What Do You Know About Thoracic Trauma? Trivia Quiz
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- 1.Thoracic Trauma is the second leading cause of trauma deaths after head injury.
- A.
True
- B.
False
- 2.Thoracic Trauma causes of about 10-20% of all trauma deaths.
- A.
True
- B.
False
- 3.Many deaths due to thoracic trauma are preventable.
- A.
True
- B.
False
- 4.Prevention Strategies are
- A.
Gun Safety Education
- B.
Sports Training & Protective Equipment
- C.
Seat Belt & Air Bag Use
- D.
All the Above
- 5.Two types of blunt injury are_________________ and ____________________.
- 6.Which are anatomical injuries of Thoracic Trauma?
- A.
Cardiovascular, Thoracic Cage (Skeletal)
- B.
Pleural and Pulmonary
- C.
Mediastinal, Diaphragmatic
- D.
Esophageal, Penetrating Cardiac
- E.
None of the above
- 7.Which are impairments to cardiac output?
- A.
Blood loss vascular disruption
- B.
Increased intrapleural pressures
- C.
Blood in pericardial sac
- D.
Myocardial valve damage
- E.
None of the above
- 8.Which are impairments in ventilatory efficiency?
- A.
Chest excursion compromise
- B.
Bleeding in pleural space
- C.
Ineffective diaphragm contraction
- D.
None of the Above
- 9.Which are examples of chest excursion compromise?
- A.
Pain
- B.
Air in pleural space
- C.
Asymmetrical movement
- D.
None of the above
- 10.Which are impairments in gas exchange?
- A.
Atelectasis
- B.
Pulmonary contusion
- C.
Respiratory tract disruption
- D.
All the Above
- E.
None of the above
- 11.Initial exam should be directed toward life threatening injuries such as:
- A.
Open pneumothorax
- B.
Flail chest
- C.
Tension pneumothorax
- D.
Massive hemothorax
- E.
Cardiac tamponade
- 12.Thoracic Trauma can alter a patient's mental status.
- A.
True
- B.
False
- 13.Thoracic Trauma can affect BP (narrow PP, hyper- or hypotension, pulsus paradoxus).
- A.
True
- B.
False
- 14.Thoracic Trauma has little affect on ventilatory rate & effort (tachy- or bradypnea, labored, retractions).
- A.
True
- B.
False
- 15.Thoracic Trauma has no relationship with the skin (diaphoresis, pallor, cyanosis, open injury, ecchymosis).
- A.
True
- B.
False
- 16.Fractures of the 10th to 12th ribs can cause damage to which underlying abdominal solid organs?
- A.
Liver
- B.
Spleen
- C.
Kidneys
- D.
Stomach
- E.
All the above
- 17.Sternal Fractures are uncommon, 5-8% in blunt chest trauma.
- A.
True
- B.
False
- 18.Sternal Fractures are caused by large traumatic force.
- A.
True
- B.
False
- 19.Sternal Fractures are caused by a direct blow to front of chest by deceleration.
- A.
True
- B.
False
- 20.Any patient with significant blunt or penetrating trauma to chest has heart/great vessel injury until proven otherwise.
- A.
True
- B.
False
- 21.Myocardial Contusion may present with ECG Changes such as:
- A.
Persistent tachycardia
- B.
ST elevation, T wave inversion
- C.
RBBB
- D.
Atrial flutter, Atrial fibrillation
- E.
PVCs, PACs
- 22.Beck’s Triad consists of:
- A.
Resistant hypotension
- B.
Increased central venous pressure (distended neck/arm veins in presence of decreased arterial BP)
- C.
Small quiet heart (decreased heart sounds)
- 23.Pulsus paradoxicus is
- A.
Radial pulse becomes weak or disappears when patient inhales
- B.
Increased intrathoracic pressure on inhalation causes blood to be trapped in lungs temporarily
- C.
Increased pain after receiving an IV
- 24.Traumatic Aortic Dissection/Rupture can be caused by:
- A.
Motor Vehicle Collisions
- B.
Falls from heights
- C.
Crushing chest trauma
- D.
Animal Kicks
- E.
Blunt chest trauma
- 25.Elderly patients tolerate relatively minor chest injuries.
- A.
True
- B.
False
- 26.Children may sustain significant intrathoracic injury w/o evidence of thoracic skeletal trauma.
- A.
True
- B.
False
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