Pneumothorax
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- The Patient InterviewThe Physical Examination and Its Basis in PhysiologyPulmonary Function Study AssessmentsArterial Blood Gas AssessmentsOxygenation AssessmentsCardiovascular System AssessmentsRadiologic Examination of the ChestOther Important Tests and ProceduresThe Therapist-Driven Protocol Program and the Role of the Respiratory TherapistRespiratory Failure and the Mechanical Ventilation ProtocolRecording Skills: The Basis for Data Collection, Organization, Assessment SkillChronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and EmphysemaAsthmaBronchiectasisCystic FibrosisPneumoniaLung AbscessTuberculosisFungal Diseases of the LungPulmonary EdemaPulmonary Vascular Disease: Pulmonary Embolism and Pulmonary HypertensionFlail ChestPneumothoraxPleural Effusion and EmpyemaKyphoscoliosisInterstitial Lung DiseasesCancer of the LungAcute Respiratory Distress SyndromeGuillain-Barré SyndromeMyasthenia GravisSleep ApneaClinical Manifestations Common with Newborn and Early Childhood Respiratory DisMeconium Aspiration SyndromeTransient Tachypnea of the NewbornRespiratory Distress SyndromePulmonary Air Leak SyndromesRespiratory Syncytial Virus (Bronchiolitis or Pneumonitis)Bronchopulmonary DysplasiaCongenital Diaphragmatic HerniaCongenital Heart DiseasesCroup Syndrome: Laryngotracheobronchitis and Acute EpiglottitisNear Drowning/Wet DrowningSmoke Inhalation, Thermal Injuries, and Carbon Monoxide IntoxicationAtelectasis
Question 1
Free
Multiple Choice
A pneumothorax manifests itself clinically as a primary _____ disorder.
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restrictive
obstructive
restrictive disorder with a secondary obstructive
obstructive disorder with secondary restrictive
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Question 2
Free
Multiple Choice
What is the primary cause of hypotension in a patient with a large pneumothorax?
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Pain
Decreased venous return to the heart
Tracheal compression
Atelectasis
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Question 3
Free
Multiple Choice
A patient had a penetrating knife wound to her chest wall that resulted in a valvular pneumothorax. What is another term for this condition?
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Spontaneous pneumothorax
Tension pneumothorax
Iatrogenic pneumothorax
Benign pneumothorax
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Question 4
Free
Multiple Choice
A 17-year-old male has been brought to the hospital because he felt short of breath after being tackled in a football game. A chest radiograph shows a broken rib and a 20% pneumothorax in the right lung. Which of the following conditions would be present?
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Closed pneumothorax
Pleural effusion
Iatrogenic pneumothorax
Sucking chest wound
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Question 5
Free
Multiple Choice
A 6-foot-tall, 140-pound, 28-year-old female patient has come to the emergency department with a complaint of a sudden sharp pain in the right upper chest followed by shortness of breath. The pain originated while she participated in deep breathing exercises in a yoga class. The physician has determined that she has a 15% pneumothorax. How should the pneumothorax be classified?
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Open
Exercise related
Spontaneous
Traumatic
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Question 6
Multiple Choice
An iatrogenic pneumothorax may be caused by all of the following EXCEPT:
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positive-pressure mechanical ventilation.
pleural biopsy.
subclavian vein cannulation.
endotracheal intubation.
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Question 7
Multiple Choice
A 40-year-old patient requires placement of a thoracostomy chest tube. All of the following are recommended for the procedure EXCEPT:
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application of -5-cm H2O pressure to the chest tube.
use of a No. 28 to 36 French gauge tube.
placement of the tube at the apex of the lung.
clamping and removing the tube within 24 hours of insertion.
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Question 8
Multiple Choice
After a patient experienced four pneumothoraces of her right lung over a 24-month period, the physician recommended a procedure to reduce the occurrence of future pneumothoraces. Which procedure would the physician have recommended?
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Pleurodesis
Right pneumonectomy
Permanent right-sided thoracostomy tube
Right upper lobectomy
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Question 9
Multiple Choice
A patient has a pneumothorax with a sucking chest wound resulting in the movement of gas from one lung to another. This is called:
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panting.
paradoxical movement.
bidirectional flow.
pendelluft.
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Question 10
Multiple Choice
Which of the following chest assessment findings would be expected in a patient with a tension pneumothorax?
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Decreased thoracic volume on the affected side
Dull percussion note
Tracheal shift away from the affected side
Wheezes
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Question 11
Multiple Choice
Which of the following hemodynamic indices will be found in a patient with a large hemothorax?
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Decreased QS/QT
Decreased CO
Increased CI
Increased SV
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Question 12
Multiple Choice
If the patient has a tension pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:
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elevated diaphragm.
mediastinal shift to the unaffected side.
increased translucency on the side of the pneumothorax.
atelectasis.
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Question 13
Multiple Choice
A sucking chest wound would be classified as a(n) _____ pneumothorax.
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open
closed
iatrogenic
valvular
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Question 14
Multiple Choice
Which type of pneumothorax would result from the rupture of bulla on the surface of a lung?
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Spontaneous pneumothorax
Iatrogenic pneumothorax
Open pneumothorax
Visceral pneumothorax
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Question 15
Multiple Choice
Which type of untreated pneumothorax is considered to be the most serious?
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Spontaneous
Tension
Malignant
Iatrogenic
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