- Question: A 30-year-old male presents with multiple lacerations and abrasions after a motorcycle accident. He is alert and oriented but has a deformity of the left leg. What is the first step in his management? Answer: The first step is to assess the patient’s airway, breathing, and circulation (ABCs), followed by stabilization of the leg fracture and pain management.
- Question: A 60-year-old woman is involved in a car accident and presents with severe neck pain and limited range of motion. What diagnostic test should be performed to rule out cervical spine injury? Answer: A cervical spine X-ray should be performed, and if necessary, a CT scan or MRI can be ordered if there is concern for ligamentous or disc injury.
- Question: A 45-year-old male is brought to the ER after being hit by a car. He is conscious but has a GCS of 13, a blood pressure of 90/60 mmHg, and tachycardia. What should be the immediate management for this patient? Answer: The patient should be immediately assessed for head trauma and internal bleeding. Resuscitation with IV fluids and blood products should be started, and a CT scan of the head should be performed to rule out traumatic brain injury.
- Question: A 25-year-old pedestrian presents with a femur fracture after being struck by a vehicle. What is the priority in the management of this patient? Answer: The priority is to stabilize the femur fracture with a splint and ensure that the patient’s ABCs (airway, breathing, circulation) are maintained before definitive orthopedic intervention.
- Question: A 35-year-old male involved in a high-speed car crash presents with severe chest pain, shortness of breath, and decreased breath sounds on the left. What is the most likely diagnosis and next step in management? Answer: The most likely diagnosis is a pneumothorax. The next step is to perform a chest X-ray or ultrasound and proceed with needle decompression if a tension pneumothorax is suspected.
- Question: A 50-year-old female is admitted with blunt abdominal trauma following a car crash. On examination, she has a distended abdomen and decreased bowel sounds. What is the next step in management? Answer: A focused abdominal sonography for trauma (FAST) scan or CT abdomen should be performed to assess for internal injuries like solid organ damage or free fluid in the abdomen.
- Question: A 20-year-old male presents with a head injury after a road traffic accident and is comatose with a GCS of 6. What is the immediate management approach for this patient? Answer: Immediate management should include securing the airway (intubation if necessary), maintaining cervical spine immobilization, and a CT scan of the head to assess for traumatic brain injury.
- Question: A 32-year-old woman presents with a shoulder injury after a car accident. She reports significant pain and an inability to move her arm. What is the most likely diagnosis, and what should be done next? Answer: The most likely diagnosis is a shoulder dislocation. The next step is to assess for neurovascular compromise, followed by closed reduction and immobilization of the shoulder.
- Question: A 40-year-old male was involved in a rear-end collision and complains of neck pain. He has no neurological deficits, and his cervical spine X-ray is negative. What is the most likely diagnosis? Answer: The most likely diagnosis is whiplash-associated disorder (WAD). The management includes pain control, physical therapy, and cervical collar support if necessary.
- Question: A 28-year-old male with blunt abdominal trauma following a car accident presents with severe lower abdominal pain and signs of peritonitis. What is the next step in management? Answer: A CT scan of the abdomen should be performed to assess for intra-abdominal injury, including bowel perforation or solid organ damage. Surgery may be required depending on the findings.
- Question: A 55-year-old woman with a history of hypertension and diabetes is involved in a road traffic accident. She presents with confusion and a GCS of 12. What diagnostic test is most appropriate? Answer: A CT scan of the head is the most appropriate test to assess for any intracranial hemorrhage or traumatic brain injury.
- Question: A 40-year-old male involved in a car crash presents with severe chest pain and difficulty breathing. Chest X-ray reveals rib fractures. What complications should be closely monitored for in this patient? Answer: Potential complications include pneumothorax, hemothorax, flail chest, and pulmonary contusions. Close monitoring of respiratory function and oxygenation is essential.
- Question: A 24-year-old female with no significant medical history is hit by a car while walking. She presents with bilateral femur fractures. What is the initial management for this injury? Answer: The initial management includes stabilizing the fractures with traction or splints, ensuring adequate pain control, and performing a primary survey to assess for life-threatening injuries.
- Question: A 30-year-old male presents with head trauma following a motorcycle crash. He is drowsy and has a GCS of 12. What is the first step in managing this patient? Answer: The first step is to secure the airway, assess breathing and circulation, and perform a head CT to evaluate for traumatic brain injury.
- Question: A 65-year-old man presents with blunt chest trauma following a car crash. He has decreased breath sounds on the right and tachypnea. What is the most likely diagnosis? Answer: The most likely diagnosis is a rib fracture with a possible pneumothorax. A chest X-ray should be obtained to confirm the diagnosis.
- Question: A 50-year-old woman presents with abdominal pain and nausea after a road traffic accident. She has tenderness in the right upper quadrant. What injury should be suspected, and what diagnostic test is needed? Answer: The most likely injury is liver trauma. A focused abdominal sonography for trauma (FAST) scan or CT abdomen should be performed to assess for liver injury.
- Question: A 45-year-old male presents with a head injury after a high-speed collision. His GCS is 8, and he is intubated. What is the next step in his management? Answer: The next step is to perform a CT scan of the head to assess for traumatic brain injury, including hemorrhage or contusion.
- Question: A patient with a suspected pelvic fracture following a car accident presents with hypotension and tachycardia. What is the immediate management for this patient? Answer: The immediate management includes stabilizing the pelvic fracture with a pelvic binder or sheet, IV fluid resuscitation, and considering blood transfusion for hypovolemic shock.
- Question: A 40-year-old female with a history of asthma is involved in a car accident. She is complaining of chest tightness and difficulty breathing. What is the next step in management? Answer: The patient should be assessed for any traumatic chest injury (e.g., rib fractures, pneumothorax) with a chest X-ray. She should also receive bronchodilators if asthma symptoms are exacerbated.
- Question: A 25-year-old male presents after a road traffic accident with severe back pain and difficulty moving his lower extremities. What should be the first diagnostic test performed? Answer: A spinal injury should be suspected. The first diagnostic test is a spinal X-ray or CT scan of the spine, along with careful immobilization to prevent further injury.
- Question: A 50-year-old woman with a history of cardiovascular disease presents with chest pain and hypotension after a car accident. What should be suspected and investigated? Answer: Aortic injury should be suspected, particularly in blunt trauma. A CT angiogram of the chest should be performed to rule out aortic dissection or rupture.
- Question: A 32-year-old male is involved in a high-speed collision. He has bilateral fractures of the femurs. What are the primary considerations in his management? Answer: Primary considerations include pain management, stabilization of the fractures, ensuring proper resuscitation with fluids, and performing imaging to assess for other injuries, such as internal bleeding.
- Question: A 55-year-old male presents after a car accident with an open tibia fracture and profuse bleeding. What is the first step in his management? Answer: The first step is to control bleeding with direct pressure, followed by immobilization of the fracture and IV fluid resuscitation.
- Question: A 40-year-old female presents with abdominal pain and bruising after being involved in a road traffic accident. What is the next step in her management? Answer: A CT scan of the abdomen should be performed to evaluate for potential intra-abdominal injuries such as organ lacerations or bleeding.
- Question: A 28-year-old male involved in a motorcycle crash presents with a deep laceration on his forearm and mild swelling. What is the first step in managing this injury? Answer: The first step is to clean and debride the wound, administer tetanus prophylaxis if necessary, and immobilize the arm for comfort before considering surgical intervention if required.
- Question: A 60-year-old man presents with a possible spinal injury after a car accident. What is the initial management for suspected spinal trauma? Answer: The patient should be immobilized on a backboard with a cervical collar, and a thorough neurological examination should be performed before obtaining spinal imaging.
- Question: A 40-year-old female involved in a car crash presents with abdominal pain and vaginal bleeding. What injury should be suspected and what test is indicated? Answer: The most likely injury is blunt trauma to the uterus or pelvis. A pelvic ultrasound should be performed to assess for uterine injury or hemorrhage.
- Question: A 35-year-old male involved in a motor vehicle crash presents with a sudden onset of severe chest pain and dyspnea. What should be suspected and what diagnostic test should be performed? Answer: Pulmonary contusion or pneumothorax should be suspected. A chest X-ray or CT scan should be performed to assess for these conditions.
- Question: A 45-year-old man involved in a high-speed collision presents with multiple fractures. He is hypotensive and tachycardic. What is the priority in his management? Answer: The priority is to establish IV access, provide fluid resuscitation, and identify life-threatening injuries, such as hemorrhagic shock, that may require urgent surgical intervention.
- Question: A 50-year-old male with blunt chest trauma following a car accident presents with tachypnea and hypoxia. What is the most likely diagnosis? Answer: The most likely diagnosis is a pulmonary contusion. A chest CT or X-ray should be performed to confirm the diagnosis.
- Question: A 20-year-old female presents after a road traffic accident with neck pain. She has no neurological deficits. What is the most likely cause of her symptoms and how should she be managed? Answer: The most likely cause is whiplash injury. Management includes pain control, cervical collar immobilization, and physical therapy.
- Question: A 25-year-old male presents with a femur fracture after a road traffic accident. What is the initial management of this injury? Answer: The initial management involves immobilizing the fracture with a splint, controlling pain, and ensuring that the patient is stable before considering surgical intervention.
- Question: A patient presents with facial lacerations and a suspected fractured jaw after a car accident. What should be done next? Answer: The patient should be assessed for airway compromise, and imaging of the jaw (X-ray or CT) should be performed to evaluate the extent of the fracture.
- Question: A 40-year-old female with blunt abdominal trauma presents with signs of hypovolemic shock. What is the next step in managing this patient? Answer: The next step is to initiate resuscitation with IV fluids and blood products, followed by a FAST scan or CT scan to evaluate for intra-abdominal bleeding.
- Question: A 60-year-old male with blunt thoracic trauma presents with a paradoxical chest wall movement. What is the most likely diagnosis? Answer: The most likely diagnosis is flail chest. The patient should be closely monitored for respiratory compromise and may require mechanical ventilation.
- Question: A 30-year-old woman is involved in a car accident and presents with severe leg pain and swelling. What is the most likely diagnosis? Answer: The most likely diagnosis is a fracture or compartment syndrome. Imaging and compartment pressure measurements should be performed promptly.
- Question: A 50-year-old male presents with confusion and difficulty speaking after a road traffic accident. What diagnostic test should be performed to assess for traumatic brain injury? Answer: A CT scan of the head should be performed to evaluate for intracranial hemorrhage, contusions, or other traumatic brain injuries.
- Question: A 30-year-old male presents with blunt force trauma to the pelvis. He is hypotensive and tachycardic. What is the next step in management? Answer: The patient should be stabilized with a pelvic binder or sheet to control hemorrhage, followed by fluid resuscitation and imaging to assess for pelvic fractures.
- Question: A 70-year-old man presents with shortness of breath, cough, and chest pain after a car accident. What diagnostic test is indicated? Answer: A chest X-ray should be performed to assess for rib fractures, pulmonary contusion, or pneumothorax.
- Question: A 22-year-old male presents with a dislocated shoulder after a car accident. What is the initial management? Answer: The initial management includes pain control and closed reduction of the shoulder joint, followed by immobilization and physical therapy.
- Question: A patient presents with severe headaches and blurred vision after being involved in a road traffic accident. What should be suspected and investigated? Answer: A traumatic brain injury, such as a concussion or contusion, should be suspected. A CT scan of the head should be performed to assess for structural brain injuries.
- Question: A 40-year-old male presents with severe abdominal pain and tenderness after a road traffic accident. He has signs of peritonitis. What is the next step in management? Answer: A CT scan of the abdomen should be performed to assess for intra-abdominal injury, and surgery should be considered if there are signs of perforation or significant bleeding.
- Question: A 30-year-old female presents with an open fracture of the tibia after a car accident. What is the first step in managing this injury? Answer: The first step is to control bleeding, immobilize the leg, and provide pain management. An antibiotic prophylaxis regimen should be started to prevent infection.
- Question: A 55-year-old male is involved in a road traffic accident and presents with severe back pain. What diagnostic tests should be considered to assess for spinal injury? Answer: A spinal X-ray or CT scan should be obtained to evaluate for fractures or dislocations of the spine.
- Question: A patient involved in a car accident presents with blunt chest trauma and difficulty breathing. What is the most likely cause of these symptoms, and what is the first step in management? Answer: The most likely cause is a pneumothorax or rib fractures. A chest X-ray should be performed, and a needle decompression may be needed if a tension pneumothorax is suspected.
- Question: A 35-year-old woman with a history of asthma presents after a road traffic accident. She is complaining of chest tightness and difficulty breathing. What should be suspected? Answer: Pulmonary contusion or pneumothorax should be suspected. A chest X-ray should be performed to confirm the diagnosis.
- Question: A patient presents with a leg injury after a road traffic accident. He has a large open wound and is bleeding heavily. What is the first step in management? Answer: The first step is to control bleeding with direct pressure, apply a sterile dressing, and immobilize the leg to prevent further injury before initiating IV fluids and pain management.
- Question: A 20-year-old female presents with abdominal pain after being involved in a car crash. She has no obvious external injuries. What is the next diagnostic step? Answer: A CT scan of the abdomen should be performed to assess for internal injuries such as splenic or liver lacerations.
- Question: A patient involved in a road traffic accident presents with severe facial trauma and difficulty breathing. What should be done to secure the airway? Answer: The airway should be assessed for patency, and if necessary, intubation should be performed under controlled conditions. Careful management is needed due to the facial injury.
- Question: A 60-year-old male presents with head trauma after a road traffic accident. He has a GCS of 14 and complains of neck pain. What is the next step in management? Answer: The patient should be immobilized, and a cervical spine X-ray or CT should be performed to rule out cervical spine fractures or other injuries.