ATCN 2020 Chapter 4 Thoracic Trauma Questions with Answers Latest Update, Exams of Health sciences

Download ATCN 2020 Chapter 4 Thoracic Trauma Questions with Answers Latest Update and more Exams Health sciences in PDF only on Docsity! ATCN 2020 Chapter 4 Thoracic Trauma Questions with Answers Latest Update 1. __________________ is the most serious consequence of thoracic trauma. - Correct Answer Hypoxia 2. Posterior dislocation of the ______________________________ leads to airway obstruction - Correct Answer Posterior dislocation of the clavicals head leads to airway obstruction. 3. The majority of tracheobronchial tree injuries occur where? - Correct Answer Occur within 1 inch of the carina. 4. Incomplete expansion of the lung and continued large air leak after placement of a chest tube suggests a tracheobronchial injury and placement of more than one chest tube may be necessary. 5. Blast injuries commonly produce severe injury to _______________________ interfaces. - Correct Answer Air-fluid interfaces. 6. The most common cause of a _______________________________________________ is mechanical positive pressure ventilation in patients with visceral pleural injury. - Correct Answer Tension Pneumothorax 7. Patients who suffer this type of injury and who are spontaneously breathing often manifest extreme tachypnea and air hunger, whereas patients who are mechanically ventilated manifest hemodynamic collapse. - Correct Answer Pneumothorax 8. __________________________________________ > 1500ml of blood or 1/3 of patients blood volume in one side of the chest with a. ________________________________________. Can significantly compromise respiratory efforts. - Correct Answer Massive Hemothorax Usually occurs from penetrating trauma May occur from blunt trauma 9. _______________________________ (can be seen in the following injuries) Cardiac Tamponade Tension Pneumothorax Profound hypovolemia - Correct Answer PEA 10.List all the potential causes of PEA - Correct Answer Hemothorax Hypoxia Hydrogen Ion ( Acidosis) Hypo / Hyperkalemia Hypoglycemia Hypothermia Toxins Thrombus (coronary / Pulmonary) 11.Hemothorax - Insertion of a chest tube occurs where? - Correct Answer Insert a chest tube (28 - 32 Fr) usually at the fifth intercostal space just anterior to the mid axillary line 12.After insertion of a chest tube, the immediate return of 1500 ml of blood generally indicates the need for urgent ________________________________. - Correct Answer Thoracotomy. 13.Continuing blood loss of 200ml/ hr for 2 to 4 hours also indicates the need for urgent thoracotomy. 14.____________________________________________ most commonly occurs after penetrating trauma, although blunt injury also can cause the pericardium to fill with blood from the heart, great vessels, or epicardium vessels. - Correct Answer Cardiac Tamponade 15.Classic Clincal Triad of Cardiac Tamponade - Correct Answer Muffled heart sounds Hypotension Distended neck veins 16.____________________________________ rise in venous pressure with inspiration when breathing spontaneously is a true paradoxical venous pressure abnormality that is associated with tamponade. - Correct Answer Kussmaul's Sign 17.___________________________________________ is a rapid and accurate (90% -95%) method of imaging the heart and pericardium. - Correct Answer FAST - Focused Assessment with Sonography for Trauma 18.When ___________________________________________________________ is used as a temporizing maneuver, the use of a large, over the needle catheter is ideal, but the urgent priority is to aspirate blood from the pericardial sac. - Correct Answer Subxiphoid pericardiocentesis 19. Ideally a person known to have a ____________________________________ should not undergo general anesthesia or receive positive pressure ventilation without having a chest tube inserted. - Correct Answer Pneumothorax