Thoracic Trauma

Question 1

What is the biggest concern with chest contusions?

Answer 1

Hypoventilation

Question 2

What are some signs and symptoms of chest wall injuries?

Answer 2

Erythma, ecchymosis, Dyspnea, pain on breathing, limited breath sounds, crepitus, and paradoxical chest wall motion

Question 3

What is the most common result of blunt injury?

Answer 3

Contusion

Question 4

What can restore tidal volume with a flail chest?

Answer 4

Positive pressure ventilation

Question 5

What is a simple pneumothorax?

Answer 5

Occurs when lung tissue is disrupted and air leaks into the pleural space

Question 6

What is atelectasis?

Answer 6

Alveoli collapse

Question 7

Which pulmonary injury has no associated mediastinal shift?

Answer 7

Simple (closed) pneumothorax

Question 8

Diminished breath sounds are seen with what pulmonary injury?

Answer 8

Simple pneumothorax

Question 9

Cardiovascular compromise is seen with which pneumothorax?

Answer 9

Tension

Question 10

What occurs in an open pneumothorax?

Answer 10

Free passage of air between atmosphere and pleural space

Question 11

In an open pneumothorax, air will be drawn through a ending wound is _____ diameter of the trachea or larger.

Answer 11

2/3

Question 12

Frothy blood is seen with which pneumothorax?

Answer 12

Open pneumothorax

Question 13

Why do tension pneumothorax occur?

Answer 13

The mechanism of injury forms a one-way valve

Question 14

Each side of thorax may hold up to ______ of blood.

Answer 14

3,000 ml

Question 15

Flat neck veins are seen with?

Answer 15

Hemothorax

Question 16

Percussion of a Hemothorax presents as?

Answer 16

Dull

Question 17

JVD is seen with which type of pneumothorax?

Answer 17

Tension

Question 18

Mediastinum and tracheal shift is seen with which type of pneumothorax?

Answer 18

Tension pneumothorax

Question 19

Which pneumothorax is fixed with decompression?

Answer 19

Tension pneumothorax

Question 20

Faint or absent breath sounds are heard with which pneumothorax?

Answer 20

Tension

Question 21

Where is pleural decompression performed?

Answer 21

2nd intercostal space in mid-clavicular line top of third rib

Question 22

Heart rate in a tension pneumothorax ____.

Answer 22

Increases

Question 23

A catheter for needle decompression should be how long?

Answer 23

2-3 inches

Question 24

What gauge catheter is used for a needle decompression?

Answer 24

14GA

Question 25

What is the pain associated with myocardial contusions?

Answer 25

A "thumped" type of pain

Question 26

What should not be given to a myocardial contusion?

Answer 26

Nitro

Question 27

Why shouldn't nitro be given for a myocardial contusion?

Answer 27

Could increase bleed of contusion

Question 28

Agitation, tachycardia, diaphoresis, and ashen appearance is seen with?

Answer 28

Pericardial tamponade

Question 29

What is Becks Triad indicative of?

Answer 29

Pericardial tamponade

Question 30

What is Becks triad?

Answer 30

JVD, distant heart tones, and hypotension

Question 31

What is kussmauls sign?

Answer 31

The decrease or absence of JVD during inspiration

Question 32

What is kussmauls sign indicative of?

Answer 32

Pericardial tamponade

Question 33

What is pulsus Paradoxus?

Answer 33

A drop in systolic blood pressure of greater than 10 mmHg

Question 34

Where do dissecting aneurysms most commonly occur?

Answer 34

Descending aorta

Question 35

The patients with aortic ruptures will be severely ____.

Answer 35

Hypotensive

Question 36

Aortic aneurysms are commonly seen with what type of impact?

Answer 36

Lateral

Question 37

Shear tearing pain with radiation to back is commonly seen with?

Answer 37

Aortic aneurysm

Question 38

In aortic aneurysms, pulse may be?

Answer 38

Different between left and right upper extremities or reduced in lower extremities

Question 39

In aortic aneurysms, blood pressure may be?

Answer 39

Increased

Question 40

With which injury will the abdomen appear hollow and bowel sounds be noted in one side of the thorax?

Answer 40

Diaphragmatic rupture

Question 41

PEA is seen with which thoracic trauma?

Answer 41

Pericardial tamponade

Question 42

Rupture or perforation of the diaphragm occur commonly on which side?

Answer 42

Left side

Question 43

What does traumatic asphyxia cause?

Answer 43

Backwards flow of blood from right side of heart into superior vena cava and the upper extremities

Question 44

JVD, blue/purple appearance, bulging eyes are seen with?

Answer 44

Traumatic asphyxia