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Blunt Trauma

This document contains a quiz on blunt chest trauma. It covers topics like the definition of a flail chest, symptoms of a flail chest, treatments for rib fractures, management of pulmonary contusion, diagnosis of pneumothorax and pneumohemothorax, management of hemothorax, diagnosis of cardiac contusion, and common causes of blunt chest trauma. The quiz contains multiple choice questions to test understanding of these topics.

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Rebecca Hughes
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
268 views

Blunt Trauma

This document contains a quiz on blunt chest trauma. It covers topics like the definition of a flail chest, symptoms of a flail chest, treatments for rib fractures, management of pulmonary contusion, diagnosis of pneumothorax and pneumohemothorax, management of hemothorax, diagnosis of cardiac contusion, and common causes of blunt chest trauma. The quiz contains multiple choice questions to test understanding of these topics.

Uploaded by

Rebecca Hughes
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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st for Blunt Chest Trauma

1.

What is the term for a fracture of 2 or more ribs in 2 or more locations?

chest contusion

flail chest

compound fracture

hemothorax

2.

Crepitus, subcutaneous emphysema, and asymmetrical chest wall expansion are all symptoms of

pulmonary contusion.

pneumothorax.

cardiac contusion.

flail chest.

3.

Which treatment of rib fractures has been shown to improve intensive care unit length of stay and
respiratory function based on small randomized trials?

surgical fixation

physiotherapy

positive pressure ventilation

epidural anesthesia

4.

Compared to intravenous narcotics, the use of epidural analgesia in patients with rib factures

is less effective at controlling pain.

improves pulmonary function.

has more frequent and serious adverse effects.

is not recommended as a first-line option.

5.
o

Which is the most commonly identified injury in blunt thoracic trauma?


rib fracture

flail chest

pulmonary contusion

pneumothorax

6.

Which of the following is not indicated during the management of pulmonary contusion?

fluid restriction

noninvasive ventilation

positive airway pressure

isotonic crystalloid resuscitation

7.

Long-term effects of pulmonary contusion include

pneumonia.

cough.

pain.

dyspnea.

8.

Presence of air in the pleural space is termed

pneumonia.

pneumothorax.

hemothorax.

atelectasis.

9.

Which intervention is recommended by Advance Trauma Life Support for all traumatic
pneumothoraces?

watchful waiting

pleurodesis

tube thoracostomy

intravenous antibiotics

10. What is the gold standard for diagnosing pneumohemothoraces?


o

computed tomographic scan

radiograph

magnetic resonance imaging

electrocardiogram

11. Initial output of hemothorax drainage greater than 1500 mL is considered an indication for
o

fluid resuscitation.

blood transfusion.

open thoracotomy.

video assisted thoracotomy.

12. Patients with what injury have a 13% chance of arriving at the hospital alive?
o

pulmonary contusion

pneumohemothorax

multiple open rib fractures

traumatic aortic injury

13. Chest radiograph findings most consistent with blunt aortic injury include
o

enlarged aortic knob outline.

normal mediastinum.

left mainstem bronchus deviation.

widened paratracheal line.

14. Bruising of the myocardium from rupture or hemorrhage of small vessels is called
o

cardiac contusion.

aortic aneurysm.

pneumohemothorax.

pulmonary contusion.

15. How is a cardiac contusion definitively diagnosed?


o

chest x-ray and clinical symptoms

cardiac biomarkers and chest x-ray

echocardiogram and clinical symptoms

12-lead electrocardiogram and cardiac biomarkers

16. For nonsurgical cardiac contusions, treatment focuses primarily on


o

blood pressure.

arrhythmias.

dyspnea.

pain.

17. In the case study facility, who runs the trauma follow-up clinic?
o

hospital administrators

physicians

trauma nurse practitioners

director of surgical nursing

18. Eighty percent of blunt chest trauma cases are the result of
o

motor vehicle collisions.

sports injuries.

acts of violence.

falls.

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