ABSITE TRAUMA ACTUAL EXAM NEWEST 2025/2026 WITH
COMPLETE 200 QUESTIONS AND CORRECT ANSWERS |ALREADY
GRADED A+||BRAND NEW VERSION!
What findings on ab... [Show More] dominal 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
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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.
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Absite Trauma Actual Exam
If repair of common bile duct impossible, perform ligation and a second
intervention for a biliary enterostomy [Show Less]