Ch 27 Questions

Question 0

The ___________ separates the thoracic cavity from the abdominal cavity.

A. Diaphragm
B. Mediastinum
C. Xyphoid process
D. Inferior border of the ribs

Answer 0

Diaphragm

Question 1

Air is supplied to the lungs via the:

A. Esophagus
B. Trachea
C. Nares
D. Oropharnyx

Answer 1

Trachea

Question 2

On inhalation, which of the following does NOT occur?

A. The intercostal muscles contract, elevating the rib cage
B. The diaphragm contracts
C. The pressure inside the chest increases
D. Air enters through the nose and mouth

Answer 2

The pressure inside the chest increases

Question 3

You respond to the local rodeo arena for a bull rider. The scene is safe, and the patient is lying in the middle of the arena unconscious. His airway is open, and he is breathing at 20 breaths/min. His pulse is 128 beats/min and blood pressure is 110/64 mm Hg. There is no obvious bleeding. Bystanders tell you he was thrown into the air and land on the bull’s head. He was not wearing a vest. Which of the following is NOT indicated in blunt trauma to the chest?

A. Bruising of the lungs and heart
B. Fracture of whole areas of the chest wall
C. Damage to the aorta
D. Dissection of the carotid arteries

Answer 3

Dissection of the carotid arteries

Question 4

You respond to a motor vehicle collision and find a 29-year-old woman who is complaining of chest pain. Her chest stuck the steering wheel. Her airway is open, she is breathing at 24 breaths/min, and is coughing up blood. Her pulse is 130 beats/min, rapid and weak, and her blood pressure is 90/58 mm Hg. You notice cyanosis around the lips and note that her fingers are also blue. When you expose the chest, she tells you it hurts and points to a bruised spot. Which of the following is a symptom?

A. Cyanosis around the lips or fingertips
B. Rapid, weak pulse
C. Hemoptysis
D. Pain at the site of injury

Answer 4

Pain at the site of injury

Question 5

Which of the following is NOT a sign of a chest injury?

A. Bruising of the chest wall
B. Crepitus with palpation of the chest
C. Clear and equal breath sounds
D. Unequal expansion of the chest wall

Answer 5

Clear and equal breath sounds

Question 6

You respond to an 18-year-old man who has been assaulted with a baseball bat. He was hit in the chest. He is unresponsive, apneic, and pulseless. This condition is most likely related to:

A. Commotio cordis
B. Cardiac tamponade
C. Pneumothorax
D. Traumatic asphyxia

Answer 6

Commotio cordis

Question 7

Paradoxical motion of the chest refers to:

Answer 7

Unequal expansion of the chest

Question 8

A ____________ results when an injury allows air to enter through a hole in the chest wall or the surface of the lung as the patient attempts to breathe, causing the lung on that side to collapse.

Answer 8

Pneumothorax

Question 9

A sucking chest wound should be treated with:

Answer 9

An occlusive dressing

Question 10

You respond to a 20-year-old man who was playing basketball and suddenly developed chest pain and respiratory difficulty. He is alert and oriented and complaining of chest pain. He is breathing at 24 breaths/min. His pulse is 140 beats/min and blood pressure is 160/90 mm Hg. Upon listening to the chest, you notice diminished breath sounds on the left side. This patient is most likely suffering from a(n):

A. Spontaneous pneumothorax
B. Hemothorax
C. Tension pneumothorax
D. Open pneumothorax

Answer 10

Open pneumothorax

Question 11

Distended jugular veins, a narrowing pulse pressure, and muffled heart sounds are seen in which of the following conditions?

A. Tension pneumothorax
B. Cardiac tamponade
C. Traumatic asphyxia
D. Commotio cordis

Answer 11

Cardiac tamponade

Question 12

Common signs and symptoms of tension pneumothorax include all of the following EXCEPT:

A. Increasing respiratory distress
B. Distended neck veins
C. High blood pressure
D. Tracheal deviation away from the injured site

Answer 12

High blood pressure

Question 13

Which of the following statements regarding hemothorax is correct?

A. It can only be treated by a surgeon
B. It results from a collection of air in the pleural space
C. Breath sounds tend to be equal
D. Is it not typically associated with shock

Answer 13

It can only be treated by a surgeon

Question 14

A ____________ is the result of blunt chest trauma and is associated with an irregular pulse and sometimes dangerous cardiac rhythms.

Answer 14

Myocardial contusion

Question 15

A patient with blunt trauma who is holding the lateral side of his chest and has rapid and shallow respirations is most likely suffering from:

Answer 15

Rib fractures

Question 16

Traumatic asphyxia:

Answer 16

Is a sudden, severe compression of the chest

Question 17

Which of the following would NOT give you a low pulse oximetry reading?

A. Damaged heart
B. Decrease in circulating red blood cells from bleeding
C. Pulmonary contusion
D. Carbon monoxide poisoning

Answer 17

Carbon monoxide poisoning

Question 18

Which of the is NOT a pertinent negative to note during your assessment of a patient with chest trauma?

A. no heart murmurs
B. No associated shortness of breath
C. No rapid breathing
D. No areas of deformity

Answer 18

No heart murmurs

Question 19

Large blood vessels in the chest that can result in massive hemorrhaging include all of the following EXCEPT:

A. The pulmonary arteries
B. The femoral arteries
C. The aorta
D. The four main pulmonary veins

Answer 19

The femoral arteries