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STUVIA 2024/2025Chapter 28- Chest Injuries
administer 20 mL/kg boluses of an isotonic crystalloid - ✔✔A 37-year-old semiconscious male
sustained a stab wound lateral to the left side of the sternum. He presents with signs of shock,
engorged jugular veins, and a weakened radial pulse during inspiration. After administering 100%
supplemental oxygen, you should:
air in the pleural space - ✔✔When percussing the chest of a patient who experienced blunt chest
trauma, you note hyperresonance on the left side of his chest. This suggests:
assist his ventilations with a bag-mask device. - ✔✔A 37-year-old male sustained blunt trauma to the
left anterolateral chest. He is conscious, but confused, and complains of pain during inspiration; his
respirations are shallow. Your assessment reveals crepitus to the area of impact. Breath sounds,
although weakly audible, are bilaterally equal. The pulse oximeter reads 89% on room air. You
should:
assist his ventilations with a bag-mask device. - ✔✔A 37-year-old male sustained blunt trauma to the
left anterolateral chest. He is conscious, but confused, and complains of pain during inspiration; his
respirations are shallow. Your assessment reveals crepitus to the area of impact. Breath sounds,
%
although weakly audible, are bilaterally equal. The pulse oximeter reads 89% on room air. You
should:
avoid placing the patient in a Trendelenburg position. - ✔✔When treating a patient with a suspected
diaphragmatic rupture, you should:
be prepared for severe hypotension once he is freed - ✔✔A construction worker is pinned in
between a truck and a loading dock. He is conscious and in respiratory distress. Further assessment
reveals upper torso and facial cyanosis and bilateral conjunctival hemorrhages. When treating this
patient, you must:
be prepared for severe hypotension once he is freed - ✔✔A construction worker is pinned in
between a truck and a loading dock. He is conscious and in respiratory distress. Further assessment
reveals upper torso and facial cyanosis and bilateral conjunctival hemorrhages. When treating this
patient, you must:
Because they are protected by the bony girdle of the clavicle and scapula, upper rib fractures may
indicate severe internal injuries. - ✔✔A 29-year-old male was robbed and struck in the chest by an
assailant with a steel pipe. Your assessment reveals severe pain and crepitus to the right upper
chest, at and below the clavicle. What is MOST significant about the location of this patient's injury?
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, STUVIA 2024/2025
blunt chest trauma - ✔✔Visceral injuries in the chest that occur from shearing forces, compression,
or rupture, are MOST commonly seen with:
blunt chest trauma - ✔✔Visceral injuries in the chest that occur from shearing forces, compression,
or rupture, are MOST commonly seen with:
carbon dioxide retention and acidosis - ✔✔A 34-year-old male is in late shock secondary to blunt
chest trauma. His respirations of 6 breaths/min and shallow will initially result in:
carbon dioxide retention and acidosis. - ✔✔A 34-year-old male is in late shock secondary to blunt
chest trauma. His respirations of 6 breaths/min and shallow will initially result in:
cardiac tamponade. - ✔✔A 40-year-old male experienced penetrating trauma to the left anterior
chest. During inhalation, you note that his radial pulses become barely palpable. You should suspect:
cardiac tamponade. - ✔✔A 40-year-old male experienced penetrating trauma to the left anterior
chest. During inhalation, you note that his radial pulses become barely palpable. You should suspect:
Contralateral shifting of the trachea - ✔✔Which of the following signs or symptoms would you be
%
LEAST likely to find during your assessment of a patient with a pneumothorax?
Contralateral shifting of the trachea - ✔✔Which of the following signs or symptoms would you be
LEAST likely to find during your assessment of a patient with a pneumothorax?
Contralateral tracheal shift - ✔✔Which of the following is a LATE sign of a tension pneumothorax?
coronary arteries. - ✔✔As the aorta exits the left ventricle, it immediately branches into the:
cover the wound with an occlusive dressing and continue your assessment. - ✔✔A 31-year-old man
was stabbed in the chest during an altercation at a bar. He is semiconscious and has shallow
breathing. As your partner assists the patient's ventilations, you perform a rapid assessment and find
a single stab wound to the left anterior chest with minimal bleeding. Breath sounds on the side of the
injury are markedly diminished. You should:
diaphragm and intercostal muscles. - ✔✔The primary muscle(s) of respiration is/are the:
evidence of pulmonary edema. - ✔✔When treating a patient with a suspected myocardial contusion,
it is especially important to monitor the patient for:
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