ATLS 11 Module #21: Thoracic, Abdominal, Pelvic, And Genitourinary Trauma Exam Questions and Answers | Latest Update 2026 |Graded A+

ATLS 11 Module #21: Thoracic, Abdominal, Pelvic, And Genitourinary Trauma Exam Questions and Answers | Latest Update 2026 |Graded A+ list the mechanisms of injury to the torso - answer-direct blunt, shearing, blast which type of abdominal injury: crush injury, mc seen in mechanical restraints, falls of significant height, and deceleration injuries - answer-shearing 60% of all blunt aortic injuries are due to - answer-tear of the ligamentum arteriosum crush injury to the torso/pelvis can cause severe mm injury which can lead to: - answer-rhabdo which type of abdominal injury: penetrating and blunt, can affect tympanic membrane and bowels due to pressure - answer-blast an __________ period is warranted in a blast injury. - answer-observation low energy penetrating wounds can cause - answer-lacerations and tearing of tissues high energy penetrating wounds can cause - answer-kinetic energy and cavitation stable penetrating wounds without indications for laparotomy -- - answer-laparoscopy, DPL, CT, and serial PEswhich mechanism of injury is associated with the followed injuries: tear/avulsion of bowels, chance fx lumbar spine, pancreatic/duodenal injury, thrombosis iliac a or abdominal aorta - answer-lap seat belt which mechanism of injury is associated with the followed injuries: rupture of abdominal viscera, fx c spine, rib fx - answer-shoulder harness which mechanism of injury is associated with the followed injuries: face and eye abrasions, cardiac and spine injuries - answer-air bag signs of a blunt aortic injury on CXR - answer-left apical cap, displaced left mainstem bronchus, wide mediastinum tx of BAI low grade vs high grade - answer-low grade = bp control and hr control grade 3/4 = surgery urethral trauma is most common in - answer-men what mechanism of injury is urethral trauma most associated with? - answer-pelvic fracture, straddle injury what should never be done if there is blood at the urethral meatus? - answer-blind insertion of catheter (must get retrograde urethrogram before) which imaging modality is preferred for renal/ureteral injury? - answer-ct with iv contrastwhich imaging modality is preferred for bladder injury? - answer-cystogram what imaging modality is preferred for urethral injury? - answer-retrograde urethrogram peritonitis, free air on imaging, or bowel evisceration = - answer-EMERGENT LAPAROTOMY stable pt with abdominal trauma mode of imaging = - answer-ct with iv which physical exam should be done on all pt with a pelvic fx? - answer-rectal and vaginal exam if there is a rectal or vaginal wound, this is considered an _____ __________ and required both _________ as well as _________ consult. - answer-open fracture, antibiotics, surgical tx shock from pelvic fx as a ______________ ___________ until proven otherwise! - answerretroperitoneal hemorrhage pelvic fx algorithm - answer-hem shock + pelvic fx -- resus and binder -- FAST/DPL shows blood -- yes = laparotomy and preperitoneal packing -- NO = angiography Any patient who has sustained injury to the torso from a direct blunt, deceleration, blast, or penetrating injury is considered to have which injuries until proven otherwise? - answer-thoracic, abd, vascular, retroperitoneal, pelvic list the borders of the thoracoabdomen - answer-nipple line anterior, infrascapular posteriorly, costal margins inferiorly what structures make up the thoracoabdomen? - answer-diaphragm, liver, spleen, stomach Because the diaphragm rises to the level of the _____ intercostal space during full expiration, fractures of thelower ribs and penetrating wounds below the nipple line often injure the abdominal viscera - answer-4th define the parameters of the anterior abdomen - answer-b/w costal margins superiorly, inguinal lig/symphysis inferiorly, anterior axilla laterally define the parameters of the back - answer-posterior to posterior axillary, tip of scapula to iliac crests which locations contain the retroperitoneal space? - answer-flank and back what is contained within the retroperitoneal space? - answer-abd aorta, IVC, most of duodenum, pancreas, kidneys, ureters, posterior ascending and descending colon, retroperitoneal components of pelvic cavity a form of crush injury that is associated with mechanical restraint contusions - answer-shearing two movable organs that are fixed at the sites of their supporting ligaments, susceptible to lacerations - answer-liver and spleen