Hepatic Trauma MCQ Quiz | Liver

Welcome to the Hepatic Trauma quiz, specifically designed for MBBS students to test and reinforce their knowledge of liver injuries. This quiz covers the essential aspects of hepatic trauma, from initial assessment and diagnosis using modalities like FAST and CT scans, to understanding the AAST grading system. You will be challenged on the principles of non-operative management (NOM) for hemodynamically stable patients, as well as indications for surgical intervention and techniques like the Pringle maneuver and perihepatic packing. This comprehensive quiz of 25 questions will help solidify your understanding of managing one of the most common injuries in abdominal trauma. After submitting, you can review your score and download all questions with their correct answers in a PDF format for future study.

1. According to the American Association for the Surgery of Trauma (AAST) liver injury scale, a subcapsular hematoma covering 25% of the surface area is classified as:

2. What is the primary diagnostic imaging modality for a hemodynamically stable patient with suspected hepatic trauma?

3. The Pringle maneuver temporarily occludes blood flow to the liver by clamping which structure?

4. Which of the following is an absolute contraindication for non-operative management (NOM) of hepatic trauma?

5. A patient with a Grade V liver injury involving juxtahepatic venous structures continues to bleed despite perihepatic packing. What is the next most appropriate step?

6. What is the most common late complication following successful non-operative management of a severe liver injury?

7. Angioembolization is most effective in controlling bleeding from which source in hepatic trauma?

8. A “blush” of contrast on a CT scan in a patient with hepatic trauma signifies what?

9. What is the primary purpose of “damage control laparotomy” in severe hepatic trauma?

10. An AAST Grade IV hepatic injury is defined by:

11. In the context of the “lethal triad” of trauma, which of the following is NOT a component?

12. Which liver segments are most commonly injured in blunt abdominal trauma due to their anterior location and fixation?

13. Perihepatic packing is typically left in place for how long before a planned re-laparotomy?

14. A patient managed non-operatively for a liver laceration develops right upper quadrant pain, fever, and leukocytosis one week post-injury. CT shows a new, well-defined fluid collection in the liver. What is the most appropriate management?

15. What is the primary source of bleeding if it continues after a properly applied Pringle maneuver?

16. The surgical technique of suturing the liver parenchyma to control bleeding is known as:

17. Which of these findings in a patient undergoing NOM for liver trauma is the strongest indication for intervention (either angioembolization or surgery)?

18. Abdominal compartment syndrome after severe hepatic trauma is diagnosed by measuring:

19. Hepatic artery pseudoaneurysm is a potential complication of liver trauma. What is the preferred treatment for this condition?

20. What is a key advantage of using omentum in the repair of deep liver lacerations?

21. An AAST Grade VI liver injury implies:

22. What is the main goal of a Focused Assessment with Sonography for Trauma (FAST) exam in a patient with abdominal trauma?

23. In which scenario is a diagnostic peritoneal lavage (DPL) still considered useful for evaluating abdominal trauma?

24. Mobilization of the right lobe of the liver for better exposure during surgery is achieved by incising the:

25. A patient presents with hemobilia (bleeding into the biliary tract) weeks after a liver injury. This is most commonly caused by a fistula between a bile duct and which vessel?