Contusion/Bruise-Types

Contusion/Bruise-Types

Q. 1

A rickshaw ran over the thighs of a child. The tyre marks of the vehicle can be seen on the child’s thighs. These marks are an example of:

 A

Imprint bruise

 B

Patterned bruise

 C

Imprint abrasion

 D

Ectopic bruise

Q. 1

A rickshaw ran over the thighs of a child. The tyre marks of the vehicle can be seen on the child’s thighs. These marks are an example of:

 A

Imprint bruise

 B

Patterned bruise

 C

Imprint abrasion

 D

Ectopic bruise

Ans. B

Explanation:

A patterned contusion is one in which the size and shape mirror a portion of the object which caused it.
In this case a tryre mark is seen on the child’s thigh so it is a case of patterned bruise.
 
Ref: K.S.N.Reddy 29th Ed Page 166

Q. 2

Battle’s sign is associated with:

 A

Orbital cellulitis

 B

Head injury

 C

Conjunctivitis

 D

Liver failure

Q. 2

Battle’s sign is associated with:

 A

Orbital cellulitis

 B

Head injury

 C

Conjunctivitis

 D

Liver failure

Ans. B

Explanation:

Extravasation of blood results in ecchymosis behind the ear, known as Battle’s sign.

A fracture of the anterior skull base can result in anosmia (loss of smell from damage to the olfactory nerve), CSF drainage from the nose (rhinorrhea), or periorbital ecchymoses, known as raccoon eyes.
Ref: Schwartz’s principle of surgery 9th edition, chapter 42.

Q. 3

False about bruise:

 A

Much darker at point of contact/pressure

 B

Blood is present in vessel and can be easily washed away

 C

Seen at/around the area of injury

 D

a and b

Q. 3

False about bruise:

 A

Much darker at point of contact/pressure

 B

Blood is present in vessel and can be easily washed away

 C

Seen at/around the area of injury

 D

a and b

Ans. D

Explanation:

A i.e. Much darker at point of contact/pressure; B i.e. Blood is present in vessel and can be easily washed away

Quiz In Between


Q. 4

Ectopic bruise is most commonly seen in:

NEET 13

 A

Leg

 B

Eye

 C

Pinna

 D

Scalp

Q. 4

Ectopic bruise is most commonly seen in:

NEET 13

 A

Leg

 B

Eye

 C

Pinna

 D

Scalp

Ans. B

Explanation:

Ans. Eye


Q. 5

Battle’s sign is:

TN 11

 A

Hemorrhage around eyes

 B

Mastoid ecchymosis

 C

Umbilical ecchymosis

 D

Vaginal ecchymosis

Q. 5

Battle’s sign is:

TN 11

 A

Hemorrhage around eyes

 B

Mastoid ecchymosis

 C

Umbilical ecchymosis

 D

Vaginal ecchymosis

Ans. B

Explanation:

Ans. Mastoid ecchymosis


Q. 6

Black eye is a type of‑

 A

Patterend abrasion

 B

Ectopic abrasion

 C

Ectopic bruise

 D

Friction abrasion

Q. 6

Black eye is a type of‑

 A

Patterend abrasion

 B

Ectopic abrasion

 C

Ectopic bruise

 D

Friction abrasion

Ans. C

Explanation:

Ans. is ‘c’ i.e., Ectopic bruise

Site of bruise is at the site of impact most of the time however it may be away from the site of impact due to gravity shifting of blood, i.e., ectopic bruise. So, site of bruise does not always indicate site of violence. o Example of ectopic bruise are : –

Black eye (or spectacle hematoma in eyes & eyelids) may be due to fracture offloor of anterior cranial fossa or trauma of forehead (and rarely due to direct trauma).

Bruise behind ear indicates basal fracture (rather than a direct blow).

Jaw fracture may produce bruise in neck; fracture pelvis my produce bruise in thigh; fracture femur may produce bruise in lower thigh or above knee; Calf injury may produce bruise in ankle.

Quiz In Between


Q. 7

The Image Represents 

 A

Patterend abrasion

 B

Ectopic abrasion

 C

Ectopic bruise

 D

Friction abrasion

Q. 7

The Image Represents 

 A

Patterend abrasion

 B

Ectopic abrasion

 C

Ectopic bruise

 D

Friction abrasion

Ans. C

Explanation:

Ans:C.)Ectopic Bruise.

Site of bruise is at the site of impact most of the time however it may be away from the site of impact due to gravity shifting of blood, i.e., ectopic bruise. So, site of bruise does not always indicate site of violence. o Example of ectopic bruise are : –

Black eye (or spectacle hematoma in eyes & eyelids) may be due to fracture offloor of anterior cranial fossa or trauma of forehead (and rarely due to direct trauma).

Bruise behind ear indicates basal fracture (rather than a direct blow).

Jaw fracture may produce bruise in neck; fracture pelvis my produce bruise in thigh; fracture femur may produce bruise in lower thigh or above knee; Calf injury may produce bruise in ankle.


Q. 8

The condition marked by a red arrow in the picture below is a type of ? 

 A

Patterend abrasion.

 B

Ectopic abrasion.

 C

Ectopic bruise.

 D

Friction abrasion.

Q. 8

The condition marked by a red arrow in the picture below is a type of ? 

 A

Patterend abrasion.

 B

Ectopic abrasion.

 C

Ectopic bruise.

 D

Friction abrasion.

Ans. C

Explanation:

Ans:C.)Ectopic Bruise.

The condition shown in the picture above represents black eye.

Black eye (periorbital hematoma)is bruising around the eye , caused by bleeding beneath the skin , around the eye.

CONTUSION (BRUISES)

  • Is an effusion of blood into tissues due to rupture of subcutaneous vessel.
  • It is a superficial injury.
  • Migratory or Ectopic or Percolated contusions: injury at one site, contusion at a remote site due to gravitation of blood
    • Fracture of floor of anterior cranial fossa – bruising around eye (black eye or spectacle hematoma)
    • Fracture of floor of middle cranial fossa – bruising over mastoid (battle’s sign)
    • Fracture of jaw – bruising in the neck
    • Fracture of pelvis – bruising over thigh
    • Fracture femur – bruise in lower thigh or above knee
    • Calf injury -bruise in ankle.

 

Quiz In Between



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