General Surgery

20 learning units • 100 chapter sections • 200 explained questions. Assess surgical disease, recognise complications and connect intervention with safe recovery and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 07 / 20

Trauma & Abdominal Injury

Prioritise life threats, identify concealed injury and choose investigation according to physiological stability.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. What does a negative FAST examination establish? A. No bowel injury is possibleB. It does not exclude all abdominal injuryC. No retroperitoneal injury is possibleD. The patient is ready for discharge

Question 02. Which factor most strongly affects immediate CT suitability after trauma? A. Whether a scanner is idleB. Physiological stability and urgency of source controlC. The order of arrival aloneD. Whether external bruising is absent

Question 03. What can a seat-belt abdominal mark indicate? A. Proof that injury is only superficialB. A reason to omit serial examinationC. Risk of underlying bowel or mesenteric injuryD. A normal finding that excludes bleeding

Question 04. What is required for non-operative management of a solid-organ injury? A. Discharge of every patient with an intact skin surfaceB. No repeated observationsC. Absence of any surgical serviceD. Suitable stability, monitoring and access to intervention

Question 05. Why prevent hypothermia during trauma care? A. It reliably stops internal bleedingB. It replaces transfusion assessmentC. It can worsen coagulation and physiological stressD. It improves every shock state

Question 06. What is the purpose of a tertiary trauma survey? A. Repeat only the original diagnosisB. Detect injuries missed during initial urgent careC. Replace all earlier imaging automaticallyD. Confirm discharge based on one blood pressure

Question 07. How should a penetrating abdominal wound be assessed? A. Probe deeply at the bedside to map every trackB. Through the trauma pathway without casual probingC. Assume a small skin wound means minor injuryD. Ignore it if bleeding stops externally

Question 08. Why may bowel injury be missed initially? A. Bowel injury always causes immediate free fluidB. Signs can evolve over timeC. A normal first examination is definitiveD. Analgesia makes diagnosis impossible forever

Question 09. What should worsening physiology during observation of a splenic injury prompt? A. Automatic continuation unchangedB. Discharge if pain briefly improvesC. Urgent reassessment for interventionD. Waiting for routine clinic follow-up

Question 10. What belongs in a trauma transfer handover? A. Only the patient's nameB. Only the CT report titleC. A statement that all risk has endedD. Interventions, trends and unresolved injuries or concerns

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.