1.

“Primary Survey” is done to identify all of the following EXCEPT

a. airway obstruction
b. dislocation of joints
c. abdominal injuries
d. severe external/internal haemorrhage

2. All of the following are signs of airway obstruction EXCEPT

a. stridor
b. tachypnoea
c. cyanosis
d. snoring

3. Primary Survey should be performed

a. after the secondary survey
b. within 30 minutes
c. after airlifting the patient to a tertiary centre
d. within 2-5 minutes

4. AVPU deals with

a. rapid neurological evaluation
b. rapid cardiovascular evaluation
c. triage
d. mass disaster

5. When assessing circulation feel for

a. radial pulse
b. temporal pulse
c. carotid pulse
d. cardiac impulse
6. The most common cause of airway obstruction in an unconscious patient is
a. chest injury
b. foreign body in the airway
c. falling back of the tongue
d. fracture of nasal bones
e. fractured larynx

7. The amount of blood loss for fractured shaft of femur is up to

a. 500ml
b. 750ml
c. 1000ml
d. 1500ml
e. 2000ml

8. The commonest type of shock in a trauma patient is

a. cardiogenic shock
b. haemorrhagic shock
c. neurogenic shock
d. septic shock
e. none of the above

9. First line intravenous fluid resuscitation is

a. normal saline or Ringer’s lactate
b. 5% dextrose
c. 5% dextrose normal saline
d. blood
e. Haemaccel
10. The routes of administration for adrenaline in CPR is
a. intracardiac/intravenous
b. deep intramuscular/intravenous
c. intratracheal/intravenous
d. intracardiac/deep intramuscular
e. intratracheal/deep intramuscular

11. The electrical energy given for the first DC shock in ventricular fibrillation is
a. 100 Joules
b. 200 Joules
c. 250 Joules
d. 480 Joules
e. 800 Joules

12. The drug of first choice for CPR is

a. atropine
b. sodium bicarbonate
c. adrenaline
d. lignocaine
e. calcium chloride

13. In single rescuer CPR, the ratio of external cardiac massage to ventilation should be
a. 5:1
b. 10:1
c. 10:2
d. 15:2
e. 15:4
14. The most important principle of treating compound fracture is
a. measures to prevent fat embolism
b. early thorough debridement
c. immediate internal fixation
d. immediate plaster cast immobilisation
e. analgesia

15. Which of the following equations is correct?

a. CPP=CBF-ICP
b. ICP=CBF/MAP
c. CPP=MAP-ICP
d. CBF=MAP-CVR
e. none of the above

16. Cervical spine stabilisation is done during the assessment of

a. airway
b. breathing
c. circulation
d. disability
e. exposure
f. none of the above

17. A 20 year old man was brought to the hospital 30 min after traffic accident. BP was
130/80mmHg, normal respiration, Glasgow Coma Score 12/15 and pupils were 5mm
on the right side with no reaction to light and 3mm reactive pupils on the left side. He
also had a left hemiparesis. He had no other injuries. He probably has
a. cervical spinal cord injury at C5
b. supratentorial haematoma on the right side
c. supratentorial haematoma on the left side
d. posterior fossa haematoma
e. diffuse axonal injury
18. When airway control is being established on a victim with multiple trauma, the most
important consideration should be
a. cervical spine injury
b. rib fracture
c. pneumothorax
d. hypovolaemia due to blood loss
e. fat embolism

19. The pulse of a victim suspected to have had a cardiac arrest should be checked
a. immediately on arriving at the scene
b. after the first 2 ventilations
c. after a precordial thump
d. after one minute of CPR
e. after the first two cardiac compressions

20. The most reliable method of securing the airway is by using

a. a Guedel’s airway
b. nasopharyngeal airway
c. oesophageal obturator airway
d. endotracheal intubation
e. laryngeal mask airway

21. In treating open pneumothorax with occlusion dressings on should

a. seal four sides
b. seal three sides
c. seal two sides
d. seal one side
e. leave unsealed
22. If a tension pneumothorax is found during the primary survey, it should be
a. decompressed immediately
b. decompressed by chest drain insertion as part of the secondary survey
c. decompressed after chest Xray confirmation
d. decompressed when tracheal shift develops

If airway obstruction occurs, all of the following are true EXCEPT

a. should be treated immediately
b. should be treated when found
c. should be treated following completion of the neurological examination
d. treatment takes precedence over treatment of hypotension

If a patient becomes unstable at any time, the management is

a. arrange transfer to a major hospital
b. repeat the secondary survey
c. administer a fluid bolus
d. perform a neurological examination
e. perform a primary survey

For the management of a child, all the following are true EXCEPT
a. the estimated internal diameter for an ETT for a child>1 year is =(Age/4) +4
b. the principles of managing paediatric trauma are the same as for adults
c. the initial fluid bolus should be 20ml/kg
d. cuffed endotracheal tubes should always be used
e. hypothermia is a major problem in children

In the pregnant trauma patient

a. resuscitate in the left lateral position
b. at 12 weeks gestation the fundus is at the umbilicus
c. cardiac output is decreased
d. aortocaval compression is never a problem
For a patient with burns the following are true EXCEPT
a. the priorities are ABCDE
b. intubation should be avoided with airway burns
c. depth of burn is less important than size of the burn in initial management
d. consider escharotomy with circumferential burns
e. early fluid replacement is important

You are managing an injured patient with hypoxia and hyper resonance to percussion on
the right hemi thorax. Which of the following is FALSE?
a. the patient requires immediate intubation and ventilation
b. high flow oxygen should be given
c. the patient has a right sided pneumothorax
d. there may be tracheal deviation to the left

23. The patient you attend has a GCS of 2-2-3 with distinct head injury. Which is false
regarding the tracheal intubation plan :
a. direct laryngoscopy and intubation may increase ICP further
b. thiopental-suxamethonium sequence offer less increase of ICP
c. a secured airway with cuffed tracheal tube prevents further aspiration
d. prolonged hyperventilation will benefit the brain by reducing ICP

24. When the bleeding patient’s vein is difficult to access and the BP is 80/50.
a. try to access central vein
b. do a venous cut-down
c. give more oxygen
d. raise both legs to put the patient in shock position

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