Curriculum Quiz: Trauma

Which of the following is classed as a high-risk feature for the presence of a cervical spine fracture in alert, stable patients presenting with traumatic neck pain?

When performing an emergency room escharotomy, the incision should be made through the burn down to the:

What is the approximate incidence of cervical spine injuries amongst conscious cooperative trauma patients who attend emergency departments?

A 22-year-old man has been assaulted leading to severe head injuries. He has a GCS of 11.

What, if any, would be the most appropriate method to image his cervical spine?

A 20-year-old man has fallen from a third-floor window. Which of the following statements regarding the diagnosis of aortic injury is correct?

Which of the following are recognised long-term complications of primary blast injury?

With regard to mechanism of injury, which one of the following statements is FALSE?

In a patient who presents with a stab wound to the left flank, which of the following injuries may be sustained? (Select all that apply)

Which one of the following is not a recognised clinical sign of a fracture?

A 56-year-old man presents having fallen downstairs. He is complaining of pain in his lower back.

What do his x-rays show?

Which of the following chest injuries is the most likely to be missed, both clinically and by routine investigation, in a patient with major trauma?

The prevalence of pelvic fracture in blunt trauma is 3%.

Which of the following statements regarding the suturing of the chest drain into position is false?

In blunt abdominal trauma, a haemodynamically normal patient…

Callum is a 7 year old boy who was playing football in the park 2 days ago. He fell forwards, putting out both hands to stop himself. Most of his weight was on his right hand. There was a forced hyper extension of both wrists, with worse pain on the right than the left. The right one has been particularly swollen and painful since. The left wrist appears mildly swollen only. He has attended the Emergency Department now because the pain is no better.

Given the history alone, the most likely injury Callum will have sustained to the left wrist is:

What would your initial investigation of choice be in a patient experiencing a headache and vertigo after a head injury?

Which of the following is incorrect?

In major trauma, a FAST scan is ideally carried out under which of the following circumstances?

Which of the following statements is correct? 

Painless straight leg raise can always exclude pelvic fracture.

Which of the following is the treatment of choice for an undisplaced intertrochanteric fracture?

The following statements relate to traumatic conditions. Which ones are true?

Which one of the following statements is correct regarding crush injuries to the foot?

Which one of the following statements is correct regarding elbow injuries?

Which of the following hand injuries require urgent hand specialist referral?

Select one or more options.

Which of the following statements is true regarding the management of electrical injuries?

The monofilament suture is the generally preferred non-absorbable suture for skin closure due to its association with low infection risk.

A 19-year-old student presents to the emergency department on Saturday morning unable to move his right arm. He was out celebrating on Friday night and fell asleep with his arms over the back of a chair. On examination, he is unable to extend his right wrist and has numbness over the back of his hand but has a palpable radial pulse.

Which one of the following is the most likely diagnosis?

Which of the following statements is correct in respect of a metatarsal stress fracture?

A 28-year-old man presents with a swollen and painful proximal interphalangeal joint injury (PIPJ) to his left index finger after a basketball game. He is maximally tender over the dorsal aspect, but has full range of active movement and no demonstrable PIPJ instability. There is no external wound. X-rays do not reveal any fractures.

Which one of the following is correct?