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CHT Study Guide 2025/2026 | 100+ Questions on Barotrauma, Middle Ear Equalization, Pulmonary Risks, Reverse Block, and Chamber Emergency Protocols

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This detailed study guide contains 100+ exam-level questions with expert-verified answers, specifically developed for the Certified Hyperbaric Technologist (CHT) Exam 2025/2026, with a focused emphasis on barotrauma and hyperbaric safety. The guide explores various clinical, anatomical, and procedural aspects of pressure-related injuries, equipping hyperbaric technicians and clinicians with essential knowledge for safe practice and exam success. Topics covered include: Types and mechanisms of barotrauma: otic, sinus, pulmonary, dental, and gastrointestinal Ear equalization techniques and complications: Valsalva, Toynbee, Frenzel maneuvers, and related risks (e.g., round window rupture) Clinical scenarios involving middle ear and sinus squeeze, reverse block, and tympanic membrane assessment Pulmonary barotrauma: pathophysiology, pneumothorax, arterial gas embolism, tension pneumothorax Signs and symptoms of serious barotrauma: tracheal deviation, dyspnea, unequal chest expansion Emergency procedures in chamber operations (stop ascent, stop compression, recognize contraindications) Contraindications for HBOT: untreated pneumothorax, ENT anomalies, upper respiratory infection Use of Heimlich valves, chest tubes, and patient monitoring during and after treatment Sinus and tooth squeeze diagnostics, differentiating ear pain causes, and medication options for Eustachian tube dysfunction This resource is ideal for: CHT exam candidates focusing on hyperbaric safety, anatomy, and emergency response Hyperbaric medicine professionals including chamber operators, respiratory therapists, and nurses Students and professionals in diving medicine, wound care, and emergency response teams Instructors and clinical educators looking for realistic case-based review tools Whether you're preparing for certification or enhancing safety protocols in clinical environments, this guide delivers a realistic, scenario-based learning experience rooted in best practice and up-to-date certification standards. Keywords: CHT barotrauma questions, middle ear barotrauma, reverse block, Valsalva technique risks, pulmonary barotrauma, arterial gas embolism, tympanic membrane rupture, Heimlich valve, sinus squeeze, scuba diving injuries, pressure equalization, chamber safety protocols, HBOT contraindications, hyperbaric emergency management, Eustachian tube dysfunction

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CHT STUDY GUIDE ( BAROTRAUMA)
2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS



the gas containing spaces in the human body are at risk for barotrauma

when?

a. only during ascent

b. only during descent

c. only while at depth


d. anytime the pressure is changing - 🧠 ANSWER ✔✔D


Barotrauma Is defined as ? - 🧠 ANSWER ✔✔tissue damage resulting from

a pressure inequality between the environment and a gas filled space

within the body

,your patient has a non -healing planter ulcer. He has had 14 treatments of

the original 20 ordered. Today ,during the chamber pressurization , he

complains of pain in his left ear at 9FSW. the chamber operator stops the

pressurization but the patient is unable to equalize the pressure in the ear.

the chamber operator reduces the pressure in the chamber, stopping at

6FSW and # FSW, but the patient is still unable to equalize. the chamber

operator brings the chamber to the surface , removes the patient form the

chamber, and looks in the ear with a otoscope . He sees a tympanic

membrane that is reddened , and appears to have some fluid behind it in

the middle ear space. this is an example of ?

a. otitis externa

b. otosclerosis

c. otic barotrauma


d. optic barotrauma - 🧠 ANSWER ✔✔(C) otic barotrauma


What is otitis externa? - 🧠 ANSWER ✔✔infection of the outer ear canal


otosclerosis - 🧠 ANSWER ✔✔immobilization of the stapes bone behind the

tympanic membrane this happened over a long period of time and causes

hearing loss, that is not related to barotrauma

, optic barotrauma - 🧠 ANSWER ✔✔is related to the eye usually because of

the scuba mask squeeze

a patient who experiences problems with ears after 15th dive asks why ? if

no problems before and if there is a correlation with the 15th dive - 🧠

ANSWER ✔✔no correlations barotrauma can occur anytime there is

pressure changes , the likelihood is that you are having some swelling in

your Eustachian tube due to allergies or an upper respiratory infection ,

which is the cause of your problem

The most common barotrauma that occurs in hyperbaric environment is? -

🧠 ANSWER ✔✔Middle ear barotrauma


Middle ear barotrauma can usually be avoided with good patient education

and training all of the above are acceptable method of equalizing the

middle ear except - 🧠 ANSWER ✔✔Insertion of chest tube


A Toynbee maneuver - 🧠 ANSWER ✔✔Pinching the nostrils shut while

swallowing


Frenzel maneuver - 🧠 ANSWER ✔✔Pinching the nostrils closed and raise

the back 1/3 of the tongue causing the Adam's apple to elevate sleep me

call this throat piston

COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED 3

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