Trauma assessment and classification MCQs (e.g., pelvic fractures)

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 28, 2024

What is the primary purpose of trauma assessment?
A) To perform surgery
B) To determine the severity of the injury
C) To prescribe medications
D) To provide rehabilitation
Answer: B) To determine the severity of the injury

Which of the following is a standard initial assessment method in trauma care?
A) ABCDE approach
B) Glasgow Coma Scale
C) X-ray examination
D) MRI scan
Answer: A) ABCDE approach

What does the ‘A’ in the ABCDE approach stand for?
A) Assessment
B) Airway
C) Analgesia
D) Activity
Answer: B) Airway

Which classification system is commonly used for pelvic fractures?
A) Gustilo-Anderson
B) AO/OTA classification
C) Neer classification
D) Fracture classification system
Answer: B) AO/OTA classification

What is the main concern with an unstable pelvic fracture?
A) Infection
B) Hemorrhage
C) Bone healing
D) Joint mobility
Answer: B) Hemorrhage

What is the significance of the ‘C’ in the ABCDE trauma assessment?
A) Circulation
B) Comfort
C) Contusion
D) Consciousness
Answer: A) Circulation

Which imaging modality is most useful for assessing pelvic fractures?
A) CT scan
B) MRI
C) X-ray
D) Ultrasound
Answer: A) CT scan

What is the most common mechanism of injury for pelvic fractures?
A) Sports activities
B) Falls from height
C) Motor vehicle accidents
D) Direct blows
Answer: C) Motor vehicle accidents

What type of pelvic fracture is characterized by a fracture of the pelvic ring?
A) Unstable fracture
B) Stable fracture
C) Acetabular fracture
D) Iliac wing fracture
Answer: A) Unstable fracture

What does a positive “sacroiliac stress test” indicate?
A) Fracture of the femur
B) Sacroiliac joint dysfunction
C) Vertebral fracture
D) Rib fracture
Answer: B) Sacroiliac joint dysfunction

Which of the following is a potential complication of pelvic fractures?
A) Osteoporosis
B) Fat embolism
C) Cartilage damage
D) Muscle atrophy
Answer: B) Fat embolism

What is the role of a pelvic binder in trauma management?
A) To stabilize the spine
B) To reduce pelvic volume
C) To immobilize the leg
D) To manage open fractures
Answer: B) To reduce pelvic volume

Which anatomical structure is commonly assessed for stability in pelvic fractures?
A) Acetabulum
B) Pubic symphysis
C) Femoral head
D) Iliac crest
Answer: B) Pubic symphysis

What is the best position for a patient with a suspected pelvic fracture?
A) Supine position
B) Prone position
C) Lateral position
D) Sitting position
Answer: A) Supine position

What is the primary goal in the early management of pelvic fractures?
A) Pain control
B) Restoration of blood flow
C) Stabilization of the fracture
D) Early mobilization
Answer: C) Stabilization of the fracture

What is the significance of assessing the “GCS” in trauma patients?
A) To evaluate bone healing
B) To determine consciousness level
C) To assess airway patency
D) To measure blood pressure
Answer: B) To determine consciousness level

Which of the following is NOT a type of pelvic fracture?
A) Anterior-posterior compression fracture
B) Lateral compression fracture
C) Transverse fracture
D) Vertical shear fracture
Answer: C) Transverse fracture

What is the primary concern when managing a patient with a suspected pelvic fracture?
A) Fracture alignment
B) Blood loss
C) Pain management
D) Joint mobility
Answer: B) Blood loss

What does the term “open fracture” imply?
A) The bone is aligned
B) The fracture is stable
C) The bone is exposed through the skin
D) The fracture is not visible on X-ray
Answer: C) The bone is exposed through the skin

What is the role of a trauma surgeon in managing pelvic fractures?
A) To perform physiotherapy
B) To assess and manage surgical needs
C) To prescribe medications
D) To provide psychological support
Answer: B) To assess and manage surgical needs

What is the typical recovery time for stable pelvic fractures?
A) 1-2 weeks
B) 6-8 weeks
C) 3-4 months
D) 1 year
Answer: B) 6-8 weeks

Which of the following is a critical part of the secondary assessment in trauma?
A) Pain assessment
B) Neurological evaluation
C) Detailed physical examination
D) All of the above
Answer: D) All of the above

What does “mechanical stabilization” refer to in trauma care?
A) Use of pain medication
B) Surgical intervention
C) Use of external devices to support fractures
D) Physical therapy
Answer: C) Use of external devices to support fractures

What is the significance of assessing for “peripheral pulses” in trauma patients?
A) To check for fractures
B) To evaluate blood circulation
C) To assess for joint stability
D) To determine pain level
Answer: B) To evaluate blood circulation

What is the preferred treatment for stable pelvic fractures?
A) Surgical fixation
B) Bed rest and pain management
C) Traction
D) Immediate mobilization
Answer: B) Bed rest and pain management

Which type of pelvic fracture often requires surgical intervention?
A) Stable fractures
B) Unstable fractures
C) Stress fractures
D) Comminuted fractures
Answer: B) Unstable fractures

What is the most common type of pelvic fracture in older adults?
A) Anterior-posterior compression
B) Lateral compression
C) Vertical shear
D) Avulsion fracture
Answer: A) Anterior-posterior compression

Which of the following is an indicator of a possible pelvic fracture?
A) Increased range of motion
B) Pain in the groin or hip region
C) Decreased swelling
D) Absence of bruising
Answer: B) Pain in the groin or hip region

What does a “compression fracture” in the pelvis usually indicate?
A) Excessive force applied vertically
B) Excessive twisting motion
C) Direct blow to the side
D) None of the above
Answer: A) Excessive force applied vertically

Which physical exam finding is consistent with a pelvic fracture?
A) Increased strength in the lower extremities
B) Asymmetrical leg length
C) Abnormal hip mobility
D) None of the above
Answer: C) Abnormal hip mobility

What is the term for a fracture that occurs as a result of underlying disease?
A) Pathologic fracture
B) Traumatic fracture
C) Stress fracture
D) Avulsion fracture
Answer: A) Pathologic fracture

What is the significance of “mechanical instability” in pelvic fractures?
A) It indicates minimal risk
B) It requires immediate surgical intervention
C) It is easily managed with a splint
D) It requires only physical therapy
Answer: B) It requires immediate surgical intervention

What is a common symptom of pelvic fractures in trauma patients?
A) Abdominal pain
B) Chest pain
C) Headache
D) Neck stiffness
Answer: A) Abdominal pain

What is the typical presentation of a vertical shear fracture?
A) Stable position of bones
B) Displacement of bone fragments
C) Fracture without displacement
D) Minimal swelling
Answer: B) Displacement of bone fragments

What is the first imaging modality to use in the assessment of a suspected pelvic fracture?
A) X-ray
B) CT scan
C) MRI
D) Ultrasound
Answer: A) X-ray

What does the term “external fixation” refer to in trauma management?
A) Internal screws and plates
B) External devices attached to stabilize bones
C) Application of a cast
D) Traction methods
Answer: B) External devices attached to stabilize bones

 

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