Trauma OMSITE Exam Actual
Questions and Answers 2026
Alignment of which of the following is the most reliable for proper
reduction of the ZMC fx?
A. frontozygomatic suture
B. sphenozygomatic suture
C. infraorbital rim
D. medial orbital rim -
correct answer ✅B. Sphenozygomatic suture
- it is a broad area along the greater wing of the sphenoid that is
not often fractured in even severe midface fractures
When the medial canthal ligament is attached to a bony segment in
NOE fx repair, the transcanthal wire is best placed:
A. after all soft tissue injuries have been addressed
B. anterior to the original insertion of the canthal ligament
C. posterior and inferior to the original insertion
D. posterior and superior to the original insertion -
correct answer ✅D. posterior and superior to the original insertion
,Trauma OMSITE Exam Actual
Questions and Answers 2026
- pull of the soft tissue displaces bone and canthal ligament in an
anterior inferior direction
A 21 y/o female is an unrestrained driver involved in an MVA. She
suffers a scalp laceration and is noted to ahve lost 1000mL of blood
at the scene. You would expect her vital signs to be consistent with:
A. Pulse >100, normal systolic BP, decreased PP, RR 20-30, UO 20-30
mL/hr
B. Pulse <100, normal systolic BP, normal/inc PP, RR 14-20, UO >30
mL/hr
C. Pulse >120, dec systolic BP, decreased PP, RR 30-40, UO 5-15
mL/hr
,Trauma OMSITE Exam Actual
Questions and Answers 2026
D. Pulse >140, dec systolic BP, decreased PP, RR >35, UO negligible -
correct answer ✅A. Pulse >100, normal systolic BP, decreased PP,
RR 20-30, UO 20-30 mL/hr
A 65 y/o man fell down the stairs. Upon exam, you notice he opens
eyes to speech, localizes pain, mutters inappropriate words.
GCS is:
A. 13
B. 11
C. 9
D. 7 -
correct answer ✅B. 11
, Trauma OMSITE Exam Actual
Questions and Answers 2026
A 79 y/o white male presents to your office for removal of carious
teeth. Med hx review reveals COPD, HTN, peptic ulcer disease,
atherosclerosis with occasional angina, and osteoarthritis. Daily
meds include isosorbide dinitrate, furosemide, and acetaminophen.
After conscious sedation with midazolam and LA with prilocaine,
you note in recover he has slowly become ashen looksing and the
pulse ox has fallen to 85%. Which of the following measures is most
appropriate?
A. intubation and hyperventilation with 100% O2
B. titrated administration of 0.5 mg flumazenil IV
C. methylene blue administration 1 mg/kg IV
D. assisted ventilation by face mask with room air -
correct answer ✅C. methylene blue administration 1 mg/kg IV
- methemoglobinemia precipitated by nitrates (isosorbide dinitrate,
acetaminophen, prilocaine, articaine, etc). Can't be reversed by
increases in FIO2
Questions and Answers 2026
Alignment of which of the following is the most reliable for proper
reduction of the ZMC fx?
A. frontozygomatic suture
B. sphenozygomatic suture
C. infraorbital rim
D. medial orbital rim -
correct answer ✅B. Sphenozygomatic suture
- it is a broad area along the greater wing of the sphenoid that is
not often fractured in even severe midface fractures
When the medial canthal ligament is attached to a bony segment in
NOE fx repair, the transcanthal wire is best placed:
A. after all soft tissue injuries have been addressed
B. anterior to the original insertion of the canthal ligament
C. posterior and inferior to the original insertion
D. posterior and superior to the original insertion -
correct answer ✅D. posterior and superior to the original insertion
,Trauma OMSITE Exam Actual
Questions and Answers 2026
- pull of the soft tissue displaces bone and canthal ligament in an
anterior inferior direction
A 21 y/o female is an unrestrained driver involved in an MVA. She
suffers a scalp laceration and is noted to ahve lost 1000mL of blood
at the scene. You would expect her vital signs to be consistent with:
A. Pulse >100, normal systolic BP, decreased PP, RR 20-30, UO 20-30
mL/hr
B. Pulse <100, normal systolic BP, normal/inc PP, RR 14-20, UO >30
mL/hr
C. Pulse >120, dec systolic BP, decreased PP, RR 30-40, UO 5-15
mL/hr
,Trauma OMSITE Exam Actual
Questions and Answers 2026
D. Pulse >140, dec systolic BP, decreased PP, RR >35, UO negligible -
correct answer ✅A. Pulse >100, normal systolic BP, decreased PP,
RR 20-30, UO 20-30 mL/hr
A 65 y/o man fell down the stairs. Upon exam, you notice he opens
eyes to speech, localizes pain, mutters inappropriate words.
GCS is:
A. 13
B. 11
C. 9
D. 7 -
correct answer ✅B. 11
, Trauma OMSITE Exam Actual
Questions and Answers 2026
A 79 y/o white male presents to your office for removal of carious
teeth. Med hx review reveals COPD, HTN, peptic ulcer disease,
atherosclerosis with occasional angina, and osteoarthritis. Daily
meds include isosorbide dinitrate, furosemide, and acetaminophen.
After conscious sedation with midazolam and LA with prilocaine,
you note in recover he has slowly become ashen looksing and the
pulse ox has fallen to 85%. Which of the following measures is most
appropriate?
A. intubation and hyperventilation with 100% O2
B. titrated administration of 0.5 mg flumazenil IV
C. methylene blue administration 1 mg/kg IV
D. assisted ventilation by face mask with room air -
correct answer ✅C. methylene blue administration 1 mg/kg IV
- methemoglobinemia precipitated by nitrates (isosorbide dinitrate,
acetaminophen, prilocaine, articaine, etc). Can't be reversed by
increases in FIO2
