Deck 45: Thoracic and Neck Trauma

Question 1

In the initial assessment of a patient suspected with thoracic injury, what is a rapid indication of respiratory status that confirms adequate cerebral perfusion?

A) A patient has an alert level of consciousness
B) Respiratory rate of 20 cpm
C) O2 saturation of 98%
D) A patient is able to complete a sentence in one breath and give a lucid answer to a question

Answer 1

A patient is able to complete a sentence in one breath and give a lucid answer to a question

Question 2

What finding can be found upon palpation of the thorax or back when there is subcutaneous emphysema indicating an air leak from pneumothorax?

A) Coarse crepitus
B) Fine crackling
C) Asymmetry of the chest wall
D) All are correct

Answer 2

Fine crackling

Question 3

An urgent intervention for tension pneumothorax to decompress the thoracic cavity through the placement of a large bore cannula in the second intercostal space, in the midclavicular line on the affected side.

A) Thoracostomy
B) Thoracotomy
C) Endoscopic thoracic sympathectomy
D) Lobectomy

Answer 3

Thoracostomy

Question 4

A term coined to describe patients who have evidence of ongoing volume loss that can be controlled with higher than normal volume infusion of crystalloid and/or blood products.

A) Haemodynamic instability
B) Metastability
C) Haemodynamic stability
D) Metainstability

Question 5

What is the proper way of assessing the effectiveness of analgesia in patients with rib fractures?

A) Ask the patient to take a deep breath and cough
B) Ask the patient to lean forwards and take a deep breath
C) Reassess the pain 2 hours after the administration of analgesia
D) Reassess the pain 5 minutes after the administration of analgesia

Question 6

In assessing scapular fractures, what observation/s should be included in the assessment?

A) Range of shoulder motion
B) Distal radial pulses
C) Distal ulner pulses
D) All are correct

Question 7

A clinical condition resulting from the segmental fracture of two or more adjacent ribs in two or more places, with associated chest-wall deformation:

A) Costochondral joint disruption
B) Pulmonary contusion
C) Flail chest
D) Pigeon chest

Question 8

Which among the following can confirm the diagnosis of tension pneumothorax?

A) Chest X-ray
B) CT scan
C) Presence of shock and unilateral absence of breath
D) All are correct

Question 9

It is also known as the 'sucking chest wound' and involves injury to the full-thickness loss of chest wall-tissue.

A) Haemothorax
B) Simple closed pneumothorax
C) Tension pneumothorax
D) Open pneumothorax

Question 10

Which among the following is a sign demonstrating potential aortic injury?

A) Deviation of nasogastric tube to left
B) Deviation of trachea to left
C) Depression of left mainstem bronchus
D) Fracture of 9th and 10th rib