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OMS Frameworks ©️ Trauma Quiz
What are the standard Trauma Series XR as per ATLS protocol?
A
Pelvis and Chest
B
Hips and Chest
C
Cervical Spine and Pelvis
D
Chest, C-Spine Lateral and Pelvis
E
Abdomen and Chest
What Next in the management of this patient?
A
Arterial Blood Gas measurement
B
2 large bore venous access
C
Catheterise patient
D
Insert Chest Tube
E
Intubate patient
How much blood loss can occur from this injury?
A
3-5 litres
B
2-3 litres
C
7-9 litres
D
0-1 litre
How can blood loss be minimized from long bone fractures?
A
Direct pressure to fracture site
B
Tourniquet application
C
Immobilisation and Splinting
D
Administration of fresh frozen plasma
E
All the above
What takes priority in management of poly-trauma patient ?
A
Cervical spine injury
B
Splenic injury
C
Femur fracture
D
Tension pneumothorax
E
Buttock haematoma
What is the first step in managing this patient upon arrival to the emergency department?
A
Take an AMPLE history
B
Intubate the patient
C
Order initial x-rays
D
Check the patient’s blood pressure
E
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)
A
Vertical shear pelvic fracture
B
Acetabular Fracture
C
Open Book Pelvic Fracture
D
Left Neck of Femur Fracture
E
Right Inter-trochanteric Hip fracture
What does a "mechanical fall" imply?
A
Patient had chest pain before the fall
B
Patient was hit by a mechanical object
C
Patient did not experience any prefall, intra-fall, post-fall symptoms to suggest any other underlying medical condition for the fall
D
Any fall that the patient sustained while walking
E
Patient require mechanical ventilation after tha fall
What does a "prodromal pain" mean? (Please choose 2)
A
Suggests that there is an underlying pathological fracture
B
Patient had pain before the fall
C
The pain comes periodically
D
Patient had chest pain before the fall
E
The pain is progressively worse
Which of these injuries are at HIGH risk of compartment syndrome?
A
Olecranon Fracture
B
Proximal Humerus Fracture
C
Burst fracture of the spine
D
Tibia Shaft Fracture
E
Hip Fracture
What is the most significant determinant of whether a patient with an open fracture will develop an infection?
A
Time to administering blood transfusion
B
Time to surgical debridement
C
Time to irrigation
D
Time to starting antibiotics
E
Time to hospital
Patient had an injury to the left knee. XR, done in Step 4 reveals the following. What will be the next appropriate interventions?
A
Step 5 - Analgesia, MnR, BELOW knee back slab
B
Step 5 - Analgesia, MnR, ABOVE knee back slab
C
Step 6 - CT Scan
D
Step 6 - MRI Scan
Which specific nerve will you be worried about in this injury?
A
Median Nerve
B
Axillary nerve
C
Radial Nerve
D
Musculocutaneous Nerve
E
Ulnar Nerve
Which specific nerve will you be worried about in this injury?
A
Ulnar Nerve
B
Axillary nerve
C
Musculocutaneous Nerve
D
Radial Nerve
E
Median Nerve
How will you evaluate the specific nerve that you are worried is affected in this injury?
A
Loss of sensation over the little finger
B
Numbness of the regimental batch area
C
Inability to cross fingers
D
Weakness in thumb abduction
E
Numbness of the first dorsal webspace
How will you evaluate the specific nerve that you are worried is affected in this injury?
A
Wrist and finger drop
B
Failure to do OK sign
C
Numbness over little finger
D
Failure to criss cross fingers
E
Numbness over the radial 3.5 fingers
How will you evaluate the specific nerve that you are worried is affected in this injury?
A
Numbness over the radial 3.5 fingers
B
Wrist and finger drop
C
Failure to do OK sign
D
Numbness over the thumb
E
Failure to criss cross fingers
How will you evaluate the specific nerve that you are worried is affected in this injury?
A
Ability to extend the knee
B
Check Hip flexion power
C
Ability to abduct the Hip
D
Ability to flex the knee
E
Ability to dorsiflex foot (no foot drop)
How will you evaluate the specific nerve that you are worried is affected in this injury?
A
Check Hip flexion power
B
Ability to dorsiflex foot (no foot drop)
C
Ability to extend the knee
D
Ability to flex the knee
E
Ability to abduct the Hip
Which of these are key features of post-operative management of a fracture fixation? (Choose 2)
A
Prophylactic Antibiotics
B
Acupuncture
C
Screen for infection with CRP, ESR, CXR, UFEME
D
Empirical Antibiotics
E
Post-op XR
How would you temporarily stabilize this injury in Step 5 of the framework?
A
Traction
B
Above knee back slab
C
Buddy Splint
D
Bed Rest
E
Below knee back slab
How would you temporarily stabilize this injury in Step 5 of the framework?
A
Below knee back slab
B
Above knee back slab
C
Traction
D
Bed Rest
E
Buddy Splint
1 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Above knee back slab
B
Buddy Splint
C
Bed Rest
D
Traction
E
Below knee back slab
2 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Traction
B
Buddy Splint
C
Below knee back slab
D
Above knee back slab
E
Bed Rest
3 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Bed Rest
B
Traction
C
Above knee back slab
D
Below knee back slab
E
Buddy Splint
4 How would you temporarily stabilize this injury in Step 5 of the framework
?
A
Bed Rest
B
Traction
C
Above knee back slab
D
Below knee back slab
E
Buddy Splint
5 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint
6 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint
7 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint
8 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint
9 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint
10 How would you temporarily stabilize this injury in Step 5 of the framework?
A
Arm Sling
B
Collar and Cuff
C
U-Slab
D
Above Elbow back slab
E
Below Elbow back slab
F
Thumb Spica
G
Ulnar Gutter
H
Intrinsic Plus Splint
I
Buddy Splint