A 55-Year-Old Man Is Brought to the Emergency Department After

question 379

Multiple Choice

A 55-year-old man is brought to the emergency department after falling from a 20-ft (6.2-m) height.  The patient was leaning over a second-story roof to hang Christmas lights when he lost his footing and fell forward.  Although he partially braced his fall with outstretched arms and legs, his body hit the pavement with full force.  The patient has severe chest and back pain.  Blood pressure is 162/90 mm Hg in the left arm, pulse is 118/min, and respirations are 24/min.  On physical examination, the patient is alert but appears scared.  His voice is hoarse when he tries to speak.  The pupils are symmetric and reactive to light, and the trachea is midline.  There is bruising over the sternum, which is tender to palpation.  Breath sounds are symmetric bilaterally, and heart sounds are normal with no murmurs.  The abdomen is soft and nontender.  There are superficial abrasions on the patient's palms and knees.  The lower extremities are cool to touch with diminished femoral pulses bilaterally.  Which of the following is most likely to confirm the diagnosis in this patient?

• A)Chest tube placement
• B)CT angiography of the chest
• C)Esophagography
• D)Flexible bronchoscopy
• E)Pericardiocentesis
• F)Transthoracic echocardiography

Analyze cost-benefit scenarios involving international travel expenditures.

Calculate the financial impact of changing exchange rates on investments and savings.

Solve problems related to the appreciation and depreciation of currencies.

Evaluate the cost-effectiveness of purchasing international goods and services.

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Definitions:

Donations

Voluntary gifts or contributions of money or goods to organizations or individuals, often for charitable purposes.

Revenue Variance

The difference between a company's actual revenue and its expected or budgeted revenue during a specific period.

Spending Variances

Differences between budgeted and actual expenditures in various categories, often analyzed in budgeting to understand financial performance.

Patient-Visits

A metric used in healthcare management to quantify the number of times patients visit a healthcare facility.