Free Practice Quiz Question List

7 Advanced Trauma Practice Cases Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 Advanced Trauma Practice Cases, test your knowledge, and prepare for your next test or exam.

20 questions

Fill in the blank

1 point

A negative FAST does not exclude bleeding.

True or false

1 point

A trauma patient becomes harder to rouse and develops a less-reactive, unequal pupil. Preserved blood pressure and oxygen saturation do not rule out worsening intracranial injury.

A
True
B
False

Written response

1 point

When pelvic bleeding is suspected, where should a pelvic binder be positioned?

Choose one

1 point

A trauma patient is pale, anxious, intermittently confused, and tachycardic, with a systolic blood pressure of 108 mm Hg and a tender, distended abdomen. Which interpretation is most appropriate?

A
The systolic pressure is near normal, so shock can be ruled out.
B
The findings may indicate shock despite the initial systolic pressure; assess for occult bleeding and follow trends.
C
Confusion is sufficient evidence to diagnose isolated brain injury, so circulation assessment can wait.
D
A reassuring oxygen saturation rules out a serious traumatic cause of the tachycardia.

Fill in the blank

1 point

During exposure in the primary survey, look for hidden injuries while preventing further loss of .

True or false

1 point

In a patient with ongoing hemorrhage and suspected traumatic brain injury, it is appropriate to accept avoidable hypotension until bleeding is controlled.

A
True
B
False

Written response

1 point

For a patient aged 50–69 with traumatic brain injury, what systolic blood pressure threshold does the cited guideline say may be considered? Give the value in mm Hg.

Choose one

1 point

After intubation, a trauma patient develops severe hypoxia, hypotension, and markedly reduced breath sounds on one side. What should the team prioritize?

A
Arrange chest imaging before taking action, because the cause of shock is uncertain.
B
Continue observation until a second blood-pressure reading confirms the deterioration.
C
Treat the suspected tension pneumothorax immediately according to training and local protocol, without delaying for imaging.
D
Focus only on possible abdominal hemorrhage because it can also cause hypotension.

Choose all

1 point

After treating a suspected tension pneumothorax, which reassessments are appropriate? Select all that apply.

A
Recheck chest movement and breath sounds.
B
Stop looking for other life threats if oxygenation improves.
C
Recheck oxygenation and blood pressure.
D
Check tube and ventilation function.

Choose all

1 point

A trauma patient deteriorates with tachycardia, hypotension, free abdominal fluid on eFAST, and a painful, unstable pelvis. Which actions fit the priorities described? Select all that apply.

A
Activate the local major-hemorrhage protocol.
B
Use warmed blood components according to protocol.
C
Delay hemorrhage control until additional diagnostic steps are complete.
D
If pelvic bleeding is suspected, apply a pelvic binder over the greater trochanters and coordinate definitive bleeding control.

Choose one

1 point

An unstable trauma patient is not responding to resuscitation, but FAST is negative. Which approach is most appropriate?

A
Use the negative FAST to rule out significant bleeding and continue observation.
B
Do not let additional imaging delay intervention in an unstable nonresponder.
C
Wait for a positive repeat FAST before escalating care.
D
Prioritize imaging because it is required to confirm that the patient is unstable.

Choose one

1 point

Which statement best reflects the guidance on hyperventilation in severe traumatic brain injury?

A
Use prolonged prophylactic hyperventilation to very low PaCO₂ in every patient with suspected TBI.
B
Avoid monitoring ventilation because oxygen saturation remains normal.
C
Avoid routine prolonged prophylactic hyperventilation to very low PaCO₂; selected temporizing use may be directed by experts.
D
Delay definitive evaluation whenever hyperventilation is considered.

Open ended

1 point

A 72-year-old trauma patient taking anticoagulants was initially awake, but during observation becomes harder to rouse, with a falling GCS and one pupil larger and less reactive than the other. Blood pressure and oxygen saturation remain preserved. Describe the immediate assessment and escalation priorities.

Choose one

1 point

During an XABCDE primary survey, which priority comes first?

A
Assess exposure and prevent heat loss
B
Control catastrophic external bleeding
C
Document a complete neurologic examination
D
Obtain imaging of the chest and abdomen

Choose one

1 point

A trauma patient is pale, anxious, and intermittently confused, with a near-normal initial systolic blood pressure and a tender, distended abdomen. Which interpretation is most appropriate?

A
Shock is unlikely until systolic pressure is below 80 mm Hg
B
A near-normal systolic pressure rules out significant bleeding
C
The full clinical picture and trends can indicate shock before profound hypotension
D
Confusion is unrelated to perfusion if oxygen saturation is acceptable

Choose one

1 point

An unstable trauma patient remains a nonresponder to initial resuscitation, but FAST shows no free fluid. Which conclusion should guide the next steps?

A
A negative FAST does not exclude significant abdominal or retroperitoneal bleeding
B
A negative FAST confirms that shock is not caused by hemorrhage
C
A negative FAST means imaging must precede any intervention
D
A negative FAST rules out bleeding in the pelvis and long bones

Choose one

1 point

After intubation, a trauma patient develops severe hypoxia and hypotension with markedly reduced breath sounds on one side. What is the most appropriate immediate priority?

A
Obtain chest imaging before taking action
B
Wait for a repeat blood pressure to confirm the decline
C
Focus only on abdominal hemorrhage because it was already suspected
D
Treat suspected tension pneumothorax immediately according to training and local protocol

Written response

1 point

When pelvic bleeding is suspected, over which anatomical landmark should a pelvic binder be applied?

True or false

1 point

During the initial assessment of an adult with multisystem trauma, the team can assign tasks in parallel while obtaining vital signs and a focused history rather than waiting to complete each task in sequence. True or false?

A
True
B
False

Written response

1 point

While beginning the primary survey of a patient injured in a high-speed collision, the responder assesses the airway. What precaution should be maintained during that assessment?