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

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

Trauma assessment and classification MCQs (e.g., pelvic fractures)
By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

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