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A 44-Year-Old Man Is Brought to the Emergency Department After

question 221

Multiple Choice

A 44-year-old man is brought to the emergency department after he was found unresponsive at the scene of a high-speed motor vehicle collision. The paramedics report that that he was the unrestrained driver, and the passenger in his car was pronounced dead at the scene. The patient was intubated and rushed to the hospital. On arrival, his blood pressure is 78/40 mm Hg, pulse is 135/min, and pulse oximetry is 96% on mechanical ventilation with 40% oxygen. Rapid infusion of isotonic fluids is initiated. Trauma primary survey reveals an intubated man with appropriate spinal precautions. There is bruising and the imprint of the steering wheel across the anterior chest. The trachea is midline, and breath sounds are clear on the right but diminished on the left. Neck veins are collapsed bilaterally. Heart sounds are normal. All four extremities are pale and cool to the touch. There is no obvious external hemorrhage. Portable chest x-ray shows multiple rib fractures, opacification of the left hemithorax, and a widened mediastinum. ECG shows sinus tachycardia. Which of the following is the most likely diagnosis?

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Form Design View

A graphical interface in database management systems where users can design and layout the appearance of forms used for data entry or display.

Align Right

The process of adjusting text or other elements to align with the right margin or edge of a document or container.

Formatting Properties

Refer to the options and settings that control the appearance or display format of elements in a document or application, such as font size, color, or margins.

Text Align

A property in text formatting that determines the horizontal alignment of text within a document or a container, such as left, right, center, or justified.