Try it
General Surgery · Trauma
Sample itemIn blunt abdominal trauma, which finding most strongly indicates possible intra-abdominal bleeding?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Hypotension with abdominal tenderness and tachycardia
Hypotension and tachycardia after blunt trauma with abdominal tenderness raise concern for internal haemorrhage; repeated assessment, focused imaging, blood products, and trauma-team management may be required.
Option by option
A. Longstanding near-sightedness
Near-sightedness has no bearing on abdominal bleeding.
B. Bilateral cerumen impaction
Cerumen impaction is an ear condition unrelated to trauma shock.
C. Isolated chronic eczema
Chronic eczema does not indicate acute internal injury.
D. Hypotension with abdominal tenderness and tachycardia (correct)
Correct: shock plus abdominal tenderness suggests concealed bleeding.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More General Surgery questions
- TraumaAfter blunt chest trauma, a man is hypotensive and tachycardic with distended neck veins…
- TraumaA driver in a road accident has blunt abdominal trauma, blood pressure 80/50 mmHg that d…
- TraumaA motorcyclist has an unstable pelvic fracture after a crash, with blood pressure 75/40…
- TraumaA 20-year-old man with a grade III splenic laceration after a bicycle fall is haemodynam…