Question 1

Why is great care required with intravenous fluid resuscitation?

Accepted Answer

A)  An overload of fluid may cause additional pulmonary edema. 
B)  An overload of fluid may result in difficultly with ventilation. 
C)  An overload of fluid may result in hypovolemic shock. 
D)  A & B 
E)  A & C 
A)  An overload of fluid may cause additional pulmonary edema. 
B)  An overload of fluid may result in difficultly with ventilation. 
C)  An overload of fluid may result in hypovolemic shock. 
D)  A & B 
E)  A & C

Question 2

A patient with a tension pneumothorax will present with _________.

Accepted Answer

A)  jugular artery distention 
B)  increased cardiac output 
C)  lateral displacement of the trachea 
D)  increased blood pressure 
A)  jugular artery distention 
B)  increased cardiac output 
C)  lateral displacement of the trachea 
D)  increased blood pressure

Question 3

During your assessment of an athlete who appears to be anxious, you note tracheal deviation. The athlete becomes hypotensive, loses consciousness, and is not breathing adequately. Which of the following steps should be taken to assist this athlete?

Accepted Answer

A)  Emergency medical services (EMS) should be activated immediately. 
B)  Assist with respirations using a bag valve mask (BVM). 
C)  Needle decompression should be performed. 
D)  All of the above 
A)  Emergency medical services (EMS) should be activated immediately. 
B)  Assist with respirations using a bag valve mask (BVM). 
C)  Needle decompression should be performed. 
D)  All of the above

Question 4

During your evaluation you suspect the patient may have a hemothorax. You decide to perform percussion testing on the chest wall of the patient. If the person does have a hemothorax, what sounds would confirm your diagnosis?

Accepted Answer

A)  Dull hyperresonant sound 
B)  Dull hyporesonant sound 
C)  Heavy hyporesonant sound 
D)  None of the above 
A)  Dull hyperresonant sound 
B)  Dull hyporesonant sound 
C)  Heavy hyporesonant sound 
D)  None of the above

Question 5

Symptoms of a pulmonary embolism include all of the following except ________.

Accepted Answer

A)  gradual onset of chest pain 
B)  tachycardia 
C)  bloody sputum 
D)  dyspnea 
A)  gradual onset of chest pain 
B)  tachycardia 
C)  bloody sputum 
D)  dyspnea

Question 6

Which of the following can result in or contribute to a simple pneumothorax?

Accepted Answer

A)  Internal injury causing a laceration or rupture of a lung 
B)  External injury causing an open wound in the chest wall 
C)  Can occur spontaneously in tall, thin, and young males 
D)  Significant blunt trauma 
E)  All of the above 
A)  Internal injury causing a laceration or rupture of a lung 
B)  External injury causing an open wound in the chest wall 
C)  Can occur spontaneously in tall, thin, and young males 
D)  Significant blunt trauma 
E)  All of the above

Question 7

________ is a condition involving fractures of two or more adjacent ribs, resulting in paradoxical respiration.

Accepted Answer

A)  A flail chest 
B)  Pneumothorax 
C)  Hemothorax 
D)  Costochondral separation 
A)  A flail chest 
B)  Pneumothorax 
C)  Hemothorax 
D)  Costochondral separation

Question 8

The pleural cavity can hold ________liters of blood, with blood loss into this cavity resulting in shock developing quickly.

Accepted Answer

A)  1 to 2 
B)  2 to 3 
C)  3 to 5 
D)  more than 5 
A)  1 to 2 
B)  2 to 3 
C)  3 to 5 
D)  more than 5

Question 9

_________ involves blood entering the pleural cavity and is the result of the same mechanism of injury as a pneumothorax.

Accepted Answer

A)  Pulmonary embolism 
B)  Tension pneumothorax 
C)  Open pneumothorax 
D)  Hemothorax 
A)  Pulmonary embolism 
B)  Tension pneumothorax 
C)  Open pneumothorax 
D)  Hemothorax

Question 10

_________ are most commonly heard in patients with congestive heart failure or pneumonia.

Accepted Answer

A)  Rhonchi and wheezing 
B)  Rhonchi and crackles 
C)  Wheezing and stridor 
D)  Stridor and wheezing 
A)  Rhonchi and wheezing 
B)  Rhonchi and crackles 
C)  Wheezing and stridor 
D)  Stridor and wheezing

Question 11

Each of the following is a sound that may occur as the result of an airway obstruction. Which of the following represents what a clinician might hear as a result of constriction caused by bronchospasm?

Accepted Answer

A)  Wheezing 
B)  Rhonchi 
C)  Snoring 
D)  Stridor 
A)  Wheezing 
B)  Rhonchi 
C)  Snoring 
D)  Stridor

Question 12

_________ involves a blood clot entering the venous system and becoming lodged in the lungs.

Accepted Answer

A)  Pulmonary embolism 
B)  Tension pneumothorax 
C)  Open pneumothorax 
D)  Hemothorax 
A)  Pulmonary embolism 
B)  Tension pneumothorax 
C)  Open pneumothorax 
D)  Hemothorax

Question 13

A patient presents to you appearing pale, ashen, and cyanotic. Which of the following conditions do you suspect?

Accepted Answer

A)  Respiratory collapse 
B)  Traumatic asphyxia 
C)  Hypovolemic shock 
D)  Open chest wound 
A)  Respiratory collapse 
B)  Traumatic asphyxia 
C)  Hypovolemic shock 
D)  Open chest wound

Why is great care required with intravenous fluid resuscitation?

A patient with a tension pneumothorax will present with _________.

During your assessment of an athlete who appears to be anxious, you note tracheal deviation. The athlete becomes hypotensive, loses consciousness, and is not breathing adequately. Which of the following steps should be taken to assist this athlete?

During your evaluation you suspect the patient may have a hemothorax. You decide to perform percussion testing on the chest wall of the patient. If the person does have a hemothorax, what sounds would confirm your diagnosis?

Symptoms of a pulmonary embolism include all of the following except ________.

Which of the following can result in or contribute to a simple pneumothorax?

________ is a condition involving fractures of two or more adjacent ribs, resulting in paradoxical respiration.

The pleural cavity can hold ________liters of blood, with blood loss into this cavity resulting in shock developing quickly.

_________ involves blood entering the pleural cavity and is the result of the same mechanism of injury as a pneumothorax.

_________ are most commonly heard in patients with congestive heart failure or pneumonia.

Each of the following is a sound that may occur as the result of an airway obstruction. Which of the following represents what a clinician might hear as a result of constriction caused by bronchospasm?

_________ involves a blood clot entering the venous system and becoming lodged in the lungs.

A patient presents to you appearing pale, ashen, and cyanotic. Which of the following conditions do you suspect?

Organization Administration of Emergency Care

Physical Examination of the Critically Injured Athlete

Airway Management

Sudden Cardiac Death

Head Injuries

Emergency Care of Cervical Spine Injuries

Emergent General Medical Conditions

Environmental-Related Conditions

Orthopedic Injuries

Abdominal Emergencies

Spine Boarding in Challenging Environments

Psychosocial Considerations

Filters

Exam 11: Thoracic Injuries

Why is great care required with intravenous fluid resuscitation?

A patient with a tension pneumothorax will present with _________.

During your assessment of an athlete who appears to be anxious, you note tracheal deviation. The athlete becomes hypotensive, loses consciousness, and is not breathing adequately. Which of the following steps should be taken to assist this athlete?

During your evaluation you suspect the patient may have a hemothorax. You decide to perform percussion testing on the chest wall of the patient. If the person does have a hemothorax, what sounds would confirm your diagnosis?

Symptoms of a pulmonary embolism include all of the following except ________.

Which of the following can result in or contribute to a simple pneumothorax?

________ is a condition involving fractures of two or more adjacent ribs, resulting in paradoxical respiration.

The pleural cavity can hold ________liters of blood, with blood loss into this cavity resulting in shock developing quickly.

_________ involves blood entering the pleural cavity and is the result of the same mechanism of injury as a pneumothorax.

_________ are most commonly heard in patients with congestive heart failure or pneumonia.

Each of the following is a sound that may occur as the result of an airway obstruction. Which of the following represents what a clinician might hear as a result of constriction caused by bronchospasm?

_________ involves a blood clot entering the venous system and becoming lodged in the lungs.

A patient presents to you appearing pale, ashen, and cyanotic. Which of the following conditions do you suspect?

Organization Administration of Emergency Care

Physical Examination of the Critically Injured Athlete

Airway Management

Sudden Cardiac Death

Head Injuries

Emergency Care of Cervical Spine Injuries

Emergent General Medical Conditions

Environmental-Related Conditions

Orthopedic Injuries

Abdominal Emergencies

Spine Boarding in Challenging Environments

Psychosocial Considerations

Filters