18361833
Beschreibung
Quiz von Med Student , aktualisiert more than 1 year ago
|
|
Erstellt von Med Student
vor mehr als 5 Jahre
|
|
Frage 1
Frage
Flashcards at
https://quizlet.com/_6rwjjn
Antworten
- True
- False
Frage 2
Frage
How many types of pneumothorax are there?
Antworten
-
two
-
three
-
four
-
five
Frage 3
Frage
What is the initial management of an open pneumothorax?
Antworten
-
no emergency treatment is needed
-
suture of the wound
-
promptly closing the defect with a sterile occlusive dressing
-
emergency thoracotomy
Frage 4
Frage
Which of these statements is true for the tension pneumothorax?
Antworten
-
we should wait for the chest x-ray to confirm the diagnosis before proceeding with the treatment
-
the mediastinum is shifted to the opposite side, decreasing the venous return and compressing the opposite lung
-
it results from large defects. of the chest wall that remain open
-
the treatment is emergency thoracotomy
-
all of the above
Frage 5
Frage
What other condition can be initially confused with tension pneurnothorax?
Antworten
-
flail chest
-
open pneumothorax
-
myocardial infarction
-
cardiac tamponade
Frage 6
Frage
A teenage boy falls from his bicycle and is run over by a truck. On arrival in the emergency room, he is awake and alert and appears frightened but in no distress. The chest radiograph suggests an air-fluid level in the left lower lung field and the nasogastric tube seems to coil upward into the left chest. The next best step in management is
Antworten
-
Placement of a left chest tube
-
Immediate thoracotomy
-
Immediate celiotomy
-
Esophagogastroscopy
-
Removal and replacement of the nasogastric tube; diagnostic peritoneal lavage
Frage 7
Frage
A 25-year-old woman arrives in the emergency room following an automobile accident. She is acutely dyspneic with a respiratory rate of 60 breaths/min. Breath sounds. are markedly diminished on the right side. The first step in managing the patient should be to
Antworten
-
Take a chest x-ray
-
Draw arterial blood for blood gas determination
-
Decompress the right pleural space
-
Perform pericardiocentesis
-
Administer intravenous fluids
Frage 8
Frage
A 25-year-old woman arrives in the emergency room following an automobile accident. She is acutely dyspneic with a respiratory rate of 60 breaths/min. Breath sounds. are markedly diminished on the right side.
A chest x-ray of this woman before therapy would probably reveal
Antworten
-
Air in the right pleural space
-
Shifting of the mediastinum toward the right
-
Shifting of the trachea toward the right
-
Dilation of the intrathoracic vena cava
-
Hyperinflation of the left lung
Frage 9
Frage
A 23-year-old previously healthy man presents to the emergency room after sustaining a single gunshot wound to the left chest. The entrance wound is 3 cm inferior to the nipple and the exit wound is just below the scapula. A chest tube is placed that drains 400 mL of blood and continues to drain 50-75 mtL/h during the initial resuscitation. Initial blood pressure of 70/0 mm Hg responds to 2 L crystalloid and is now 100/70 mm Hg. Abdominal examination is “unremarkable. Chest x-ray reveals a reexpanded lung and no free air under the diaphragm. The next management step should be
Antworten
-
admission and observation
-
peritoneal lavage
-
exploratory thoracotomy
-
exploratory celiotomy
-
local wound exploration
Frage 10
Frage
Regarding myocardial contusion from blunt chest trauma, which of the following statements is correct?
Antworten
-
Elevated cardiac isoenzyme levels sensitively identify patients at risk for life-threatening arrhythmias
-
The majority of patients have abnormalities on the initial ECG post injury
-
First-pass radionuclide angiography (RNA) and echocardiography are considered the “gold standard” for diagnosis
-
RNA and echocardiography are good predictors of subsequent Cardiac complications such as arrhythmias and pump failure
-
All patients diagnosed with myocardial contusion should be monitored in an intensive care unit setting for 72 h
Frage 11
Frage
Which of the following situations would be an indication for performance of a thoracotomy in the emergency room?
Antworten
-
Massive hemotharax following blunt trauma to the chest
-
Blunt trauma ‘to multiple organ systems with obtainable vita! signs in the field but none on arrival in the emergency roam
-
Rapidly deteriorating patient with cardiac tamponade from penetrating thoracic trauma
-
Penetrating thoracic trauma and no signs of life in the field
-
Penetrating abdominal trauma and no signs of life in the field
Frage 12
Frage
How do we define a massive hemothorax?
Antworten
-
accumulation of more than 300 ml of blood
-
accumulation of more than 1000 ml of blood
-
accumulation of more than 1500 ml of blood
-
accumulation of more than 2500 ml of blood
Frage 13
Frage
What is the initial treatment of hemothorax?
Antworten
-
a rapid crystalloid infusion
-
insertion of a chest tube
-
blood transfusions as soon as possible
-
all of the above
Frage 14
Frage
What is the definition of flail chest?
Antworten
-
multiple rib fractures in one fracture line
-
accumulation of more than 1500 ml of blood in the thoracic cavity
-
multiple rib fractures - three or more ribs fractured in two or more places
-
one rib fractured in two fracture lines
Frage 15
Frage
What causes the. greatest physiologic insult in patients with flail chest?
Antworten
-
the multiple rib fractures
-
the abnormal chest wall movement
-
the massive blood loss
-
the pulmonary contusion
Frage 16
Frage
What is the mast important part in the treatment of patients with pulmonary contusion?
Antworten
-
emergency thoracotomy
-
treatment of posttraumatic lung infection
-
observation and follow-up
-
blood transfusions
-
all of the above
Möchten Sie mit GoConqr kostenlos Ihre eigenen Quiz erstellen? eigenen Mehr erfahren.