WorksheetsPressure Rising: The Story of a Collapsing Lung
Total questions: 7
Worksheet time: 70secs
Which type of pneumothorax did the patient in the case most likely experience?
Primary spontaneous pneumothorax
Secondary spontaneous pneumothorax
Traumatic pneumothorax
Tension pneumothorax
What clinical sign supports the diagnosis of pneumothorax on physical examination?
Increased vocal fremitus on the affected side
Dullness to percussion on the left chest
Hyper-resonance on percussion of the left chest
Bilateral wheezing
Why did the patient maintain a relatively normal blood gas profile despite the pneumothorax?
It was a bilateral pneumothorax
He had no underlying lung disease and compensated well
The pneumothorax was large and unmanageable
He had chronic respiratory acidosis
Which of the following findings would most strongly indicate a tension pneumothorax?
Decreased breath sounds
Chest pain
Tracheal deviation
Crepitus over the ribs
What mechanism causes lung collapse in pneumothorax?
Infection spreading into the alveoli
Increased pleural fluid production
Loss of negative intrapleural pressure
Bronchial obstruction from mucus
Which investigation confirmed the extent of the pneumothorax in this patient?
ECG
Chest CT scan
Spirometry
Abdominal ultrasound
Why was chest tube insertion ultimately not performed in this patient?
The pneumothorax was too severe
The patient refused the procedure
There was no air in the pleural space
The oxygen saturation was below 90%
