Pneumothorax

A pneumothorax that most likely causes mediastinal shift and compression of the functioning lung is called

• primary pneumothorax

• secondary pneumothorax

• traumatic pneumothorax

• tension pneumothorax.

Primary pneumothorax

• occurs more in young woman than young men

•  is the most common form of pneumothorax

• usually occurs when there is an underlying lung disease

•  is caused by air leaking across the parietal pleura.

which is a radiographic feature can be seen in tension pneumothorax:

• contralateral increase in intercostal space

• contralateral shift of the of the mediastinum

• elevated diaphragm

which statement is true regarding pneumothorax (multiple correct answer)

• decreased breath sound

• decreased percussion note

• alway need chest tube insertion

• often need chest tube insertion

How could mechanical ventilation during anesthesia result in a pneumothorax? Choose the most likely reason.

• The gas may be toxic. This will cause the lungs to die and air to enter inside the chest.

  B:Mechanical ventilation does not lead to pneumothorax

• Mechanical ventilation does not lead to pneumothorax

• The ventilator may cause the ribs to crack, which will then puncture the lung, and this will introduce air into the pleural cavity.

• If too much gas is pushed into the lungs via the mechanical ventilator, this may damage the lungs, and air will leak from the lungs and into the pleural space.

Which of the following is a LATE sign of the development of a tension pneumothorax?

• Hypotension

• Tachycardia

• Tracheal deviation

• Dyspnea

A patient is receiving mechanical ventilation with PEEP. The patient had developed a tension pneumothorax. Select ALL the signs and symptoms that can present with this condition:

• Hypotension

• Jugular Venous Distention

• Bradycardia

• Tracheal deviation

• Hyperemia

Which statement is CORRECT about a tension pneumothorax?

• This condition happens when an opening to the intrapleural space creates a two-way valve which causes pressure to build up in the space leading to shifting of the mediastinum.

• A tension pneumothorax is a medical emergency and is treated with needle decompression.

• Tracheal deviation is an early sign of a tension pneumothorax

• An open pneumothorax is the only cause of a tension pneumothorax

Which below is the right guide for air traveling in pneumothorax patient:

• Minor and simple pneumothorax patient can travel by air

• Air traveling does not affect pneumothorax patient health

• Pneumothorax patient can travel right after successful air draining 

• Patient shouldn’t fly in 2-6 weeks after successful pneumothorax treatment  

Which association below more likely to develop primary hypertension:

• marfan syndrome

• Ehlers-Danlos syndrome

• COPD

• Down syndrome

• Smokers