Deck 22: Pneumothorax

Question 1

Match the arterial blood gas changes that occur in a large pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Answer 1

Increases

Question 2

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
RV%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 2

Decreases

Question 3

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Atelectasis Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Answer 3

YES-This is associated with pneumothorax.

Question 4

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
RV/TLC%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 5

Match the arterial blood gas changes that occur in a small pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 6

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 7

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Question 8

Match the arterial blood gas changes that occur in a large pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 9

Match the arterial blood gas changes that occur in a small pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 10

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
VT

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 11

Match the arterial blood gas changes that occur in a large pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 12

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Question 13

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 14

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 15

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 16

Match the arterial blood gas changes that occur in a small pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 17

Match the findings that typically develop in the patient with a pneumothorax with the pulmonary function studies listed below. Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 18

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Question 19

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Question 20

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs, shown below, that cause the clinical scenario associated with Pneumothorax.
Bronchospasm Clinical Scenario

A)YES-This is associated with pneumothorax.
B)NO-This is not associated with pneumothorax.

Question 21

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
CO

A)Normal
B)Decreases
C)Increases

Question 22

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
CI

A)Normal
B)Decreases
C)Increases

Question 23

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
DO₂

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 24

According to the textbook, when gas moves between the pleural space and the atmosphere during a ventilatory cycle, the patient is said to have an open chest wound.

Question 25

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
SVR

A)Normal
B)Decreases
C)Increases

Question 26

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
Q_S/Q_T

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 27

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
RAP

A)Normal
B)Decreases
C)Increases

Question 28

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
SV

A)Normal
B)Decreases
C)Increases

Question 29

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
CVP

A)Normal
B)Decreases
C)Increases

Question 30

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
RVSWI

A)Normal
B)Decreases
C)Increases

Question 31

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
C(a-v)O₂

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

A sucking chest wound is considered to be the most serious type of pneumothorax.

Question 33

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
PA

A)Normal
B)Decreases
C)Increases

Question 34

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
SVI

A)Normal
B)Decreases
C)Increases

Question 35

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
PVR

A)Normal
B)Decreases
C)Increases

Question 36

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
LVSWI

A)Normal
B)Decreases
C)Increases

Question 37

Match what hemodynamic indices develop in a patient with a severe pnemothorax with the items listed below. Items may be used once, more than once, or not at all.
PCWP

A)Normal
B)Decreases
C)Increases

Question 38

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 39

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
VO₂

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 40

Match what develops in the oxygen indices of a patient with a pneumothorax with the items listed below. Items may be used once, more than once, or not at all.
SVO₂

A)Normal
B)Descreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 41

The physician usually elects to evacuate the gas when the pneumothorax is greater than 10%.

Question 42

The percussion notes over a pneumothorax are dull and flat.

Question 43

When a pneumothorax occurs suddenly and without any obvious underlying cause, it is referred to as an iatrogenic pneumothorax.

Question 44

After the lung has re-expanded and bubbling from the chest tube has ceased, the tube is left in place for another 24 to 48 hours.

Question 45

Gas-forming microorganisms can cause a pneumothorax.

Question 46

When a patient has a valvular pneumothorax due to a sucking chest wound, the intrapleural pressure on the affected side increases during exhalation.

Question 47

When a patient has a tension pneumothorax, the mediastinum generally moves to the affected side.

Question 48

When treating a pneumothorax with a chest tube and suction, the negative pressure usually does not exceed -2 cm H₂O.

Question 49

The breath sounds over a pneumothorax are diminished.

Question 50

It is suggested that a spontaneous pneumothorax may result from the low negative intrathoracic pressure and mechanical stresses that take place in the lower zone of the upright lung.