Trauma Surgery Comprehensive Quiz
Test your knowledge on Trauma Surgery by answering the questions provided in this quiz.
1.
Which of the following is a dynamic test for fluid responsiveness in sedated and mechanically ventilated patients?
2.
Which colloid has the longest duration of volume expansion?
3.
Which condition is a common indication for the use of 3% Saline?
4.
What is the main reason for the use of lactate in Ringer’s Lactate solution?
5.
Which of the following fluids should be avoided in a patient with hyperkalemia?
6.
Which compartment contains the largest portion of total body water in a 70 kg male?
7.
Which IV fluid is considered a balanced solution?
8.
Which of the following IV fluids is isotonic?
9.
Which of the following laboratory findings is most likely elevated in a patient with shock due to tissue hypoxia?
10.
A 70-year-old patient with severe CHF is undergoing fluid resuscitation. The patient requires a fluid bolus. What volume of fluid bolus would be most appropriate for this patient?
11.
A patient presents with hypovolemic shock. What is the best initial approach to determine if the patient is fluid responsive?
12.
Which of the following findings is most likely in a patient with cardiogenic shock?
13.
Which type of shock is characterized by low systemic vascular resistance and is often associated with warm extremities?
14.
A 40-year-old male is admitted with confusion, oliguria, and cold extremities following multiple episodes of vomiting and diarrhea. His blood pressure is 70/40 mmHg. What is the most likely cause of his shock?
15.
Which of the following fluids is isotonic and commonly used for resuscitation?
16.
A 45-year-old female is undergoing elective surgery for a cholecystectomy. During the procedure, the anesthesiologist notices that the patient’s blood pressure is dropping, and there is decreased urine output. The patient is given a bolus of 0.9% Saline but shows no improvement in hemodynamics. The anesthesiologist decides to perform a transesophageal echocardiogram (TEE). What is the most likely reason for performing TEE in this scenario?
17.
A 55-year-old woman with a history of diabetes presents to the emergency department with confusion, shortness of breath, and a fever of 39°C. On examination, she is tachycardic with a heart rate of 110 bpm, hypotensive with a blood pressure of 85/50 mmHg, and has cold, clammy skin. Blood cultures are drawn, and she is diagnosed with septic shock. Despite fluid resuscitation, her blood pressure remains low. What is the most appropriate next step in her management?
18.
A 60-year-old male presents with sudden chest pain, shortness of breath, and lightheadedness. He has a history of coronary artery disease and is currently on antihypertensive medications. On examination, he is hypotensive with a blood pressure of 75/40 mmHg, and his lungs reveal bilateral crackles. An ECG shows ST-segment elevation in the anterior leads. What is the most likely type of shock, and what is the immediate management?
19.
In fluid resuscitation, which of the following is a sign of adequate resuscitation?
20.
What is the osmolarity of Normal Saline (0.9% NaCl)?
21.
Which of the following clinical signs would be most consistent with a diagnosis of tension pneumothorax causing obstructive shock?
22.
Which of the following fluids is least likely to cause a dilutional acidosis when given in large volumes?
23.
What is the definition of osmosis?
24.
Fluid resuscitation during major abdominal surgery with which of the following agents is associated with the best survival data?
25.
A 70-year-old woman is admitted with septic shock secondary to pneumonia. Despite aggressive fluid resuscitation, her mean arterial pressure (MAP) remains below 60 mmHg. What is the most appropriate next step in management?
26.
A 65-year-old man with a history of myocardial infarction presents to the emergency department with shortness of breath, chest pain, and confusion. His blood pressure is 80/50 mmHg, heart rate is 110 bpm, and his lungs reveal crackles bilaterally. What is the most likely type of shock?
27.
A 60-year-old male with a history of cirrhosis is admitted with abdominal pain and distension. He is diagnosed with spontaneous bacterial peritonitis. The patient’s blood pressure is 90/60 mmHg, heart rate is 110 bpm, and his serum albumin is low. The physician decides to administer 25% albumin. What is the primary goal of administering 25% albumin in this patient?
28.
A patient with suspected hypovolemic shock due to gastrointestinal bleeding has a blood pressure of 85/50 mmHg and a heart rate of 130 bpm. Which of the following would be an expected laboratory finding?
29.
A patient with cirrhosis and spontaneous bacterial peritonitis is being treated with albumin. What is the main reason for this treatment?
30.
A patient with severe hyponatremia requires urgent correction. Which fluid is most appropriate?
31.
A 65-year-old male patient presents with severe dehydration and hypovolemic shock. His blood pressure is 80/50 mmHg, and his heart rate is 120 bpm. He is administered IV fluids for resuscitation. Which IV fluid would be the most appropriate to start with in this patient?
32.
A 28-year-old male presents with severe abdominal pain following a motor vehicle accident. His blood pressure is 90/60 mmHg, and his heart rate is 120 bpm. He has cold, clammy skin and decreased urine output. Which of the following is the most appropriate initial treatment?
33.
What is the expected initial volume expansion of 5% albumin when administered intravenously?
34.
Which fluid is most appropriate for maintenance therapy in a patient with normal serum sodium levels?
35.
A patient presents with a bee sting, followed by sudden onset of shortness of breath, hypotension, and a rash. What is the most important first-line treatment?
36.
Compared with intracellular fluid, the extracellular fluid contains a greater concentration of:
37.
A patient undergoing major surgery is receiving intraoperative fluids. Which of the following is the most reliable method for assessing their volume status?
