International Trauma Life Support (ITLS) Practice Test 2025 – Comprehensive All-in-One Resource for Exam Success!

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What is the significance of hyperresonance in a clinical assessment?

Indicates improvement

May suggest a tension pneumothorax

Hyperresonance is a significant finding in a clinical assessment, particularly in the context of chest trauma or respiratory distress. This sound, which is often described as more intense and lower in pitch than normal resonance, can indicate the presence of excess air in the pleural space. A common condition associated with hyperresonance is a tension pneumothorax, where trapped air creates increased pressure that compromises lung function and can be life-threatening.

When assessing a patient, if hyperresonance is detected during percussion of the chest, it raises suspicion for a tension pneumothorax. This situation demands immediate intervention because the accumulating air can compress the lung on the affected side and potentially lead to cardiovascular collapse due to decreased venous return to the heart. Recognizing this sign quickly can prompt necessary steps to relieve the pressure, such as needle decompression.

Other options, while relevant to various clinical conditions, do not properly correspond with the meaning of hyperresonance. For example, indicators of improvement or signs of neurological injury do not typically manifest as hyperresonance, and normal lung function would instead be characterized by normal percussion notes. Understanding how to interpret hyperresonance is crucial in timely and effective management of respiratory conditions in trauma care.

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Sign of neurological injury

Normal lung function

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