Certified Hyperbaric Technologist Practice Test

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When is the most likely time for sinus barotrauma to occur during pressurization?

  1. During descent from depth

  2. From sea level to the first 10 fsw

  3. At 30 fsw

  4. During hyperbaric treatment

The correct answer is: From sea level to the first 10 fsw

Sinus barotrauma is primarily caused by pressure changes that affect the air-filled spaces within the sinuses. The most likely time for this condition to occur during pressurization is from sea level to the first 10 feet of seawater (fsw). During this initial phase of descent, the external pressure increases significantly, and if the sinus openings are blocked or if there is a pre-existing condition that impairs the ability to equalize pressure in these cavities, the risk of barotrauma increases. The body's natural ability to adapt to these changes may not keep pace with the rapid increase in pressure. This is why the early stages of immersion pose a heightened risk for barotrauma, especially in individuals with sinus congestion or structural issues within the sinus cavities. Descending from depth or during hyperbaric treatment can involve pressure changes, but the risk of sinus barotrauma is generally highest during that crucial transition from ambient pressure to increased pressure, particularly within the first 10 feet of water.