Tension pnemothorax

Question 1

What is tension pneumothorax?

Answer 1

A life-threatening condition where air enters the pleural space and cannot escape, leading to increased pressure.

Question 2

True or False: Tension pneumothorax can occur spontaneously.

Answer 2

True

Question 3

What is the main cause of tension pneumothorax?

Answer 3

Air trapping in the pleural space due to a one-way valve effect.

Question 4

Fill in the blank: Tension pneumothorax can lead to _____ collapse.

Answer 4

lung

Question 5

List two common symptoms of tension pneumothorax.

Answer 5

Shortness of breath and chest pain.

Question 6

What happens to the mediastinum in tension pneumothorax?

Answer 6

It shifts away from the affected side.

Question 7

Multiple Choice: Which of the following is NOT a sign of tension pneumothorax? A) Tracheal deviation B) Hypotension C) Bradycardia D) Hypoxia

Answer 7

C) Bradycardia

Question 8

What is the primary treatment for tension pneumothorax?

Answer 8

Needle decompression followed by chest tube insertion.

Question 9

True or False: Tension pneumothorax can be diagnosed with a chest X-ray.

Answer 9

True

Question 10

What type of breathing may be observed in a patient with tension pneumothorax?

Answer 10

Rapid and shallow breathing.

Question 11

Fill in the blank: In tension pneumothorax, the affected lung is _____.

Answer 11

compressed

Question 12

What is the role of the pleura in tension pneumothorax?

Answer 12

The pleura normally allow for lung expansion, but in tension pneumothorax, air accumulation disrupts this.

Question 13

Name one potential complication of untreated tension pneumothorax.

Answer 13

Cardiac arrest.

Question 14

Multiple Choice: Which demographic is at higher risk for tension pneumothorax? A) Young children B) Elderly women C) Young adult males D) Middle-aged men

Answer 14

C) Young adult males

Question 15

What physical exam finding is commonly associated with tension pneumothorax?

Answer 15

Decreased breath sounds on the affected side.

Question 16

True or False: Tension pneumothorax can resolve on its own without intervention.

Answer 16

False

Question 17

What is the typical progression of symptoms in tension pneumothorax?

Answer 17

Rapid deterioration in respiratory and cardiovascular status.

Question 18

Fill in the blank: Tension pneumothorax occurs when the _____ pressure exceeds atmospheric pressure.

Answer 18

intrapleural

Question 19

What emergency procedure is performed to relieve tension pneumothorax?

Answer 19

Needle thoracostomy.

Question 20

Multiple Choice: Which imaging modality is most useful in diagnosing tension pneumothorax? A) MRI B) Ultrasound C) CT scan D) Chest X-ray

Answer 20

D) Chest X-ray

Question 21

What sound may be heard on auscultation in tension pneumothorax?

Answer 21

Diminished or absent breath sounds.

Question 22

Name one mechanism that can cause tension pneumothorax.

Answer 22

Trauma or mechanical ventilation.

Question 23

True or False: Tension pneumothorax is more common in patients with existing lung disease.

Answer 23

True

Question 24

What vital sign changes may indicate tension pneumothorax?

Answer 24

Tachycardia and hypotension.

Question 25

Fill in the blank: The immediate management of tension pneumothorax is _____.

Answer 25

urgent

Question 26

What long-term management might be necessary after a tension pneumothorax?

Answer 26

Placement of a chest tube for continuous drainage.