Royal College: Emergency Medicine > Trauma ACTUAL
EXAM 2026-2027 NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS \VERIFIED 100%
GRADED A+
This deck covers Chapters 33-41 in Rosens, compromising all of
trauma. (103 cards)
1
Q
List 5 predictors of mortality in penetrating head injury.
ANSWERS:
1. Low GCS
2. Unreactive pupils
3. Missile crossed midline
4. Missile through ventricles
5. Missile in posterior fossa
6. High velocity weapon
7. Self-inflicted
8. Secondary injury
2
Q
Outline management of high ICP in children.
ANSWERS:
, HOB at 30 degrees
Head midline without tight C-collar
Hyperosmolar
Mannitol 1 g/kg
HTS 3 mL/kg
Hyperventilate (30-35 mmHg for acute change)
Intubation
Paralysis
Phenobarbital 10 mg/kg
Decompressive craniectomy
Avoid fever
Maintain euvolemia
Treat seizure
3
Q
Outline the pathophysiology of compartment syndrome.
ANSWERS:
Tissue pressure increases above capillary pressure
Damage causes edema, further increasing pressure
Rarely does pressure exceed arterial pressure
Pulses present until late
4
Q
List 5 injuries associated with seat-belt signs.
,ANSWERS:
1. Chance fracture
2. Ruptured diaphragm
3. Intestinal injury
4. Mesenteric laceration
5. Abdominal aortic dissection
5
Q
What is your MAP target during spinal paralysis?
ANSWERS:
MAP >85 mmHg
6
Q
List 5 complications of chest tube insertion.
ANSWERS:
1. Infection
2. Intercostal artery injury
3. Hemothorax
4. Pulmonary injury
5. Bronchopleural fistula
6. Intra-abdominal placement
7. Failure to re-expand PTX
, 8. Re-expansion pulmonary edema
7
Q
List 6 hard signs of ARTERIAL injury.
ANSWERS:
1. Bruit/Thrill
2. Pulsatile bleeding
3. Expanding hematoma
4. Loss of distal pulses
5. Cyanosis/temperature differences
6. P’s of arterial insufficiency
7. Pain on passive stretch
8. Pulseless
9. Paresthesias
10. Pallor
11. Paralysis
8
Q
List 5 procedures you can do after a thoracotomy.
ANSWERS:
1. Twist hilum
2. Deliver the heart
3. Repair heart laceration
EXAM 2026-2027 NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS \VERIFIED 100%
GRADED A+
This deck covers Chapters 33-41 in Rosens, compromising all of
trauma. (103 cards)
1
Q
List 5 predictors of mortality in penetrating head injury.
ANSWERS:
1. Low GCS
2. Unreactive pupils
3. Missile crossed midline
4. Missile through ventricles
5. Missile in posterior fossa
6. High velocity weapon
7. Self-inflicted
8. Secondary injury
2
Q
Outline management of high ICP in children.
ANSWERS:
, HOB at 30 degrees
Head midline without tight C-collar
Hyperosmolar
Mannitol 1 g/kg
HTS 3 mL/kg
Hyperventilate (30-35 mmHg for acute change)
Intubation
Paralysis
Phenobarbital 10 mg/kg
Decompressive craniectomy
Avoid fever
Maintain euvolemia
Treat seizure
3
Q
Outline the pathophysiology of compartment syndrome.
ANSWERS:
Tissue pressure increases above capillary pressure
Damage causes edema, further increasing pressure
Rarely does pressure exceed arterial pressure
Pulses present until late
4
Q
List 5 injuries associated with seat-belt signs.
,ANSWERS:
1. Chance fracture
2. Ruptured diaphragm
3. Intestinal injury
4. Mesenteric laceration
5. Abdominal aortic dissection
5
Q
What is your MAP target during spinal paralysis?
ANSWERS:
MAP >85 mmHg
6
Q
List 5 complications of chest tube insertion.
ANSWERS:
1. Infection
2. Intercostal artery injury
3. Hemothorax
4. Pulmonary injury
5. Bronchopleural fistula
6. Intra-abdominal placement
7. Failure to re-expand PTX
, 8. Re-expansion pulmonary edema
7
Q
List 6 hard signs of ARTERIAL injury.
ANSWERS:
1. Bruit/Thrill
2. Pulsatile bleeding
3. Expanding hematoma
4. Loss of distal pulses
5. Cyanosis/temperature differences
6. P’s of arterial insufficiency
7. Pain on passive stretch
8. Pulseless
9. Paresthesias
10. Pallor
11. Paralysis
8
Q
List 5 procedures you can do after a thoracotomy.
ANSWERS:
1. Twist hilum
2. Deliver the heart
3. Repair heart laceration
