Chapter 29 Flashcards
The thoracic cavity is separated from the abdominal cavity by the:
A. costovertebral angle.
B. intercostal margin.
C. anterior rib cage.
D. diaphragm.
D. diaphragm.
Chapter 29, page 1033, Anatomy and Physiology
In order to avoid exacerbating a patient’s injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:
A. myocardial contusion.
B. pneumothorax.
C. cardiac tamponade.
D. flail chest.
B. pneumothorax.
Chapter 29, page 1037, Patient Assessment
Which of the following is most likely to cause immediate death?
A. Aortic dissection
B. Myocardial contusion
C. Pulmonary contusion
D. Aortic rupture
D. Aortic rupture
Chapter 29, page 1035, Injuries of the Chest
A spinal cord injury at the level of C7 would MOST likely result in:
A. paralysis of all the respiratory muscles.
B. immediate cardiac arrest.
C. paralysis of the diaphragm.
D. paralysis of the intercostal muscles.
D. paralysis of the intercostal muscles.
Chapter 29, page 1031, Anatomy and Physiology
You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a:
A. pericardial tamponade.
B. massive hemothorax.
C. tension pneumothorax.
D. laceration of the aorta.
D. laceration of the aorta.
Chapter 29, page 1048, Other Chest Injuries
Children are often “belly breathers” because _______.
A. their diaphragm is not functional
B. they are routinely hypoxic
C. they are consciously controlling ventilations
D. their intercostal muscles are not developed
D. their intercostal muscles are not developed
Chapter 29, pages 1031–1032, Anatomy and Physiology
A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress and his oxygen saturation is 78%. His breath sounds are equal bilaterally and his jugular veins are normal. You should suspect:
A. tension pneumothorax.
B. traumatic asphyxia.
C. pulmonary contusion.
D. massive hemothorax.
C. pulmonary contusion.
Chapter 29, page 1047, Other Chest Injuries
If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:
A. often breathes at a slower rate because of lung damage caused by the injury.
B. will maintain adequate minute volume if his or her respiratory rate stays the same.
C. must increase his or her respiratory rate to maintain adequate minute volume.
D. will eliminate more carbon dioxide than if he or she were breathing deeply.
C. must increase his or her respiratory rate to maintain adequate minute volume.
Chapter 29, page 1034, Mechanics of Ventilation
You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should:
A. perform a focused secondary exam.
B. obtain a set of baseline vital signs.
C. immediately request ALS support.
D. insert an oropharyngeal airway.
C. immediately request ALS support.
Chapter 29, page 1044, Complications and Management of Chest Injuries
A flail chest occurs when:
A. more than three ribs are fractured on the same side of the chest.
B. a segment of fractured ribs bulges during the inhalation phase.
C. multiple ribs are fractured on both sides of the thoracic cage.
D. a segment of the chest wall is detached from the thoracic cage.
D. a segment of the chest wall is detached from the thoracic cage.
Chapter 29, page 1045, Complications and Management of Chest Injuries
