ABSITE TRAUMA ACTUAL EXAM 2025/2026 WITH
ALL COMPLETE 250 QUESTIONS WITH
FREQUENTLY TESTED QUESTIONS CORRECT
Page | 1
DETAILED AND VERIFIED ANSWERS|
GURANTEED PASS| TOP RATED A+.
ABSITE
Pass the ABSITE exam 2025/2026 with confidence. This exam resource
features questions in areas like: anatomy, physiology, pathology, and
operative management. This study guide is ideal for surgical residents
preparing for in-training exams and board certification.
When does the first mortality peak for trauma occur? ....... ANSWER
.......Within seconds to minutes after injury
The trauma system and acute patient care has the greatest impact on
patients in which mortality peak for trauma? ....... ANSWER
.......Second mortality peak (golden hour)
Most of the deaths during the second mortality peak for trauma occur
from? ....... ANSWER .......Hemorrhage, central nervous system
injuries
When does the third mortality peak for trauma occur? ....... ANSWER
.......24 hours after injury, from multisystem organ failure and sepsis
, How long should the primary survey in the initial evaluation of a trauma
patient take? ....... ANSWER .......No more than 5 minutes, unless an
intervention is needed.
Page | 2
What mnemonic is used to conduct the primary survey? ....... ANSWER
.......ABCDE: Airway, Breathing, Circulation, Disability, Exposure
What are the goals during airway assessment? ....... ANSWER
.......Secure the airway, protect the spinal cord
What is required for spinal immobilization? ....... ANSWER .......A
rigid cervical collar, use of a full backboard
Contraindications to nasotracheal intubation: ....... ANSWER
.......Apnea, maxillofacial fracture
What is the quickest way to test for an adequate airway in an awake, alert
patient? ....... ANSWER .......Ask a question, if the patient is able to
speak the airway is intact.
Indications for a surgical airway: ....... ANSWER .......Anatomic
distortion as a result of neck injury, massive maxillofacial trauma,
inability to visualize the vocal cords (blood, secretions, airway edema)
, What are the goals during the breathing assessment? ....... ANSWER
.......Secure oxygenation and ventilation; treat life-threatening
thoracic injuries
Page | 3
What should be done on physical examination to adequately assess
breathing? ....... ANSWER .......Inspection (air movement, cyanosis,
tracheal shift, JVD, respiratory rate, asymmetric chest expansion,
open chest wounds, use of accessory muscles of respiration)
Auscultation/percussion (hyperresonance or dullness over lung fields)
Palpation (flail segments, subcutaneous emphysema)
What life-threatening conditions must be treated during the breathing
assessment if encountered? ....... ANSWER .......Open pneumothorax,
tension pneumothorax, massive hemothorax
What is the most common cause for upper airway obstruction? .......
ANSWER .......The tongue
What is the preferred emergency airway procedure? ....... ANSWER
.......Cricothyroidotomy
In a patient with poor peripheral upper extremity access, what alternative
routes can be considered for intravenous access? ....... ANSWER
.......Femoral vein at the groin, venous cutdown on greater saphenous
vein at the ankle, subclavian vein, IJ
, What are the goals of the circulation assessment? ....... ANSWER
.......Treatment of bleeding, assuring adequate tissue perfusion
Page | 4
What is the initial test for adequate circulation? ....... ANSWER
.......Palpation of pulses
What systolic blood pressure are you expecting with a palpable radial
pulse? ....... ANSWER .......80 mm Hg
What systolic blood pressure are you expecting with a palpable
femoral/carotid pulse? ....... ANSWER .......At least 60 mm Hg
What should be done of physical examination to adequately assess
circulation? ....... ANSWER .......Obtain heart rate and blood
pressure; check peripheral perfusion and capillary refill, mental status;
examine the skin
Which patients may not demonstrate tachycardia with hypovolemic
shock? ....... ANSWER .......Patients on beta-blockers, well-
conditioned athletes, patients with concomitant spinal cord injury
During femoral catheter placement, what is the pneumonic used to
remember the anatomy of the groin? ....... ANSWER .......NAVEL
(from lateral to medial): Nerve, Artery, Vein, Extralymphatic space,
Lymphatics
ALL COMPLETE 250 QUESTIONS WITH
FREQUENTLY TESTED QUESTIONS CORRECT
Page | 1
DETAILED AND VERIFIED ANSWERS|
GURANTEED PASS| TOP RATED A+.
ABSITE
Pass the ABSITE exam 2025/2026 with confidence. This exam resource
features questions in areas like: anatomy, physiology, pathology, and
operative management. This study guide is ideal for surgical residents
preparing for in-training exams and board certification.
When does the first mortality peak for trauma occur? ....... ANSWER
.......Within seconds to minutes after injury
The trauma system and acute patient care has the greatest impact on
patients in which mortality peak for trauma? ....... ANSWER
.......Second mortality peak (golden hour)
Most of the deaths during the second mortality peak for trauma occur
from? ....... ANSWER .......Hemorrhage, central nervous system
injuries
When does the third mortality peak for trauma occur? ....... ANSWER
.......24 hours after injury, from multisystem organ failure and sepsis
, How long should the primary survey in the initial evaluation of a trauma
patient take? ....... ANSWER .......No more than 5 minutes, unless an
intervention is needed.
Page | 2
What mnemonic is used to conduct the primary survey? ....... ANSWER
.......ABCDE: Airway, Breathing, Circulation, Disability, Exposure
What are the goals during airway assessment? ....... ANSWER
.......Secure the airway, protect the spinal cord
What is required for spinal immobilization? ....... ANSWER .......A
rigid cervical collar, use of a full backboard
Contraindications to nasotracheal intubation: ....... ANSWER
.......Apnea, maxillofacial fracture
What is the quickest way to test for an adequate airway in an awake, alert
patient? ....... ANSWER .......Ask a question, if the patient is able to
speak the airway is intact.
Indications for a surgical airway: ....... ANSWER .......Anatomic
distortion as a result of neck injury, massive maxillofacial trauma,
inability to visualize the vocal cords (blood, secretions, airway edema)
, What are the goals during the breathing assessment? ....... ANSWER
.......Secure oxygenation and ventilation; treat life-threatening
thoracic injuries
Page | 3
What should be done on physical examination to adequately assess
breathing? ....... ANSWER .......Inspection (air movement, cyanosis,
tracheal shift, JVD, respiratory rate, asymmetric chest expansion,
open chest wounds, use of accessory muscles of respiration)
Auscultation/percussion (hyperresonance or dullness over lung fields)
Palpation (flail segments, subcutaneous emphysema)
What life-threatening conditions must be treated during the breathing
assessment if encountered? ....... ANSWER .......Open pneumothorax,
tension pneumothorax, massive hemothorax
What is the most common cause for upper airway obstruction? .......
ANSWER .......The tongue
What is the preferred emergency airway procedure? ....... ANSWER
.......Cricothyroidotomy
In a patient with poor peripheral upper extremity access, what alternative
routes can be considered for intravenous access? ....... ANSWER
.......Femoral vein at the groin, venous cutdown on greater saphenous
vein at the ankle, subclavian vein, IJ
, What are the goals of the circulation assessment? ....... ANSWER
.......Treatment of bleeding, assuring adequate tissue perfusion
Page | 4
What is the initial test for adequate circulation? ....... ANSWER
.......Palpation of pulses
What systolic blood pressure are you expecting with a palpable radial
pulse? ....... ANSWER .......80 mm Hg
What systolic blood pressure are you expecting with a palpable
femoral/carotid pulse? ....... ANSWER .......At least 60 mm Hg
What should be done of physical examination to adequately assess
circulation? ....... ANSWER .......Obtain heart rate and blood
pressure; check peripheral perfusion and capillary refill, mental status;
examine the skin
Which patients may not demonstrate tachycardia with hypovolemic
shock? ....... ANSWER .......Patients on beta-blockers, well-
conditioned athletes, patients with concomitant spinal cord injury
During femoral catheter placement, what is the pneumonic used to
remember the anatomy of the groin? ....... ANSWER .......NAVEL
(from lateral to medial): Nerve, Artery, Vein, Extralymphatic space,
Lymphatics
