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Chest Injuries

Terms in this set (15)

C
Which of the following is NOT included in the chest cavity?

A: Aorta
B: Subclavian Arteries
C: Spleen
D: Pulmonary Arteries
B
The _______ lung has 3 lobes, and the ______ lung has 2 lobes. The _____ lobe formation allows space for the heart to reside, this is called the _________ notch.

A: left, right, left, cardiac
B: right, left, left, cardiac
C: left, right, right, cardiac
D: right, left, right, cardiac
A
Both the lung and inner chest wall have linings called pleura. What are they?

A: Chest; Parietal. Lung; Visceral
B: Chest; Visceral. Lung; Parietal
C: Neither A or B
D: Chest; Epidural. Lung; Thoracic
D
If a spinal injury occurs, in what level of the C Spine, does the control of intercoastal muscles become compromised? (Patient still has the ability to breathe)

A: C1
B: C2
C: C3
D: C5 and below
C
When you _____, the intercostal muscles and diaphragm relax, and the tissues move back to their normal positions, allowing air to be exhaled

A: Inhale
B: Hold your breath
C: Exhale
D: Yawn
A
Which of the following blood vessels can be lacerated by a fractured rib?

A: Aorta
B: Brachial Artery
C: Intercostal artery or vein
D: Jugular vein
C
You arrive at the scene of an adult male who states he was riding a bull and fell off and heard a loud pop. The patient expresses it's difficult to take a deep breath and speak. Based on the information received, what should be your first intervention?

A: Take vital signs
B: Apply bulky dressing to the right side of the chest
C: Administer High flow oxygen
D: Immobilize the patient on a backboard
B
While en route to the hospital, the patient suddenly grabs your arm and states that he can't breathe. He appears pale, diaphoretic, and extremely anxious. Reassessment of the chest reveals diminished breath sounds on the right side and subcutaneous emphysema. You suspect which of the following conditions is developing in the patient?

A: Cardiac tamponade
B: Tension pneumothorax
C: Myocardial contusion
D: Pulmonary contusion
D
Potential complications associated with fractured ribs may include all of the following EXCEPT:

A: pneumothorax
B: tension pneumothorax
C: hemothorax
D: upper airway obstruction
B
Exposure of the patient's chest reveals a large bruise on the lateral aspect of the right side of the chest. When you palpate the area, the patient yells out in extreme pain and states he cannot take a deep breath. What condition should you suspect?

A: cardiac tamponade
B: rib fractures
C: spontaneous pneumothorax
D: pulmonary contusion
B
Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, shallow breathing, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:

A: Immediately Transport
B: Provide ventilation assistance with a BVM
C: Continue your assessment
D: Assess circulation
C
Paradoxical motion is a sign of what condition?

A: Pneumothorax
B: Hematoma
C: Flail chest
D: Cardiac tamponade
D
A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should:

A: perform C-Spine Stabilization
B: request ALS
C: Continue your assessment
D: Prep for immediate transport
C
While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:

A: Obtain a SAMPLE report
B: Wait for ALS to arrive
C: Administer oxygen and transport to the hospital
D: Place patient on the backboard
A
You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:

A: partially remove the dressing.
B: continue to monitor the patient
C: alert hospital of ETA
D: change the dressing
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