NCCPA PANCE Exam Prep: Practice Questions & Strategies
1. A patient is brought to the emergency department af- E. Thoracic duct
ter a motor vehicle collision. X-ray studies of the chest
show a pleural effusion. A milky fluid drains from the Chylothorax commonly
chest tube. Which of the follow structures is most likely caused by leakage of
1/
11
, NCCPA PANCE Exam Prep: Practice Questions & Strategies
ruptured? lymph from the thoracic
duct into the pleural space.
A. Apical bleb A chest x-ray will show if
B. Bronchus there is a buildup of flu-
C. Diaphragm id in the pleural space. If
D. Esophagus a surgical drain or chest
E. Thoracic duct tube is in place and milky
white fluid is noted, it can
be sent to the laboratory to
be tested.
2. A 72-year-old man with chronic bronchitis undergoes A. Dehiscence - The
laparotomy for treatment of a bowel obstruction. classic "salmon-colored"
Three days after surgery, the patient's wound begins drainage is concerning for
to leak large amounts of clear, salmon-colored fluid fascial dehiscence
after an episode of coughing. The skin staples are
open and the wound is probed with a sterile-tipped NOT Seroma - Clear
applicator. During this procedure, an open segment or serous-appearing
of the wound reaching back to the omentum and in- drainage may represent
testines is noted. Which of the following is the most decompressing seroma
appropriate description of this type of postoperative
complication?
A. Dehiscence
B. Fistula
C. Hematoma
D. Seroma
E. Wound Infection
2/
11
1. A patient is brought to the emergency department af- E. Thoracic duct
ter a motor vehicle collision. X-ray studies of the chest
show a pleural effusion. A milky fluid drains from the Chylothorax commonly
chest tube. Which of the follow structures is most likely caused by leakage of
1/
11
, NCCPA PANCE Exam Prep: Practice Questions & Strategies
ruptured? lymph from the thoracic
duct into the pleural space.
A. Apical bleb A chest x-ray will show if
B. Bronchus there is a buildup of flu-
C. Diaphragm id in the pleural space. If
D. Esophagus a surgical drain or chest
E. Thoracic duct tube is in place and milky
white fluid is noted, it can
be sent to the laboratory to
be tested.
2. A 72-year-old man with chronic bronchitis undergoes A. Dehiscence - The
laparotomy for treatment of a bowel obstruction. classic "salmon-colored"
Three days after surgery, the patient's wound begins drainage is concerning for
to leak large amounts of clear, salmon-colored fluid fascial dehiscence
after an episode of coughing. The skin staples are
open and the wound is probed with a sterile-tipped NOT Seroma - Clear
applicator. During this procedure, an open segment or serous-appearing
of the wound reaching back to the omentum and in- drainage may represent
testines is noted. Which of the following is the most decompressing seroma
appropriate description of this type of postoperative
complication?
A. Dehiscence
B. Fistula
C. Hematoma
D. Seroma
E. Wound Infection
2/
11
