New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

What are common signs and symptoms of multiple broken ribs?

1. Unequal chest expansion and inadequate breathing effort

2. Inadequate breathing effort and swelling

3. Pain and fever

4. Increased respiratory rate and wheezing

The correct answer is: Unequal chest expansion and inadequate breathing effort

Multiple broken ribs can lead to a variety of signs and symptoms due to the impact on the respiratory system and the chest wall. The correct answer highlights that unequal chest expansion along with inadequate breathing effort are common indicators in such cases. When ribs are fractured, especially multiple ribs, the stability of the chest wall may be compromised. This can result in paradoxical movement, where one side of the chest does not expand properly during inhalation, leading to unequal expansion between the two sides. This lack of proper movement can subsequently lead to inadequate breathing effort, which refers to the body’s inability to take deep breaths effectively, causing reduced ventilation and potential hypoxia. While other options may include symptoms that could arise in various medical conditions, they do not specifically reflect the direct implications of having multiple broken ribs. Therefore, recognizing unequal chest expansion and inadequate breathing effort is crucial in assessing a patient with rib fractures, guiding the EMT in providing appropriate care and intervention.