Sat27November0445PM 36
Regarding abdominal injuries in trauma, are the following true?
True / False
Significant pancreatic injury will always be demonstrated on double contrast enhanced CT if performed within eight hours of trauma Correct
Posterior pelvic injuries are usually present in patients with urethral injuries Incorrect answer selected
Small bowel injuries are easily detected on ultrasound Correct
Lumbar distraction fracture is associated with intestinal injury Correct
Diaphragmatic injuries tender to occur on the right hand side Incorrect answer selected
Explanation
Diaphragmatic injuries tend to occur on the left hand side.
Lumbar distraction fractures should alert the doctor to the chance of an intestinal injury.
Anterior pelvic fractures are associated with urethral injuries.
Significant pancreatic trauma may not be identified in the immediate post trauma time period on double contrast CT and amylase levels may be normal or raised due to other injuries.
Small bowel injuries are hard to detect on ultrasound.
Reference:
American College of Surgeons Committee on Trauma. Advanced Trauma Life Support for Doctors, Student Course Manual (ATLS). 8th ed. Chicago, IL: American College of Surgeons; 2008.
Answer Statistics
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Average score: 77.79%
Times answered: 326