Flail Chest

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Question 1
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Multiple Choice

While assessing a patient who was involved in a serious car crash and hit his steering wheel, the respiratory therapist observes that a section of his left anterior chest wall sinks inward during inspiration. What is the most likely cause?

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A

Pulmonary fibrosis

B

Flail chest

C

Pneumothorax

D

Cardiac tamponade

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Question 2
Free
Multiple Choice

What is the most common finding at the site of the flail portion of a flail chest?

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A

Pulmonary contusion

B

Pulmonary abscess

C

Pulmonary edema

D

Pulmonary fibrosis

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Question 3
Free
Multiple Choice

Which of the following accurately describes a flail chest?

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A

Double fractures of 2 adjacent ribs

B

Double fractures of 3 adjacent ribs

C

Single fracture of 3 adjacent ribs

D

Triple fractures of 2 adjacent ribs

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Question 4
Free
Multiple Choice

All of the following are causes of a flail chest EXCEPT:

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A

blast injury.

B

motor vehicle accident.

C

split sternum for open heart surgery.

D

fall from heights.

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Question 5
Free
Multiple Choice

How many days of ventilatory support are anticipated for a patient with a flail chest to allow sufficient time for bone healing?

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A

3 to 5 days

B

5 to 10 days

C

12 to 15 days

D

18 to 21 days

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Question 6
Multiple Choice

What is the primary cause of hypoxemia in a patient with a severe flail chest?

Choose correct answer/s
A
Myocardial contusion
B
Hemorrhage
C
Pulmonary edema
D
Alveolar atelectasis
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Question 7
Multiple Choice

Which of the following statements is TRUE regarding paradoxical chest movement?

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A
With inspiration, the flail section moves outward.
B
The trachea deviates away from the flail side of the chest.
C
During inspiration, the flail section moves inward.
D
During exhalation, the flail area moves inward.
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Question 8
Multiple Choice

When a patient has a flail chest, what happens during the ventilatory cycle?

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A
The I:E ratio becomes inverse.
B
Air leaks out through the flail area.
C
Air leaks in through the flail area.
D
Air is shunted from one lung to the other.
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Question 9
Multiple Choice

Which breath sounds would be expected to be heard when auscultating the chest of a patient with a flail chest?

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A
Diminished over the flail chest section only
B
Diminished over both lungs
C
Crackles over the flail chest section
D
Bilateral wheezing
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Question 10
Multiple Choice

What is the term for abnormal gas movement from one lung to the other?

Choose correct answer/s
A
Paradoxical movement
B
Pendelluft
C
Palindromic breathing
D
Pneumatic shift
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Question 11
Multiple Choice

Which of the following initial blood gas results would a respiratory therapist expect to find in a patient with a mild flail chest?

Choose correct answer/s
A
Elevated pH and elevated SaO2
B
Decreased pH and decreased SaO2
C
Increased pH and decreased SaO2
D
Decreased pH and increased SaO2
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