PLAB 1 (GMC, international medical graduates) · Emergency and acute medicine

Trauma, burns and major bleeding

9 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 9 questions

  1. A man stabbed in the thigh has bright red blood spurting from the wound and is also making noisy breathing sounds. Using the <C>ABCDE approach, what is the first action?
  2. A major trauma patient is bleeding from multiple injuries 90 minutes after injury. Which drug reduces mortality when given early?
  3. What is the recommended first aid for a thermal burn?
  4. A 30-year-old man has a head injury with a Glasgow Coma Scale score of 12 on arrival in the emergency department. According to NICE NG232, what is the imaging recommendation?
  5. An 80-year-old woman on apixaban has a minor head injury after a fall, with no loss of consciousness, GCS 15 and no other risk factor. What does NICE NG232 advise?
  6. A 26-year-old man has suspected carbon monoxide poisoning after a house fire. His pulse oximeter reads 99 percent. What is the correct interpretation and treatment?
  7. A cyclist has absent breath sounds on the right, hyperresonance, distended neck veins and hypotension. What is the immediate management?
  8. A 45-year-old man vomits fresh blood and has a history of cirrhosis from alcohol. He is cold and tachycardic. After resuscitation, which additional treatment should be started before endoscopy?
  9. An adult in a road traffic collision has a systolic blood pressure of 70 mmHg, a rigid abdomen and a positive FAST scan. What is the immediate priority?

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