Trauma surgery: pelvic fracture: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Trauma surgery: pelvic fracture

Sample item

After high-energy trauma, a patient with an unstable pelvic fracture becomes hypotensive. What early mechanical maneuver can reduce pelvic volume and tamponade bleeding?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Apply a pelvic binder over the greater trochanters

An appropriately positioned pelvic binder over the greater trochanters can reduce pelvic volume and help limit hemorrhage in suspected unstable pelvic fracture. It is an early temporizing measure within major-trauma resuscitation.

Option by option

  • A. Delay stabilization until CT is complete

    Hemorrhage control measures should not wait for CT in an unstable patient.

  • B. Apply a pelvic binder over the greater trochanters (correct)

    Correct. Trochanter-level placement closes the pelvic ring most effectively.

  • C. Flex and abduct both hips widely

    Wide abduction can worsen pelvic instability.

  • D. Place the binder around the abdomen at the umbilicus

    An abdominal-level binder does not adequately reduce the pelvic ring.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Apply a pelvic binder over the greater trochanters. An appropriately positioned pelvic binder over the greater trochanters can reduce pelvic volume and help limit hemorrhage in suspected unstable pelvic fracture.

Why is "Delay stabilization until CT is complete" not the answer?

Hemorrhage control measures should not wait for CT in an unstable patient.

Why is "Flex and abduct both hips widely" not the answer?

Wide abduction can worsen pelvic instability.

Why is "Place the binder around the abdomen at the umbilicus" not the answer?

An abdominal-level binder does not adequately reduce the pelvic ring.

What concept does this question test?

It tests Trauma surgery: pelvic fracture in General Surgery. It is an early temporizing measure within major-trauma resuscitation.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Trauma surgery: pelvic fracture?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.