Trauma/Emergencies US Medical PG Flashcards - Medical Study Cards
Master Trauma/Emergencies with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Trauma/Emergencies Flashcard Deck - 10 Cards
Flashcard 261: What is tx of pancreatic abscess?
_____
Answer: Drainage
Extra:
https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki
Flashcard 262: What is the management for splenic injury in an **unstable** patient (or one with peritonitis)?
_____
Answer: Exploratory laparotomy and splenectomy
Extra: Splenic injury grading (AAST):
- Grade I: Subcapsular hematoma <10% surface area
- Grade II: Subcapsular hematoma 10–50% or parenchymal laceration <3 cm deep
- Grade III: Subcapsular hematoma >50% or parenchymal laceration >3 cm deep
- Grade IV: Laceration involving segmental/hilar vessels with >25% devascularization
- Grade V: Completely shattered spleen or hilar vascular injury (devascularized spleen)
Flashcard 263: (+) Pain, (+) blister and partial thickness burn = _____ degree burn
Answer: 2nd
Extra:
https://onlinemeded.org/spa/surgery-trauma/burns/acquire?ref=anki
Flashcard 264: What is the next step in management for a patient with a new mole suspicious for melanoma?
_____
Answer: Excisional biopsy (with initial margins of 1-3 mm)
Extra: Excisional biopsy should be performed with narrow margins (typically 1-3 mm) to ensure the entire lesion is captured for accurate Breslow depth measurement. Definitive wide local excision (WLE) with 1-2 cm margins is performed ONLY after a diagnosis of melanoma is confirmed.
Flashcard 265: What is the next step in management for a patient with a gunshot wound in the right thigh? The right lower extremity does not have hard signs / hemodynamic instability.\n_____
Answer: Ankle-Brachial Index (ABI) and CT angiography if ABI < 0.9
Extra: If **hard signs** of vascular injury are present (e.g., pulsatile bleeding, expanding hematoma, thrill/bruit, absent pulses/distal ischemia), the next step is immediate **surgical exploration**.
Flashcard 266: Fracture of the _____ is typically associated with:
- Elderly + osteoporosis
- Young + trauma
Answer: hip
Extra: https://onlinemeded.org/spa/surgery-subspecialty/ortho-injuries/acquire?ref=anki
Flashcard 267: Pneumonectomy is considered for patients with non-metastatic lung cancer located centrally and FEV1 > _____
Answer: 2L
Extra:
https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 268: What is the management for a testicular tumor?
_____
Answer: Radical inguinal orchiectomy with post-surgery chemotherapy/radiation
Extra:
https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 269: What is the management for a **hemodynamically stable** patient with a spleen or liver injury (identified on CT)?\n\n_____
Answer: Non-operative management (Observation)
Extra: Stable patients are managed with bed rest, serial hemoglobin levels, and serial abdominal exams. Angioembolization is indicated for stable patients with active contrast extravasation ("blush") on CT.
Flashcard 270: What trauma pathology occurs when 3 or more contiguous ribs are fractured in 2 or more places?\n_____
Answer: Flail chest
Extra: Characterized by paradoxical chest wall movement: the flail segment moves inward during inspiration and outward during expiration.
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