Approach to penetrating neck injury Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 37-year-old cyclist presents to the trauma bay with part of a steel rod protruding from his neck. The patient was cycling down a hill when he lost control of his bike and hit a stake in the ground. He lost consciousness, and when he awoke, he realized that he had something sticking out of his neck and called 911. In the trauma bay, his primary survey is intact. Temperature is 36 °C (98 °F), heart rate is 106, blood pressure is 142/80 mm/Hg, and respiratory rate is 34/min. Labs are drawn and sent off. Secondary survey reveals a protruding metal object located just superior to the sternal notch with associated crepitus. Which of the following is the most appropriate next step in management?

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Observe for 4 hours

Intubate the patient

Obtain CT-A of the neck and chest

Proceed to the operating room

Remove the metallic object