Absite Trauma Actual Exam
ABSITE TRAUMA ACTUAL EXAM NEWEST 2025/2026 WITH
COMPLETE 200 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW VERSION!
What findings on abdominal x-ray might you see with a duodenal injury? -
ANSWER-Absence of air in duodenal bulb, mild scoliosis, obliteration of the right
psoas shadow, retroperitoneal air outlining the kidney
What studies will provide diagnosis in a hemodynamically stable patient with
suspected duodenal injury? - ANSWER-CT scan of the abdomen with oral and IV
contrast, gastrografin upper gastrointestinal series
What is the test of choice with equivocal CT findings in a hemodynamically stable
patient with a suspected duodenal injury? - ANSWER-Upper gastrointestinal series
with diluted barium
What injury must you have a high suspicion for if you encounter a retroperitoneal
hematoma around the duodenum? - ANSWER-Pancreatic injury
According to the duodenum injury scale, what is a grade I duodenal injury? -
ANSWER-Hematoma: involving a single portion of the duodenum
Laceration: partial thickness, no perforation
According to the duodenum injury scale, what is a grade II duodenal injury? -
ANSWER-Hematoma: involving more than 1 portion
Laceration: disruption <50% of the circumference
1|Page
, Absite Trauma Actual Exam
According to the duodenum injury scale, what is a grade III duodenal injury? -
ANSWER-Laceration: disruption 50% to 75% of the circumference of D2 or
disruption 50% to 100% of the circumference of D1, D3, D4
According to the duodenum injury scale, what is a grade IV duodenal injury? -
ANSWER-Laceration: disruption >75% of the circumference of D2 and involving
the ampulla or distal common bile duct
According to the duodenum injury scale, what is a grade V duodenal injury? -
ANSWER-Laceration: massive disruption of the duodenopancreatic complex
Vascular: devascularization of the duodenum
Treatment for grades I and II duodenal injuries diagnose within 6 hours of injury: -
ANSWER-Primary repair
Treatment for grades I and II duodenal injuries diagnose after 6 hours of injury: -
ANSWER-Repair and duodenal decompression (transpyloric nasogastric tube, tube
jejunostomy, or tube duodenostomy) because of increased risk of leakage
Treatment for a grade III duodenal injury: - ANSWER-Primary repair, pyloric
exclusion, and drainage versus Roux-en-Y duodenojejunostomy
Treatment for a grade IV duodenal injury: - ANSWER-Primary repair of the
duodenum, repair of the common bile duct, and placement of a T-tube with a long
transpapillary limb versus choledochoenteric anastomosis.
2|Page
, Absite Trauma Actual Exam
If repair of common bile duct impossible, perform ligation and a second
intervention for a biliary enterostomy
Treatment for a grade V duodenal injury: - ANSWER-Pancreaticoduodenectomy
(trauma whipple) versus closure of the duodenal wound, debridement of
pancreas if necessary, and pyloric exclusion with wide drainage
What is the most significant complication after duodenal injury? - ANSWER-The
development of a duodenal fistula
How do you manage a duodenal fistula? - ANSWER-Nonoperatively with
nasogastric suction, IV nutrition, and aggressive stoma care (usual closure within
6-8 weeks)
Percutaneously drain any abscesses that develop or perform surgical drainage if
multiple abscesses present or if abscesses located between small bowel loops.
Treatment for a distal pancreatic injury with suspected ductal injury: - ANSWER-
Distal pancreatectomy ± splenectomy
Most frequent complications after pancreatic trauma: - ANSWER-Pancreatic fistula
and peripancreatic abscess
What is the most frequently injured organ after penetrating trauma? - ANSWER-
Small bowel
3|Page
, Absite Trauma Actual Exam
What are suggestive findings on CT scan for small bowel injury? - ANSWER-Free
fluid without solid organ injury, free air, thickening of the small bowel wall or
mesentery
How would you repair a small injury to the small bowel caused by a firearm? -
ANSWER-Debridement and primary repair
How are extensive lacerations, devascularized segments, or multiple lacerations in
a short segment of mall intestine repaired? - ANSWER-Small bowel resection and
primary anastomosis
What are the general criteria for primary closure of a traumatic colon injury? -
ANSWER-Absence of prolonged shock/hypotension, absence of gross
contamination, absence of associated colonic vascular injury, early diagnosis
(within 4-6 hours), <6 units of blood transfused, no requirement for the use of
mesh
How should stab and low-velocity wounds to the colon with minimal
contamination in a hemodynamically stable patient be repaired? - ANSWER-
Primary repair versus resection with primary anastomosis
How should traumatic colon injuries at high-risk or associated with other severe
injuries be repaired? - ANSWER-Colonic resection and colostomy
How would you manage an extraperitoneal rectal injury (distal one-third of the
rectum)? - ANSWER-Attempt primary closure of the extraperitoneal rectal injury
4|Page
ABSITE TRAUMA ACTUAL EXAM NEWEST 2025/2026 WITH
COMPLETE 200 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW VERSION!
What findings on abdominal x-ray might you see with a duodenal injury? -
ANSWER-Absence of air in duodenal bulb, mild scoliosis, obliteration of the right
psoas shadow, retroperitoneal air outlining the kidney
What studies will provide diagnosis in a hemodynamically stable patient with
suspected duodenal injury? - ANSWER-CT scan of the abdomen with oral and IV
contrast, gastrografin upper gastrointestinal series
What is the test of choice with equivocal CT findings in a hemodynamically stable
patient with a suspected duodenal injury? - ANSWER-Upper gastrointestinal series
with diluted barium
What injury must you have a high suspicion for if you encounter a retroperitoneal
hematoma around the duodenum? - ANSWER-Pancreatic injury
According to the duodenum injury scale, what is a grade I duodenal injury? -
ANSWER-Hematoma: involving a single portion of the duodenum
Laceration: partial thickness, no perforation
According to the duodenum injury scale, what is a grade II duodenal injury? -
ANSWER-Hematoma: involving more than 1 portion
Laceration: disruption <50% of the circumference
1|Page
, Absite Trauma Actual Exam
According to the duodenum injury scale, what is a grade III duodenal injury? -
ANSWER-Laceration: disruption 50% to 75% of the circumference of D2 or
disruption 50% to 100% of the circumference of D1, D3, D4
According to the duodenum injury scale, what is a grade IV duodenal injury? -
ANSWER-Laceration: disruption >75% of the circumference of D2 and involving
the ampulla or distal common bile duct
According to the duodenum injury scale, what is a grade V duodenal injury? -
ANSWER-Laceration: massive disruption of the duodenopancreatic complex
Vascular: devascularization of the duodenum
Treatment for grades I and II duodenal injuries diagnose within 6 hours of injury: -
ANSWER-Primary repair
Treatment for grades I and II duodenal injuries diagnose after 6 hours of injury: -
ANSWER-Repair and duodenal decompression (transpyloric nasogastric tube, tube
jejunostomy, or tube duodenostomy) because of increased risk of leakage
Treatment for a grade III duodenal injury: - ANSWER-Primary repair, pyloric
exclusion, and drainage versus Roux-en-Y duodenojejunostomy
Treatment for a grade IV duodenal injury: - ANSWER-Primary repair of the
duodenum, repair of the common bile duct, and placement of a T-tube with a long
transpapillary limb versus choledochoenteric anastomosis.
2|Page
, Absite Trauma Actual Exam
If repair of common bile duct impossible, perform ligation and a second
intervention for a biliary enterostomy
Treatment for a grade V duodenal injury: - ANSWER-Pancreaticoduodenectomy
(trauma whipple) versus closure of the duodenal wound, debridement of
pancreas if necessary, and pyloric exclusion with wide drainage
What is the most significant complication after duodenal injury? - ANSWER-The
development of a duodenal fistula
How do you manage a duodenal fistula? - ANSWER-Nonoperatively with
nasogastric suction, IV nutrition, and aggressive stoma care (usual closure within
6-8 weeks)
Percutaneously drain any abscesses that develop or perform surgical drainage if
multiple abscesses present or if abscesses located between small bowel loops.
Treatment for a distal pancreatic injury with suspected ductal injury: - ANSWER-
Distal pancreatectomy ± splenectomy
Most frequent complications after pancreatic trauma: - ANSWER-Pancreatic fistula
and peripancreatic abscess
What is the most frequently injured organ after penetrating trauma? - ANSWER-
Small bowel
3|Page
, Absite Trauma Actual Exam
What are suggestive findings on CT scan for small bowel injury? - ANSWER-Free
fluid without solid organ injury, free air, thickening of the small bowel wall or
mesentery
How would you repair a small injury to the small bowel caused by a firearm? -
ANSWER-Debridement and primary repair
How are extensive lacerations, devascularized segments, or multiple lacerations in
a short segment of mall intestine repaired? - ANSWER-Small bowel resection and
primary anastomosis
What are the general criteria for primary closure of a traumatic colon injury? -
ANSWER-Absence of prolonged shock/hypotension, absence of gross
contamination, absence of associated colonic vascular injury, early diagnosis
(within 4-6 hours), <6 units of blood transfused, no requirement for the use of
mesh
How should stab and low-velocity wounds to the colon with minimal
contamination in a hemodynamically stable patient be repaired? - ANSWER-
Primary repair versus resection with primary anastomosis
How should traumatic colon injuries at high-risk or associated with other severe
injuries be repaired? - ANSWER-Colonic resection and colostomy
How would you manage an extraperitoneal rectal injury (distal one-third of the
rectum)? - ANSWER-Attempt primary closure of the extraperitoneal rectal injury
4|Page
