly palpable but distally no pulsation could be felt. On a priority basis, what is the immediate intervention?

A burn wound extending into the superficial epidermis without involving the dermis would present with all of the following EXCEPT?

Which type of intubation is preferred in cases of bilateral mandibular fractures?

A 30-year-old restrained driver was involved in a motor-vehicle crash. He is hemodynamically stable and has a large seat belt sign on the abdomen. His abdomen is tender to palpation. What is the primary concern in this patient?

Which of the following is transfused in a patient who has severe burn injuries?

In which of the following conditions is surgery not useful?

CSF rhinorrhea can be seen in which type of fracture?

Nine days following splenectomy, a 13-year-old patient presents with fever and leukocytosis. The chest x-ray shows free air under the diaphragm. What is the most likely diagnosis?

A hemodynamically unstable patient sustains a fracture of the left femoral shaft following a road traffic accident. The patient also exhibits guarding and rigidity in the abdomen. What is the next step in management?