High Yield Trauma Questions (NEET SS Surgery)

Preparing for the NEET SS exam can feel like navigating a maze, but fear not! We have got the perfect strategy to help you gauge your readiness by giving you a sneak peek into the exam format.

Dive into the NEET SS high-yield questions to gain insight into what to expect. Get started by practicing the questions below, boost your confidence and fine tune your NEET SS Surgery preparation.

1. A 29-year-old man is brought to the emergency department after he was involved in a motor vehicle collision. He is awake and alert. The blood pressure is 90/60 mmHg, the pulse is 100/ minute, temperature is 37.5°C, and the respiratory rate is 20 breaths/minute. On examination, bruising is noted over the left hypochondrium, which is also tender to palpation. Which of the following is the best initial investigation for this patient?

1. Diagnostic peritoneal lavage

2. Focused Assessment with Sonography for Trauma exam

3. Computed tomography scanning

4. Magnetic resonance imaging

2. A 29-year-old female was brought to the emergency department after she was involved in a motor vehicle crash. She is vitally stable but complains of pain in her lower abdomen. She has not passed any urine since the accident. However, she recalls that she had the urge to urinate before the accident. A catheter is placed, and gross hematuria is noted. A FAST scan reveals free intraperitoneal fluid, and an X-ray reveals no pelvic fracture. What is the most likely site of injury in this patient?

1. Dome of the bladder

2. Neck of the bladder

3. Anterior bladder wall

4. Anterior urethra

3. A 21-year-old girl comes to the emergency department after she accidentally stepped on her pet cat, who then bite on her finger. On examination, a single deep puncture wound is visible on the palmar aspect of her index finger with erythema and swelling. She and the cat are fully vaccinated. The cat has no health issues. The girl had a history of a bike accident six months ago, for which she was given a tetanus booster. Which of the following is the best next step of management for this patient?

 1. Administer a booster dose of the tetanus vaccine

 2. Administer and begin a complete course of the rabies vaccine

 3. Rinse the wound and close it with sutures

 4. Rinse the wound and leave it open

4. A 25-year-old male comes to the emergency department with complaints of left shoulder pain after falling from a height of about 10 feet. An examination shows the full passive and active range of motion of the left shoulder. Abdominal examination shows severe tenderness to palpation in the left upper quadrant with voluntary guarding. A FAST scan shows no evidence of free intraperitoneal fluid. Which of the following is the most appropriate next investigation?

1. Serial vital signs for 6 hours

2. CT scan of the abdomen

3. Diagnostic peritoneal lavage

4. Exploratory laparotomy

5. A 12-year-old girl presents to the emergency department with complaints of upper abdominal pain for ten days. She further gives a history of nausea, vomiting, and a feeling of restlessness. On examination, she has a distended upper abdomen, which suggests a smooth, firm mass in the epigastrium. A further abdominal examination reveals skin bruising, which the patient claims occurred ten days ago when she fell off her bicycle. Which of the following is the most likely diagnosis?

1. Splenic rupture
2. Liver injury
3. Traumatic pseudocyst
4. Duodenal perforation

6. A 38-year-old male patient is admitted to the surgical ward for five days with a diagnosis of splenic rupture due to blunt trauma. His CT scans of the abdomen and pelvis show a subcapsular hematoma that covers more than 50% of the surface area. The patient also has a ruptured subcapsular hematoma of more than 5 cm and a parenchymal laceration of more than 3 cm in depth. What is the AAST splenic injury scale grade of the patient in this case?

1. Grade I

2. Grade II

3. Grade III

4. Grade IV

7. A 42-year-old male presented to the emergency department after sustaining injuries in a road traffic accident 1 hour ago. He is unconscious with a GCS score of 8. Investigations reveal traumatic brain injury (TBI). Which of the following ions is directly involved in neuronal degradation and apoptosis in traumatic brain injury?

1. Sodium

2. Potassium

3. Calcium

4. Magnesium

8. Which of the following is not included in the medical management of a closed head injury?

1. Seizure prophylaxis

2. Stress ulcer prophylaxis

3. Therapeutic heating

4. Hyperventilation

9. A 28-year-old male is taken to the emergency department after getting stabbed in a street fight. On examination, he has a blood pressure of 73/55 mmHg and a pulse rate of 118/min. A stab wound is observed on his left chest in the 4^th intercostal space in the midclavicular line. He has normal breath sounds, decreased heart sounds, and a bulging jugular vein. What additional findings will be seen in this patient?

1. Bowel sounds on chest auscultation
2. A 16 mmHg decrease in systolic blood pressure on inspiration
3. Inward movement of the chest wall during inspiration
4. Tracheal deviation towards the right side

10. A 31-year-old male is brought to the emergency department after he sustained a stab wound on his chest during a gang fight. He reports mild shortness of breath and chest pain. His blood pressure is 106/82 mmHg, his pulse is 94/min, and his oxygen saturation is 94%. Examination reveals a 3.5 cm stab wound, hyperresonance, and decreased breath sounds on the left side of his chest. What is the most appropriate next step in the management of this patient?

1. Urgent pericardiocentesis

2. Emergency needle thoracostomy

3. Partially occlusive dressing

4. Emergency thoracotomy

11. A 21-year-old female is brought to the emergency department after a motor vehicle collision. On arrival, she had severe shortness of breath and was cyanotic. Her blood pressure is 118/74 mmHg, her respiratory rate is 47/min, and her oxygen saturation is 78%. Examination reveals multiple bruises on the thorax and abdomen and crepitus on palpation of the left chest. There are decreased breath sounds on the left and a crunching sound synchronous with a heartbeat. What would be the next step in managing this patient's condition?

1. Chest tube insertion
2. Transthoracic echocardiography
3. Needle thoracostomy
4. Transesophageal echocardiogram

12. A 37-year-old man is taken to the emergency room after being involved in a high-speed motor vehicle collision while riding his bicycle. He is unconscious, with a Glasgow Coma Scale of 3. He has multiple abrasions on his arms and legs, as well as a large laceration on his forehead. A CT scan of the head is performed, revealing numerous high-density foci, particularly in the white matter. What is the most likely cause?

1. Extradural Hematoma
2. Diffuse Axonal Injury
3. Acute Subdural Hematoma
4. Chronic Subdural Hematoma

13. A 26-year-old male is brought to the emergency department by the paramedics after sustaining injuries in a road traffic accident 30 minutes ago. The patient is unconscious and has open wounds on the face, front of the chest, and right thigh. The patient’s Glasgow Coma Score (GCS) is calculated to be 8. His blood pressure is 100/60 mmHg, his pulse is 110/min, and his respiratory rate is 22/min. Which of the following is the next best step in managing this patient?

1. Endotracheal intubation
2. Administration of intravenous (IV) fluids
3. Assessment of the neurological status
4. Assess for other injuries

14. A 27-year-old male is brought to the emergency department by the paramedics after a fight. He has a penetrating wound on the left side of the chest. Physical examination reveals a respiratory rate of 25/min, distended neck veins, tracheal deviation to the right side, and absent breath sounds on the left side of the chest. Which of the following is the next best step in managing this patient?

1. Chest x-ray

2. Needle thoracostomy

3. Chest tube insertion

4. Intubation and mechanical ventilation

15. A 53-year-old woman presented to the clinic with multiple skin lesions without any ulcers on her face. She has had a history of multiple skin cancers involving her upper lip and nose during the past 3 years, which were treated with excision and radiotherapy. She was also treated with radiotherapy for her acne vulgaris five years ago. Examination reveals skin atrophy and hyperpigmentation. Which of the following is the most likely diagnosis

1. Radionecrosis
2. Radiodermatitis
3. Osteoradionecrosis
4. Lymphedema

16. A 43-year-old female presented to the clinic with abnormal swelling and heaviness of the left arm. She was diagnosed with low-grade invasive ductal carcinoma of the left breast eight months ago. She was successfully managed with a lumpectomy and radiation therapy. Physical examination shows thick and firm skin with non-pitting oedema. Which of the following is the most likely diagnosis for this patient? 

 1. Lymphedema

 2. Deep venous thrombosis of the upper arm

 3. Osteoradionecrosis

 4. Brachial plexopathy

17. A 32-year-old G2P1 at 18 weeks of gestation, presented with a mass in her right breast. She was diagnosed with invasive ductal carcinoma with lymph node involvement after a biopsy. She underwent a lumpectomy five weeks later, and histopathology of the removed mass showed negative tumour margins. Which of the following is a contra-indication to radiation therapy in this patient?

1. Age of the patient
2. Pregnancy
3. Lymph node involvement
4. Negative tumour margins

18. You are working as an emergency physician in a trauma centre, and a 50-year-old male has been brought to the hospital after a motor vehicle accident. The patient was involved in a high-speed collision and has sustained a spinal cord injury. Upon assessment, you notice that the patient has a complete loss of motor function below the level of the injury, and he is unable to feel any sensations in his lower limbs. You suspect that the patient has sustained a severe spinal cord injury and may benefit from steroid treatment. In this situation, which of the following is the most appropriate management option for this patient with respect to steroid treatment?

1. Dexamethasone should be administered within the first three hours of injury
2. Methylprednisolone should be administered within the first eight hours of injury
3. No steroid therapy is required as it is ineffective
4. Hydrocortisone should be administered within the first six hours of injury.

19. A 25-year-old male has been diagnosed with a spinal cord injury following a motor vehicle accident. Glucocorticoid treatment is a common intervention for spinal cord injury, as it has been shown to improve neurological outcomes and reduce inflammation. However, there are several options for glucocorticoid treatment, and selecting the most appropriate medication and dosing regimen is critical for achieving optimal results. Which options would be the most appropriate for glucocorticoid treatment in this case?

1. Dexamethasone 8 mg every 8 hours
2. Hydrocortisone 100 mg every 8 hours
3. Methylprednisolone 1000 mg every 6 hours
4. Prednisone 20 mg every 12 hours

20. A 27-year-old man presents to the emergency department with a suspected spinal injury following a motor vehicle accident. The patient is in significant pain and requires immediate analgesic management. The choice of analgesic medication is critical in managing the patient's pain, while minimising the risk of side effects and complications. Of the following options, which would be the most appropriate analgesic to manage the patient's pain?

1. Paracetamol
2. Ibuprofen
3. Oxycodone
4. Naproxen

21. A 75-year-old lady is sent to the emergency room after experiencing a terrible headache, nausea, and one episode of vomiting over the course of six hours. She arrives drowsy and focused solely on herself. Her blood pressure is 150/96 mm Hg, her breathing is shallow, and she has a pulse of 50 beats per minute. Upon examination, the left globe has a medial deviation, and the upper eyelids have ecchymoses. The patient receives the proper pharmacotherapy and begins receiving intravenous medication; as a result, the patient's urine output rises. Which of the following adverse effects is most likely to occur in the patient?

1. Hyperuricemia
2. Pulmonary oedema
3. Increased intraocular pressure
4. Tinnitus

22. A 43-year-old man visits the doctor because he has been experiencing frontal headaches that are getting worse, impaired vision, and sporadic falls over the last month. He leans forward, which causes his eyesight to get hazy. His symptoms are especially troublesome since they keep him from sleeping. There is no history of head injuries or seizures in the patient. He claims, "This time of year, I do occasionally get a head cold." He doesn't use any prescription drugs. His mother had glaucoma in the past. He is a real estate agent and abstains from alcohol and cigarette use. His bodily functions are normal. His pupils are similarly spherical and responsive to light upon physical inspection. Which of the following is the condition of this patient's most likely cause?

1. High intraocular pressure
2. Intracranial hypertension
3. Medium- and large-vessel vasculitis
4. Paranasal sinus inflammation

23. A 78-year-old man who is otherwise healthy is taken to the emergency room by his daughter due to a diffuse headache that has been bothering him for one day and his inability to interpret speech. There has never been any prior head trauma. He consumes 1-2 beers every day, with a rare weekend increase. His vital indicators are within the normal range. A mental status evaluation reveals unrepeatable words and eloquent but meaningless speech. An acute hemorrhage in the left temporal lobe and many smaller, older hemorrhages in the bilateral occipital lobes are shown on a non-contrast CT scan of the head. Which of the following is the most likely underlying reason for the neurological symptoms this patient is experiencing

1. Amyloid angiopathy
2. Vascular lipohyalinosis
3. Ruptured vascular malformation
4. Hypertensive encephalopathy

If you are preparing for NEET-SS 2024 and ahead, check out SS ELITE Plan (Version 3.0) and what makes it the perfect study resource for your super speciality preparation.