Penetrating Neck Injuries Overview
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Questions and Answers

What percentage of patients with hard signs of injury are associated with major injury?

  • 70%
  • 80%
  • 90% (correct)
  • 60%

In patients with penetrating neck injury, what should be the first focus during initial assessment?

  • Airway patency (correct)
  • Neurological examination
  • Vascular examination
  • Breathing assessment

What can cause dynamic airway compromise in patients with expanding hematomas?

  • Increased saliva production
  • Hematemesis
  • Hemoptysis (correct)
  • Subcutaneous emphysema

Why should bag valve mask (BVM) ventilation be minimized in patients with a partial tracheal transection?

<p>To minimize secondary injury (B)</p> Signup and view all the answers

What is a potential complication of paralysis in patients experiencing airway obstruction?

<p>Worsened airway distortion (C)</p> Signup and view all the answers

What should be done if laryngoscopy or endotracheal tube placement fails in a patient with a penetrating neck injury?

<p>Front of neck access (i.e., cricothyroidotomy) (C)</p> Signup and view all the answers

Which zone of the neck is most likely to require angiography to delineate vascular injury?

<p>Both Zone I and Zone III (A)</p> Signup and view all the answers

Which of the following anatomical structures is NOT found in Zone II of the neck?

<p>Subclavian artery (C)</p> Signup and view all the answers

Which anatomical feature increases the likelihood of deep structure injury in penetrating neck trauma?

<p>Violation of the platysma muscle (C)</p> Signup and view all the answers

Which of the following anatomical structures is found in Zone III of the neck?

<p>Cranial nerves IX-XII (B)</p> Signup and view all the answers

Which statement regarding the anatomical continuity between the neck and the anterior mediastinum is correct?

<p>The anatomical continuity is limited to the fascial layers. (B)</p> Signup and view all the answers

Which of the following statements regarding the mortality rate associated with penetrating neck injuries is correct?

<p>Approximately 80% of mortality is secondary to cerebral infarction, and 20% is due to uncontrolled hemorrhage. (D)</p> Signup and view all the answers

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