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WCEMT Block 4: Chapter 29 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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WCEMT Block 4: Chapter 29 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the most immediate life-threatening complication of a sucking chest wound? Air entering the pleural space causing a pneumothorax What is the proper first treatment for an open chest wound? Apply an occlusive dressing What does paradoxical chest movement indicate? Flail chest What is the most common symptom of a pneumothorax? Sudden sharp chest pain with difficulty breathing What physical exam finding would you expect in a patient with a tension pneumothorax? Tracheal deviation and absent breath sounds on one side 2 What is the primary danger of a hemothorax? Blood filling the pleural space leading to shock What is a late sign of tension pneumothorax? Distended neck veins and hypotension What breath sound is commonly heard with a simple pneumothorax? Diminished or absent breath sounds on one side What is the best position for a conscious patient with a chest injury and adequate breathing? Sitting upright if tolerated What does subcutaneous emphysema in the neck and chest indicate? Air leaking from the lung into the soft tissues What is the main difference between a pneumothorax and a hemothorax? Pneumothorax involves air; hemothorax involves blood in the chest cavity 3 What causes a pericardial tamponade in trauma patients? Blood collecting in the sac around the heart What triad of signs is associated with pericardial tamponade? Muffled heart sounds, JVD, and narrowing pulse pressure What condition results from severe chest trauma that disrupts electrical activity of the heart? Commotio cordis What is the primary concern with rib fractures in trauma patients? Impaired breathing due to pain and lung injury What organ is most likely injured with lower rib fractures on the right side? Liver What organ is most likely injured with lower rib fractures on the left side? Spleen 4 What is the most appropriate way to stabilize a flail chest segment? Provide positive-pressure ventilations What does a narrowing pulse pressure indicate

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WCEMT Block 4: Chapter 29
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the most immediate life-threatening complication of a sucking chest wound?


✔✔Air entering the pleural space causing a pneumothorax




What is the proper first treatment for an open chest wound?


✔✔Apply an occlusive dressing




What does paradoxical chest movement indicate?


✔✔Flail chest




What is the most common symptom of a pneumothorax?


✔✔Sudden sharp chest pain with difficulty breathing




What physical exam finding would you expect in a patient with a tension pneumothorax?


✔✔Tracheal deviation and absent breath sounds on one side




1

, What is the primary danger of a hemothorax?


✔✔Blood filling the pleural space leading to shock




What is a late sign of tension pneumothorax?


✔✔Distended neck veins and hypotension




What breath sound is commonly heard with a simple pneumothorax?


✔✔Diminished or absent breath sounds on one side




What is the best position for a conscious patient with a chest injury and adequate breathing?


✔✔Sitting upright if tolerated




What does subcutaneous emphysema in the neck and chest indicate?


✔✔Air leaking from the lung into the soft tissues




What is the main difference between a pneumothorax and a hemothorax?


✔✔Pneumothorax involves air; hemothorax involves blood in the chest cavity




2

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