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Emergency Medicine: Pulmonary

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 26 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Number one pathogen of Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Acute Lung Injury (ARDS)
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

2. What is the goal of PE treatment
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia - H. Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

3. Fever - dry cough - night sweats - fatigue - weight loss
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Bronchospasm - Hypersecretion - Inflammation
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

4. MCC of Pleural Effusion
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia - H. Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

5. Cavitary lesions and bulging fissures
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

6. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pulmonary Embolism
Viral
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

7. Common symptoms of Influenza
Acute Lung Injury (ARDS)
Transudate - Exudate - Chylous
Deep Sulcus Sign
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

8. Acute Bronchitis is 90% caused by
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus
Viral
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

9. Three mechanism of Asthma
Beta Agonist
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

10. Special lab work for TB

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11. Three thypes of pleural effusion
Within 2 days with Amantadine
Transudate - Exudate - Chylous
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Klebsiella Pneumonia

12. Kerley V's Lines
Bronchospasm - Hypersecretion - Inflammation
Pulsus Paradoxus
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF

13. Initially dry cough then becomes productive with midline chest pain and low grade fever
Pulmonary Embolism
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

14. Primary spontaneous common in young - tall malls in 20-40 YO
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia - H. Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

15. First line treatment for Asthma
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Bronchospasm - Hypersecretion - Inflammation
Pneumoccocus - 2 mo - 5 YO Pneumonia
Beta Agonist

16. Pus in pleural space and the three stages of development
Within 2 days with Amantadine
Klebsiella Pneumonia - H. Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

17. Admission rule for pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
A - Winter

18. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Klebsiella Pneumonia - H. Influenza
Transudate - Exudate - Chylous
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

19. 8th leading caUse of death in US
A - Winter
Bronchospasm - Hypersecretion - Inflammation
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

20. 5 YO - 14 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Within 2 days with Amantadine
Pulsus Paradoxus
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

21. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Bronchospasm - Hypersecretion - Inflammation
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulsus Paradoxus
Old and young - Pregnant - Toxic - Serious comorbidity

22. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Acute Lung Injury (ARDS)
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Bronchospasm - Hypersecretion - Inflammation
Pulmonary Embolism

23. Dyspena Differentials
CHF
Pulsus Paradoxus
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

24. COPD and Asthma Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia - H. Influenza

25. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Deep Sulcus Sign
Viral
Pulsus Paradoxus

26. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Within 2 days with Amantadine
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Klebsiella Pneumonia