ATLS: Abdominal and Pelvic Trauma questions with correctan
j j j j j j j j
swers 2024-2025 j
Definedjasjthejareajbetweenjthejcostaljmarginsjsuperiorly,jthejinguinaljligamentsjandjsymphysisjpubisjinferijorlyja
ndjthejanteriorjaxillaryjlinesJlaterally.j-jcorrectjanswer-Anteriorjabdomen
Thejareajinferiorjtojthejnipplejlinejanteriorly,jinfrascapularjlinejposteriorlyjandjsuperiorjtojthejcostaljmarginsjenco
mpassingJthejdiaphragm,jliver,jspleenjandjstomach.j-jcorrectjanswer-Thoracoabdomen
Thejareajlocatedjbetweenjthejanteriorjandjposteriorjaxillaryjlinesjfromjthejtipjofjthejscapulaejtojthejiliacjcrest
.j-jcorrectjanswer-Flankjarea
AreajlocatedjposteriorJtojthejposteriorJaxillaryjlinesJfromjthejtipjofjthejscapulaejtoJthejiliacjcrests.jThisjincludjesjth
ejposteriorjthoracoabdomen.j-jcorrectjanswer-Backjarea
WhatjimportantjstructuresjarejlocatedjinjtheJretroperitonealjspace?j-jcorrectjanswer-1.jAorta
2. IVC
3. MostjofjtheJduodenum
4. Pancreas
5. Kidneys
6. Ureters
7. Posteriorjascendingjcolon
8. PosteriorjdescendingJcolon
WhatjimportantjstructuresjarejlocatedjinjtheJpelvicjcavity?j-jcorrectjanswer-1.jRectum
2. Bladder
3. Iliacjvessels
4. Femalejreproductivejorgans
AjformJofjcrushjinjuryjthatjcanjresultJwhenjajrestraintjdevicejisjwornjinappropriately.j-jcorrectjanswer-
jShearingjinjury
, AjformJonJinjuryjinjwhichjtherejisjajdifferentialjmovementjofjfixedjandjmobilejpartsjofjthejbody.jCommonjexjampl
esjarejliver/spleenjlacerationsJasjwelljasjbucketjhandlejinjuriesjtheJsmalljbowel.j-jcorrectjanswer-
Decelerationjinjury
WhatjisjthejMCjabdominaljorganjinjuredj2/2jbluntJtrauma?j-jcorrectjanswer-Spleen
(liverj2nd;jsmalljbowelj3rd)
ToJwhichJintercostaljspacejdoesjthejdiaphragmjrisejonjfulljexhalation?j-jcorrectjanswer-4thJintercostaljspace
WhatjisjthejMCjabdominaljorganjinjuredj2/2jstabjwounds?j-jcorrectjanswer-Liver
WhatjisjthejMCjabdominaljorganjinjuredj2/2jGSW?j-jcorrectjanswer-Smalljbowel
Whatj3jkeyjdeterminantsjarejimportantjtojknowjwhenjdealingjwithjGSWs?j-jcorrectjanswer-
1. Typejofjweapon
2. Muzzlejvelocity
3. TypejofjammunitionJ
(DistancejisjalsojimportantjwhenjdealingjwithJshotguns)
Tearjorjavulsionjofjboweljmesenteryj(bucketjhandlejinjury),jsmalljbowel/colonjrupture,jiliac/aorticjarteryjthrjomb
osis,jchancejfracturejandjpancreatic/duodenaljinjuriesjarejcommonlyjassociatedjwithJthisjrestraintJdevic
e.j-jcorrectjanswer-LapJseatbelt
(Compression;jhyperflexion)
RuptureJofjthejupperjabdominaljviscera,jthrombosisjorjintimaljtearjinjinnominate/carotid/subclavian/vertebrjalja
rteries,jfracture/dislocationJofjcervicaJstone,jribJfracturesjandjpulmonaryjcontusionsjarejcommonlyjassocjiatedj
withjthisjrestraintjdevice.j-jcorrectjanswer-Shoulderjharness
(Compression;jsubmarining)
j j j j j j j j
swers 2024-2025 j
Definedjasjthejareajbetweenjthejcostaljmarginsjsuperiorly,jthejinguinaljligamentsjandjsymphysisjpubisjinferijorlyja
ndjthejanteriorjaxillaryjlinesJlaterally.j-jcorrectjanswer-Anteriorjabdomen
Thejareajinferiorjtojthejnipplejlinejanteriorly,jinfrascapularjlinejposteriorlyjandjsuperiorjtojthejcostaljmarginsjenco
mpassingJthejdiaphragm,jliver,jspleenjandjstomach.j-jcorrectjanswer-Thoracoabdomen
Thejareajlocatedjbetweenjthejanteriorjandjposteriorjaxillaryjlinesjfromjthejtipjofjthejscapulaejtojthejiliacjcrest
.j-jcorrectjanswer-Flankjarea
AreajlocatedjposteriorJtojthejposteriorJaxillaryjlinesJfromjthejtipjofjthejscapulaejtoJthejiliacjcrests.jThisjincludjesjth
ejposteriorjthoracoabdomen.j-jcorrectjanswer-Backjarea
WhatjimportantjstructuresjarejlocatedjinjtheJretroperitonealjspace?j-jcorrectjanswer-1.jAorta
2. IVC
3. MostjofjtheJduodenum
4. Pancreas
5. Kidneys
6. Ureters
7. Posteriorjascendingjcolon
8. PosteriorjdescendingJcolon
WhatjimportantjstructuresjarejlocatedjinjtheJpelvicjcavity?j-jcorrectjanswer-1.jRectum
2. Bladder
3. Iliacjvessels
4. Femalejreproductivejorgans
AjformJofjcrushjinjuryjthatjcanjresultJwhenjajrestraintjdevicejisjwornjinappropriately.j-jcorrectjanswer-
jShearingjinjury
, AjformJonJinjuryjinjwhichjtherejisjajdifferentialjmovementjofjfixedjandjmobilejpartsjofjthejbody.jCommonjexjampl
esjarejliver/spleenjlacerationsJasjwelljasjbucketjhandlejinjuriesjtheJsmalljbowel.j-jcorrectjanswer-
Decelerationjinjury
WhatjisjthejMCjabdominaljorganjinjuredj2/2jbluntJtrauma?j-jcorrectjanswer-Spleen
(liverj2nd;jsmalljbowelj3rd)
ToJwhichJintercostaljspacejdoesjthejdiaphragmjrisejonjfulljexhalation?j-jcorrectjanswer-4thJintercostaljspace
WhatjisjthejMCjabdominaljorganjinjuredj2/2jstabjwounds?j-jcorrectjanswer-Liver
WhatjisjthejMCjabdominaljorganjinjuredj2/2jGSW?j-jcorrectjanswer-Smalljbowel
Whatj3jkeyjdeterminantsjarejimportantjtojknowjwhenjdealingjwithjGSWs?j-jcorrectjanswer-
1. Typejofjweapon
2. Muzzlejvelocity
3. TypejofjammunitionJ
(DistancejisjalsojimportantjwhenjdealingjwithJshotguns)
Tearjorjavulsionjofjboweljmesenteryj(bucketjhandlejinjury),jsmalljbowel/colonjrupture,jiliac/aorticjarteryjthrjomb
osis,jchancejfracturejandjpancreatic/duodenaljinjuriesjarejcommonlyjassociatedjwithJthisjrestraintJdevic
e.j-jcorrectjanswer-LapJseatbelt
(Compression;jhyperflexion)
RuptureJofjthejupperjabdominaljviscera,jthrombosisjorjintimaljtearjinjinnominate/carotid/subclavian/vertebrjalja
rteries,jfracture/dislocationJofjcervicaJstone,jribJfracturesjandjpulmonaryjcontusionsjarejcommonlyjassocjiatedj
withjthisjrestraintjdevice.j-jcorrectjanswer-Shoulderjharness
(Compression;jsubmarining)
