Which set constitutes reevaluation adjuncts?

• A. Cervical Spine CT scan or x-ray; Chest x-ray or CT scan; Abdominal CT scan; Pelvic x-ray; Revised trauma score; Clean and dress wounds; Tetanus shot.
• B. Cervical Spine CT scan; Chest X-ray; Brain MRI; Pelvic ultrasound; Vital signs.
• C. Only vital signs are reassessed.
• D. No adjuncts listed.

Answer: (A)

Reevaluation adjuncts are the extra actions taken during the repeat assessment to uncover injuries that may have been missed and to guide ongoing care. They include imaging across regions (to look for hidden injuries), a trauma severity score to quantify injury burden, and steps that address wounds and tetanus status as part of rechecking and updating the patient’s condition.

The set that fits this idea includes cervical spine imaging (CT or X-ray), chest imaging (X-ray or CT), abdominal imaging (CT), pelvic imaging (X-ray), a revised trauma score to help gauge severity, wound care actions (clean and dress wounds), and tetanus prophylaxis. These items represent additional reevaluation steps that complement vital signs and the primary/secondary survey.

Other options mix in elements that aren’t standard reevaluation adjuncts (for example, brain MRI is not a typical immediate reevaluation adjunct due to practicality, and focusing only on vital signs omits the broader recalibration and imaging done during reevaluation).