RCP 210 | UPDATED Questions with 100% Verified Answers

RCP 210 | UPDATED Questions with 100% Verified Answers

Question:
Causes of flail chest

Answer:
Most common- MVA
Blunt or crushing chest injury
Falls
Industrial injury


Question:
Flail chest

Answer:
Double fracture of 3 or more adjacent ribs which causes the thoracic cage to become
unstable "to flail" "floating"


Question:
Flail chest structural changes

Answer:
-Rib instability
-Lung restriction
-Paradoxical movement of chest wall
-Lung contusion
-Secondary pneumonia


Question:
Pendulluft:

Answer:
- Shunting of air from one lung to another - rebreathing of dead space air and
hypoventilation
- Due to opposite movement of section of chest wall to the rest of the chest wall
- Intrapulmonary shunting and venous admixture


Question:

, Flail chest Manifestations

Answer:
-Tachypnea (rapid shallow breathing)
-Pendulluft
-Lung Compression
-Cyanosis
-Dyspnea


Question:
Flail chest treatment

Answer:
-Mechanical ventilation- 5-10 days
(Volume control with PEEP)
-Oxygen Therapy
-Lung Expansion


Question:
Pneumothorax

Answer:
Free air accumulated in the pleural space


Question:
Pneumothorax anatomic alterations

Answer:
Compression of the great veins, decreased venous return and cardiac output


Question:
Gas can enter and cause a pneumothorax from:

Answer:
- the lungs through a perforation of the visceral pleura
- the surrounding atmosphere through a perforation of the chest wall and parietal pleura
(blunt or penetrating trauma)
-a esophageal fistula or rupturing of blebs