Exam 23: Pneumothorax

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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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C

Which of the following are anatomic alterations that occur when a person has a pneumothorax? 1) The lung on the affected side collapses. 2) The visceral and parietal pleura separate. 3) The visceral pleura adheres to the parietal pleura. 4) The chest wall moves outward.

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D

Which of the following hemodynamic indices will be found in a patient with a large hemothorax?

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B

A sucking chest wound would be classified as a(n) _____ pneumothorax.

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An iatrogenic pneumothorax may be caused by all of the following EXCEPT:

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According to the way gas enters the pleural space, a pneumothorax will be classified as: 1) intrinsic. 2) extrinsic. 3) open. 4) closed.

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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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Which type of untreated pneumothorax is considered to be the most serious?

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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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Which of the following chest assessment findings would be expected in a patient with a tension pneumothorax?

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If the patient has a tension pneumothorax, all of the following chest radiograph findings would be expected EXCEPT:

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What is the primary cause of hypotension in a patient with a large pneumothorax?

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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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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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Which type of pneumothorax would result from the rupture of bulla on the surface of a lung?

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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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A pneumothorax manifests itself clinically as a primary _____ disorder.

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