#1
Which of the following is a common symptom of pneumothorax?
Jaundice
Shortness of breath
Abdominal pain
Polyuria
#2
What imaging study is typically first-line for evaluating suspected thoracic trauma in the emergency setting?
Ultrasound
CT scan
MRI
Chest X-ray
#3
Which of the following is NOT a component of the primary survey in trauma care?
Airway maintenance with cervical spine protection
Breathing and ventilation
Circulation with hemorrhage control
Definitive radiographic diagnosis
#4
Which of the following signs is indicative of a tension pneumothorax?
Tracheal deviation away from the affected side
Increased breath sounds on the affected side
Hypotension
Both a and c
#5
In the context of blunt chest trauma, the 'flail chest' is diagnosed when there are:
At least two rib fractures in two or more places
A single rib fractured in two places
Multiple rib fractures without pulmonary contusion
A sternum fracture accompanied by rib fractures
#6
Which rib fractures are considered most dangerous due to the risk of damaging underlying vital organs?
1st to 3rd ribs
4th to 6th ribs
7th to 9th ribs
10th to 12th ribs
#7
The presence of subcutaneous emphysema can be an indicator of:
Myocardial contusion
Traumatic asphyxia
Pneumothorax or tracheobronchial injury
Esophageal rupture
#8
The main goal of needle decompression in the management of tension pneumothorax is to:
Reinflate the collapsed lung
Remove air from the pleural space
Drain fluid from the pleural cavity
Inject medication directly into the pleural space
#9
Pulseless electrical activity (PEA) in the context of trauma is most commonly due to:
Cardiac tamponade
Tension pneumothorax
Massive hemothorax
All of the above
#10
The FAST (Focused Assessment with Sonography for Trauma) exam is used in the assessment of thoracic trauma primarily to:
Identify pneumothorax
Detect rib fractures
Evaluate for cardiac tamponade
Assess for hemothorax
#11
Beck's triad, indicating cardiac tamponade, consists of all the following EXCEPT:
Distant heart sounds
Elevated blood pressure
Distended neck veins
Hypotension
#12
Traumatic aortic disruption most commonly occurs at:
The aortic arch
The descending aorta just distal to the left subclavian artery
The ascending aorta
The abdominal aorta
#13
A widened mediastinum on chest X-ray may indicate:
Pneumothorax
Rib fractures
Traumatic aortic injury
Pleural effusion
#14
The definitive diagnostic tool for cardiac tamponade in the setting of trauma is:
Electrocardiogram (ECG)
Chest X-ray
Focused Assessment with Sonography for Trauma (FAST) exam
Echocardiography
#15
In trauma patients, the presence of Hamman's sign (crunching, rasping sound, synchronous with the heartbeat, heard over the precordium) is suggestive of:
Myocardial infarction
Traumatic pneumothorax
Mediastinal emphysema
Flail chest