Abdominal Trauma MCQ Quiz | Trauma & Critical Care

Welcome to the Abdominal Trauma MCQ Quiz. This quiz is specifically designed for MBBS students to test and reinforce their knowledge in Trauma & Critical Care. It covers crucial aspects of diagnosing and managing abdominal injuries, from initial assessment using FAST scans and CT imaging to the nuances of solid organ and hollow viscus trauma. You will encounter questions on clinical signs, diagnostic criteria, grading of injuries, and principles of management like damage control surgery and non-operative approaches. This comprehensive set of 25 questions will help you evaluate your understanding of this high-stakes clinical area. After submitting your answers, you can review your score and see detailed explanations. You also have the option to download all questions with their correct answers in a PDF format for future revision.

1. A 25-year-old male involved in a motor vehicle collision presents with a “seatbelt sign” (abdominal wall contusion). He is hemodynamically stable. This finding is most strongly associated with an injury to which of the following structures?

2. In a trauma patient, Kehr’s sign, which is referred pain to the left shoulder, is a classic sign of irritation of the diaphragm from:

3. What is the most reliable imaging modality for evaluating a hemodynamically stable patient with suspected blunt abdominal trauma?

4. A positive Diagnostic Peritoneal Lavage (DPL) in blunt abdominal trauma is classically defined by the aspiration of >10 mL of gross blood or an RBC count greater than:

5. Which of the following is an absolute indication for laparotomy in a patient with blunt abdominal trauma?

6. The ‘E’ in E-FAST (Extended FAST) scan refers to the additional evaluation of the:

7. A hemodynamically stable patient has a Grade III splenic injury on CT scan. What is the most appropriate initial management strategy?

8. The most commonly injured organ in blunt abdominal trauma is the:

9. Abdominal Compartment Syndrome (ACS) is diagnosed based on a sustained intra-abdominal pressure (IAP) of >20 mmHg along with:

10. The three core principles of damage control surgery (or damage control laparotomy) are:

11. A retroperitoneal hematoma in Zone 1 (central-supramesocolic) requires mandatory exploration because it may involve which structures?

12. The most common type of bladder injury associated with pelvic fractures is:

13. In a patient with penetrating abdominal trauma (e.g., a stab wound), which finding is an absolute indication for immediate laparotomy?

14. Which finding on a CT scan is most specific for a hollow viscus injury?

15. Traumatic diaphragmatic rupture occurs most frequently on which side?

16. The most common clinical finding in patients with renal trauma is:

17. A patient who has undergone a splenectomy is at a lifelong increased risk of overwhelming post-splenectomy infection (OPSI), primarily from which type of organisms?

18. Grey Turner’s sign, an ecchymosis of the flanks, is indicative of:

19. A child falls onto bicycle handlebars and presents 2 days later with nausea, bilious vomiting, and abdominal pain. An upper GI series shows a “coiled spring” appearance in the second part of the duodenum. What is the most likely diagnosis?

20. What is the primary source of life-threatening hemorrhage in patients with unstable pelvic ring fractures?

21. The principle of “permissive hypotension” in trauma resuscitation is primarily aimed at:

22. Injury to the pancreas is often difficult to diagnose initially. Which of the following is true regarding serum amylase levels in pancreatic trauma?

23. In the American Association for the Surgery of Trauma (AAST) grading for liver injury, what does a Grade V injury typically involve?

24. What is the goal of placing a pelvic binder or sheet on a patient with a suspected unstable pelvic fracture in the emergency department?

25. Cullen’s sign (periumbilical ecchymosis) is a late finding that suggests: