Surgery Shelf Practice Questions - NBME Clinical Science Subject Examination In Surgery Exam

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A 67-year-old man has multiple left rib fractures after a fall. A segment of chest wall moves inward during inspiration. He is alert but increasingly tachypneic, and oxygen saturation is 89% on high-flow oxygen. Chest x-ray shows pulmonary contusion. What is the best next step?

Tight circumferential chest binding Early ventilatory support and aggressive analgesia Immediate thoracotomy Discharge with oral pain medication

Correct Answer:

Early ventilatory support and aggressive analgesia

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