Practise 159 single best answer questions on trauma for the MRCEM SBA exam. Every question comes with a detailed explanation, so you learn why the right answer is right and why the others are wrong.
Trauma questions test whether you can prioritise under pressure: catastrophic haemorrhage first, then airway, breathing and circulation, with the right imaging at the right time. Many questions turn on a single practical detail that changes management.
A 30-year-old man arrives after high-energy trauma. A pelvic binder was applied pre-hospital. BP is 96/64 mmHg and HR 128 bpm. The binder sits high over the iliac crests, and he has severe pelvic pain despite IV analgesia. FAST is negative.
What is the most appropriate next step?
A. Leave the binder in place to avoid disturbing a stable clot
B. Remove the binder and apply traction splints on both legs
C. Reposition the binder over the greater trochanters
D. Remove the binder and reassess the pelvis
E. Proceed straight to CT abdomen and pelvis
Answer: C. A binder only reduces pelvic volume when it is centred over the greater trochanters. Placed over the iliac crests, it does nothing to control bleeding and can widen some fractures.
Try 20 free sample questions to see the style and explanations, then choose the plan that suits you.