Drowning

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Author:
madali03
ID:
260192
Filename:
Drowning
Updated:
2014-02-04 12:33:15
Tags:
Drowning
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Description:
Questions about the different stages of drowning.
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  1. In the United States, drowning is the:
    a.  Leading cause of accidental death
    b.  Second leading cause of accidental death
    c.  Third leading cause of accidental death
    d.  Fourth leading cause of accidental death
    C
  2. Drowning is most common in teenagers and in children younger than:
    a.  18 years of age
    b.  12 years of age
    c.  8 years of age
    d.  4 years of age
    D
  3. Which of the following are the major anatomic alterations of the lungs associated with near drowning victims?
    1.  consolidation
    2.  bronchospasm
    3.  increased alveolar-capillary membrane thickness
    4.  atelectasis
    5.  excessive bronchial secretions

    a.  3 and 5 only
    b.  2 and 4 only
    c.  3, 4, and 5 only
    d.  1, 2, 3, 4, and 5
    D
  4. Which of the following clinical manifestations are associated with near drowning victims?
    1.  frothy, pink sputum
    2.  crackles
    3.  increased pH
    4.  increases SvO2

    a.  1 and 2 only
    b.  3 and 4 only
    c.  2, 3, and 4 only
    d.  1, 2, 3 and 4
    A
  5. Which of the following pulmonary function testing values are associated with near drowning victims?
    1.  normal or decreased FEV1
    2.  decreased FVC
    3.  decreased RV
    4.  normal or increased FEV1/FVC ratio

    a.  1 and 2 only
    b.  3 and 4 only
    c.  2, 3, and 4 only
    d.  1, 2, 3, and 4
    D
  6. Near drowning refers to the situation in which a victim:
    a.  fails to survive a submersion in liquid
    b.  has dry lungs despite a submersion
    c.  has wet lungs that are dried out during the resuscitation effort
    d.  at least temporarily survives a liquid submersion
    D
  7. What anatomic alterations happen during a wet drowning?
    1.  the victim coughs out any water
    2.  the glottis relaxes
    3.  water enters the airways and alveoli
    4.  inhaled water causes bronchial constriction

    a.  1 and 2 only
    b.  1 and 4 only
    c.  2, 3, and 4 only
    d.  1, 2, 3, and 4
    C
  8. The pulmonary effects of a near drowning victim inhaling water include:
    1.  capillary fluid moves into alveoli
    2.  surfactant production is increased
    3.  pulmonary shunting is increased
    4.  atelectasis develops

    a.  2 and 3 only
    b.  1 and 4 only
    c.  1, 2, and 4 only
    d.  1, 3, and 4 only
    D
  9. Given the following options, which would occur last in a near drowning sequence?
    a.  convulsions
    b.  panic and violent struggle to return to the surface
    c.  swallowing then vomiting large amounts of fluid
    d.  gasping inspirations and aspiration
    A
  10. Which of the following near drowning victims would have the highest chance of survival?
    a.  fresh water
    b.  cold water
    c.  salt water
    d.  warm water
    B
  11. What appears to be the upper limit of survivability of a cold-water near drowning victim?
    a.  60 min
    b.  40 min
    c.  15 min
    d.  4 to 6 min
    A
  12. You have just reached a small child in a swimming pool.  She is not breathing and without a pulse.  As the first responder, you should do all of the following, except:
    a.  remove the child from the water
    b.  call for help
    c.  replace her wet clothes with dry ones
    d.  begin CPR procedures
    C
  13. An ambulance has just transported an apneic near drowning victim to the Emergency Department.  The paramedic is performing bag-mask ventilations for the victim who has a pulse and blood pressure.  As the respiratory therapist, what would you recommend be done?
    1.  initiate mechanical ventilation
    2.  continue bag-mask ventilations
    3.  intubate the victim
    4.  begin chest compressions

    a.  2 only
    b.  2 and 4 only
    c.  1 and 3 only
    d.  2, 3, and 4 only
    C
  14. A near drowning victim is likely to have the following arterial blood gas values:
    1.  decreased PaO2
    2.  decreased pH
    3.  low PaCO2
    4.  high PaCO2

    a.  2 and 4 only
    b.  1 and 3 only
    c.  1, 2, and 3 only
    d.  1, 2, and 4 only
    D
  15. It is now the second day after a near drowning victim was admitted to the hospital.  What chest radiograph findings would be expected?
    a.  cardiomegaly
    b.  fluffy infiltrates
    c.  mediastinal shift
    d.  pleural effusions
    B

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