Trauma Anesthesia Practice Questions

Question 1

Which of the following statements are correct regarding primary survey/management of traumatic head injury patient?
I. Ensure adequate oxygenation and circulation
II. Exclude hypoglycaemia
III. Check for mechanism of injury
IV. Check pupil size and response

Select the answer using the code given below :

Accepted Answer

I, II and IV

Answer

II, III and IV

Answer

I, III and IV

Answer

I, II and III

Question 2

A 30-year-old road traffic accident victim is being taken up for emergency laparotomy for haemoperitoneum and suspected multiorgan trauma. Which one of the following will be an indication for performing damage control surgery?

Accepted Answer

Acidosis with pH < 7.32

Answer

Blood pressure < 100 mm Hg

Answer

Coagulopathy

Answer

Hypothermia < 36 °C

Question 3

In trauma transfusion, what is the ratio of RBCs, FFP, and platelets?

Accepted Answer

1:1:1

Answer

1:1:3

Answer

1:1:4

Answer

1:1:2

Question 4

Best guide for the management of Resuscitation is:

Accepted Answer

Urine output

Answer

Saturation of Oxygen

Answer

CVP

Answer

Blood pressure

Question 5

A comatose 28-year-old woman sustained a depressed skull fracture in an automobile collision. She has been unconscious for 6 weeks. Her vital signs are stable and she breathes room air. Following her initial decompressive craniotomy, she has returned to the operating room twice due to intracranial bleeding. Select the best method of physiologic monitoring necessary for the patient.

Accepted Answer

Intracranial pressure monitoring

Answer

Central venous catheterization

Answer

Pulmonary artery catheterization

Answer

Blood-gas monitoring

Question 6

A patient presented to the emergency department with blunt abdominal trauma. His pulse rate is 150/min, and his BP is 80/50 mm Hg. He is scheduled to undergo an emergency laparotomy. Which of the following is the anesthetic of choice?

Accepted Answer

Ketamine

Answer

Thiopentone

Answer

Midazolam

Answer

Propofol

Question 7

Which of these is the most life-threatening injury that can be identified by assessing the breathing component of the patient?

Accepted Answer

Tension pneumothorax

Answer

Blunt cardiac injury

Answer

Cervical spine injury

Answer

Laryngotracheal injury

Question 8

Which of the following is not done in the primary survey of trauma?

Accepted Answer

NCCT head

Answer

Intubation

Answer

ICD drainage

Answer

CXR

Question 9

A patient with abdominal injury presents to the emergency department with signs of peritonitis and shock. Airway and breathing were secured and IV fluids were started with 2 large bore cannulas. The next line of management should be

Accepted Answer

Exploratory Laparotomy under general anesthesia

Answer

Laparoscopy

Answer

Insertion of abdominal drain followed by laparotomy

Answer

FAST

Question 10

A patient is admitted following a road traffic accident. He has sustained significant blunt injury to his head, chest and abdomen and has a Glasgow Coma Scale score of 8/15. His saturations are poor at 89% on 15 L of oxygen a rebreathing mask. You note bruising around both eyes and blood-stained fluid issuing from his left ear, which forms concentric circles when dripped on a white sheet. You wish to support his airway to improve oxygenation. The first choice of airway adjunct would be

Accepted Answer

Oropharyngeal airway

Answer

Nasopharyngeal tube

Answer

Intubation

Answer

Laryngeal mask

Trauma Anesthesia

Study Resources

Lessons

Questions

Flashcards

Lessons

Initial Assessment of Trauma Patients

Airway Management in Trauma

Shock and Resuscitation

Massive Transfusion Protocol

Traumatic Brain Injury Management

Spinal Cord Injury Considerations

Chest Trauma Management

Abdominal Trauma Management

Orthopedic Trauma Anesthesia

Burns Management

Pediatric Trauma Anesthesia

Damage Control Surgery Anesthesia

Practice Questions

Flashcards

About Trauma Anesthesia for NEET-PG

Lessons in Trauma Anesthesia

Master Trauma Anesthesia