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OMS Frameworks ©️ Trauma Quiz

What are the standard Trauma Series XR as per ATLS protocol?

Abdomen and Chest

Pelvis and Chest

Cervical Spine and Pelvis

Hips and Chest

Chest, C-Spine Lateral and Pelvis

What Next in the management of this patient?

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What Next in the management of this patient?

Insert Chest Tube

Intubate patient

Catheterise patient

Arterial Blood Gas measurement

2 large bore venous access

How much blood loss can occur from this injury?

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How much blood loss can occur from this injury?

2-3 litres

7-9 litres

3-5 litres

0-1 litre

How can blood loss be minimized from long bone fractures?

Direct pressure to fracture site

Tourniquet application

Immobilisation and Splinting

Administration of fresh frozen plasma

All the above

What takes priority in management of poly-trauma patient ?

Splenic injury

Cervical spine injury

Femur fracture

Buttock haematoma

Tension pneumothorax

What is the first step in managing this patient upon arrival to the emergency department?

Take an AMPLE history

Order initial x-rays

Intubate the patient

Check the patient’s blood pressure

Check the patient’s airway

In which of the following injuries should the pelvic binder be REMOVED in a polytrauma case after being diagnosed on XR in the initial investigation phase? (Choose 3)

Left Neck of Femur Fracture

Right Inter-trochanteric Hip fracture

Vertical shear pelvic fracture

Acetabular Fracture

Open Book Pelvic Fracture

What does a "mechanical fall" imply?

Patient was hit by a mechanical object

Patient had chest pain before the fall

Patient require mechanical ventilation after tha fall

Patient did not experience any prefall, intra-fall, post-fall symptoms to suggest any other underlying medical condition for the fall

Any fall that the patient sustained while walking

What does a "prodromal pain" mean? (Please choose 2)

The pain is progressively worse

The pain comes periodically

Patient had pain before the fall

Patient had chest pain before the fall

Suggests that there is an underlying pathological fracture

Which of these injuries are at HIGH risk of compartment syndrome?

Hip Fracture

Olecranon Fracture

Burst fracture of the spine

Proximal Humerus Fracture

Tibia Shaft Fracture

What is the most significant determinant of whether a patient with an open fracture will develop an infection?

Time to hospital

Time to starting antibiotics

Time to irrigation

Time to surgical debridement

Time to administering blood transfusion

Patient had an injury to the left knee. XR, done in Step 4 reveals the following. What will be the next appropriate interventions?

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Patient had an injury to the left knee. XR, done in Step 4 reveals the following. What will be the next appropriate interventions?

Step 5 - Analgesia, MnR, BELOW knee back slab

Step 5 - Analgesia, MnR, ABOVE knee back slab

Step 6 - CT Scan

Step 6 - MRI Scan

Which specific nerve will you be worried about in this injury?

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Which specific nerve will you be worried about in this injury?

Ulnar Nerve

Radial Nerve

Median Nerve

Axillary nerve

Musculocutaneous Nerve

Which specific nerve will you be worried about in this injury?

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Which specific nerve will you be worried about in this injury?

Musculocutaneous Nerve

Median Nerve

Radial Nerve

Axillary nerve

Ulnar Nerve

How will you evaluate the specific nerve that you are worried is affected in this injury?

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How will you evaluate the specific nerve that you are worried is affected in this injury?

Numbness of the regimental batch area

Inability to cross fingers

Loss of sensation over the little finger

Weakness in thumb abduction

Numbness of the first dorsal webspace

How will you evaluate the specific nerve that you are worried is affected in this injury?

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How will you evaluate the specific nerve that you are worried is affected in this injury?

Failure to criss cross fingers

Failure to do OK sign

Numbness over the radial 3.5 fingers

Numbness over little finger

Wrist and finger drop

How will you evaluate the specific nerve that you are worried is affected in this injury?

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How will you evaluate the specific nerve that you are worried is affected in this injury?

Numbness over the radial 3.5 fingers

Numbness over the thumb

Failure to criss cross fingers

Wrist and finger drop

Failure to do OK sign

How will you evaluate the specific nerve that you are worried is affected in this injury?

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How will you evaluate the specific nerve that you are worried is affected in this injury?

Ability to dorsiflex foot (no foot drop)

Check Hip flexion power

Ability to flex the knee

Ability to extend the knee

Ability to abduct the Hip

How will you evaluate the specific nerve that you are worried is affected in this injury?

https://storage.tally.so/36be4aae-a55f-4dc0-abbc-fa4912799f15/unnamed-57-.jpg

How will you evaluate the specific nerve that you are worried is affected in this injury?

Ability to dorsiflex foot (no foot drop)

Check Hip flexion power

Ability to flex the knee

Ability to extend the knee

Ability to abduct the Hip

5 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint

6 How would you temporarily stabilize this injury in Step 5 of the framework?

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6 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint

7 How would you temporarily stabilize this injury in Step 5 of the framework?

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7 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint

8 How would you temporarily stabilize this injury in Step 5 of the framework?

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8 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint

9 How would you temporarily stabilize this injury in Step 5 of the framework?

https://storage.tally.so/d0ecab49-3216-42e8-b805-d47770c57a31/unnamed-64-.jpg

9 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint

10 How would you temporarily stabilize this injury in Step 5 of the framework?

https://storage.tally.so/eec96d08-07d7-4e94-9aca-da36766af77c/unnamed-65-.jpg

10 How would you temporarily stabilize this injury in Step 5 of the framework?

Arm Sling

Collar and Cuff

U-Slab

Above Elbow back slab

Below Elbow back slab

Thumb Spica

Ulnar Gutter

Intrinsic Plus Splint

Buddy Splint