Mike complains of severe rib pain. His coworkers state that he was hurt on the job when a large pipe struck him across the chest. Given this history, which type of problem should be considered during the secondary assess
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Mike complains of severe rib pain. His coworkers state that he was hurt on the job when a large pipe struck him across the chest. Given this history, which type of problem should be considered during the secondary assessment?
A. Flail chest
B. Rebound tenderness
C. Pulmonary embolus
D. Pupillary constriction - Answer>>> A: CorrectFlail chest is a condition in which a section of the chest is disconnected from the bony structure as may occur with multiple rib fractures. A flail chest also indicates an underlying lung injury (pulmonary contusion). Paradoxical chest movement may occur with a flail chest.
For which assessment might a patient be placed in the lateral decubitus position?
A. Eliciting the plantar reflex
B. Measuring jugular venous pressure
C. Checking for a femoral hernia
D. Performing a rectal examination - Answer>>> D: CorrectRectal examination can be done with the patient in lateral decubitus position. Other positions for rectal examination include knee-chest position, leaning over the examination table, and for female patients, lithotomy position.
Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling. What is the importance of looking for asymmetries in range of motion, strength, and muscle bulk as part of the orthopedic component of the examination?
A. Degree of physical development can be assessed.
B. Acute or old poorly rehabilitated injuries are identified.
C. Need for safety or supportive equipment can be determined.
D. Appropriate training exercises can be prescribed. - Answer>>> B: CorrectThe examination consists of observing the athlete in a variety of positions and postures that highlight asymmetries in range of motion, strength, and muscle bulk. These asymmetries serve to identify acute or old, poorly rehabilitated injuries.
To assess muscle strength of the temporalis and masseter muscles, the examiner will ask the patient to:
A. push the jaw forward while the examiner applies counterforce.
B. attempt to open his or her mouth while the examiner applies counterforce.
C. clench his or her teeth while the examiner palpates the contracted muscles and applies opposing force.
D. move the mandible 2 cm or more to each side against an opposing force. - Answer>>> C; CorrectStrength of the temporalis and masseter muscles may be evaluated by asking the patient to clench the teeth while you palpate the contracted muscles and apply opposing force. This maneuver simultaneously tests cranial nerve V.
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