1. When a person is lying supine at the end of exhalation, the diaphragm: |
Answer: B Question Type: General Knowledge Page: 935 |
2. A spinal cord injury at the level of C7 would MOST likely result in: |
Answer: C Question Type: General Knowledge Page: 935-936 |
3. Very young children tend to breathe predominantly with their diaphragm because: |
Answer: C Question Type: General Knowledge Page: 936 |
4. Pleural fluid is contained between the: |
Answer: A Question Type: General Knowledge Page: 936 |
5. Which of the following organs or structures does NOT reside within the mediastinum? |
Answer: A Question Type: General Knowledge Page: 936 |
6. The thoracic cavity is separated from the abdominal cavity by the: |
Answer: A Question Type: General Knowledge Page: 937 |
7. Elevation of the rib cage during inhalation occurs when: |
Answer: D Question Type: General Knowledge Page: 937 |
8. The phrenic nerves control the diaphragm and exit the spinal cord at: |
Answer: D Question Type: General Knowledge Page: 937 |
9. The ________ nerves control the diaphragm. |
Answer: C Question Type: General Knowledge Page: 937 |
10. If a person's tidal volume decreases, but his or her respiratory rate remains unchanged: |
Answer: B Question Type: General Knowledge Page: 938 |
11. If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she: |
Answer: C Question Type: General Knowledge Page: 938 |
12. Immediate death from blunt chest trauma following a motor vehicle crash is MOST often the result of: |
Answer: B Question Type: General Knowledge Page: 939 |
13. Hemoptysis is defined as: |
Answer: B Question Type: General Knowledge Page: 939 |
14. Common signs and symptoms of a chest injury include all of the following, EXCEPT: |
Answer: B Question Type: General Knowledge Page: 939 |
15. Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called: |
Answer: A Question Type: General Knowledge Page: 940 |
16. A patient who presents with profound cyanosis following a chest injury: |
Answer: D Question Type: General Knowledge Page: 940 |
17. Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, reduced tidal volume, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should: |
Answer: D Question Type: Critical Thinking Page: 941 |
18. During your assessment of a patient with blunt chest trauma, you note paradoxical movement of the left chest wall. As your partner is administering oxygen to the patient, you should: |
Answer: C Question Type: Critical Thinking Page: 941 |
19. 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: |
Answer: B Question Type: General Knowledge Page: 941 |
20. Pneumothorax is defined as: |
Answer: C Question Type: General Knowledge Page: 945 |
21. An open pneumothorax occurs when: |
Answer: B Question Type: General Knowledge Page: 945 |
22. You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should: |
Answer: B Question Type: Critical Thinking Page: 946 |
23. A spontaneous pneumothorax would MOST likely occur as the result of: |
Answer: A Question Type: General Knowledge Page: 946 |
24. While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should: |
Answer: A Question Type: Critical Thinking Page: 946 |
25. You are transporting a stable patient with a possible pneumothorax. The patient is receiving 100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration? |
Answer: C Question Type: Critical Thinking Page: 947 |
26. Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT: |
Answer: B Question Type: General Knowledge Page: 947 |
27. 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: |
Answer: D Question Type: Critical Thinking Page: 947-948 |
28. The MOST critical treatment for a tension pneumothorax involves: |
Answer: D Question Type: General Knowledge Page: 948 |
29. When assessing a patient with a hemothorax, you will MOST likely find: |
Answer: D Question Type: General Knowledge Page: 948 |
30. Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade? |
Answer: A Question Type: Critical Thinking Page: 948-949 |
31. Subcutaneous emphysema is an indication that: |
Answer: C Question Type: General Knowledge Page: 949 |
32. Patients with rib fractures will commonly: |
Answer: A Question Type: General Knowledge Page: 949 |
33. A flail chest occurs when: |
Answer: A Question Type: General Knowledge Page: 949 |
34. A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a: |
Answer: B Question Type: General Knowledge Page: 951 |
35. A 37-year-old male was pinned between a flatbed truck and a loading dock. On exam, you find bruising to the chest, distended neck veins, bilaterally diminished breath sounds, and bilateral scleral hemorrhaging. You should: |
Answer: A Question Type: Critical Thinking Page: 951 |
36. A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to applying 100% oxygen, you should: |
Answer: B Question Type: Critical Thinking Page: 951 |
37. A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred? |
Answer: A Question Type: Critical Thinking Page: 952 |
38. 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 unconscious, 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: |
Answer: D Question Type: Critical Thinking Page: 952 |