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20 Cards in this Set
- Front
- Back
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When a person is lying supine at the end of exhalation, the diaphragm:
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may rise as high as the nipple line.
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A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a:
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myocardial contusion.
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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
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stabilize the chest wall with a bulky dressing
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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?
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ventricular fibrillation when the impact occurred during a critical portion of the cardiac cycle
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Subcutaneous emphysema is an indication that:
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air is escaping into the chest wall from a damaged lung.
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Hemoptysis is defined as:
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coughing up blood.
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Common signs and symptoms of a chest injury include all of the following, EXCEPT:
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hematemesis.
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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:
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prepare for immediate transport.
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Patients with rib fractures will commonly:
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breathe rapidly and shallowly.
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Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT:
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?????????
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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:
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pneumothorax.
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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:
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immediately request ALS support.
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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:
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????????
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Elevation of the rib cage during inhalation occurs when:
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the intercostal muscles contract.
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The ________ nerves control the diaphragm.
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phrenic
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A flail chest occurs when:
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a segment of the chest wall is detached from the thoracic cage.
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Which of the following organs or structures does NOT reside within the mediastinum?
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lungs
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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:
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administer oxygen and transport to the hospital.
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Pleural fluid is contained between the:
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visceral and parietal pleurae.
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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:
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??????
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