blunt trauma
TRANSCRIPT
st for Blunt Chest Trauma
What is the term for a fracture of 2 or more ribs in 2 or more locations?
o chest contusion
o flail chest
o compound fracture
o hemothorax
2. Crepitus, subcutaneous emphysema, and asymmetrical chest wall expansion are all symptoms of
o pulmonary contusion.
o pneumothorax.
o cardiac contusion.
o flail chest.
3. Which treatment of rib fractures has been shown to improve intensive care unit length of stay and respiratory function based on small randomized trials?
o surgical fixation
o physiotherapy
o positive pressure ventilation
o epidural anesthesia
4. Compared to intravenous narcotics, the use of epidural analgesia in patients with rib factures
o is less effective at controlling pain.
o improves pulmonary function.
o has more frequent and serious adverse effects.
o is not recommended as a first-line option.
5. Which is the most commonly identified injury in blunt thoracic trauma?
o rib fracture
o flail chest
o pulmonary contusion
o pneumothorax
6. Which of the following is not indicated during the management of pulmonary contusion?
o fluid restriction
o noninvasive ventilation
o positive airway pressure
o isotonic crystalloid resuscitation
7. Long-term effects of pulmonary contusion include
o pneumonia.
o cough.
o pain.
o dyspnea.
8. Presence of air in the pleural space is termed
o pneumonia.
o pneumothorax.
o hemothorax.
o atelectasis.
9. Which intervention is recommended by Advance Trauma Life Support for all traumatic pneumothoraces?
o “watchful waiting”
o pleurodesis
o tube thoracostomy
o intravenous antibiotics
10. What is the gold standard for diagnosing pneumohemothoraces?
o computed tomographic scan
o radiograph
o magnetic resonance imaging
o electrocardiogram
11. Initial output of hemothorax drainage greater than 1500 mL is considered an indication for
o fluid resuscitation.
o blood transfusion.
o open thoracotomy.
o video assisted thoracotomy.
12. Patients with what injury have a 13% chance of arriving at the hospital alive?
o pulmonary contusion
o pneumohemothorax
o multiple open rib fractures
o traumatic aortic injury
13. Chest radiograph findings most consistent with blunt aortic injury include
o enlarged aortic knob outline.
o normal mediastinum.
o left mainstem bronchus deviation.
o widened paratracheal line.
14. Bruising of the myocardium from rupture or hemorrhage of small vessels is called
o cardiac contusion.
o aortic aneurysm.
o pneumohemothorax.
o pulmonary contusion.
15. How is a cardiac contusion definitively diagnosed?
o chest x-ray and clinical symptoms
o cardiac biomarkers and chest x-ray
o echocardiogram and clinical symptoms
o 12-lead electrocardiogram and cardiac biomarkers
16. For nonsurgical cardiac contusions, treatment focuses primarily on
o blood pressure.
o arrhythmias.
o dyspnea.
o pain.
17. In the case study facility, who runs the trauma follow-up clinic?
o hospital administrators
o physicians
o trauma nurse practitioners
o director of surgical nursing
18. Eighty percent of blunt chest trauma cases are the result of
o motor vehicle collisions.
o sports injuries.
o acts of violence.
o falls.