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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
Pneumoccocus - 2 mo - 5 YO Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

2. Fever - dry cough - night sweats - fatigue - weight loss
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
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Transudate - Exudate - Chylous

3. Dyspena Differentials
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
Bronchospasm - Hypersecretion - Inflammation
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

4. Three thypes of pleural effusion
CHF
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Transudate - Exudate - Chylous
Pulmonary Embolism

5. What is the goal of PE treatment
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
A - Winter
Pneumoccocus - 2 mo - 5 YO Pneumonia
Transudate - Exudate - Chylous

6. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Within 2 days with Amantadine
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

7. COPD and Asthma Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulsus Paradoxus
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza

8. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Transudate - Exudate - Chylous
A - Winter
Within 2 days with Amantadine

9. Common symptoms of Influenza
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulsus Paradoxus
Beta Agonist

10. Special lab work for TB

11. 5 YO - 14 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

12. Primary spontaneous common in young - tall malls in 20-40 YO
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pulsus Paradoxus
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Old and young - Pregnant - Toxic - Serious comorbidity

13. Admission rule for pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia - H. Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

14. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulmonary Embolism

15. First line treatment for Asthma
Pneumoccocus - 2 mo - 5 YO Pneumonia
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
A - Winter

16. Dyspnea - SOB - and hemoptysis are the most common signs in...
Viral
Pulmonary Embolism
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity

17. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulsus Paradoxus
Acute Lung Injury (ARDS)
Old and young - Pregnant - Toxic - Serious comorbidity

18. Pus in pleural space and the three stages of development
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulmonary Embolism
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

19. MCC of Pleural Effusion
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulmonary Embolism
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

20. Three mechanism of Asthma
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Transudate - Exudate - Chylous
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Bronchospasm - Hypersecretion - Inflammation

21. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pulmonary Embolism
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Deep Sulcus Sign

22. Kerley V's Lines
Klebsiella Pneumonia - H. Influenza
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

23. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
Pulsus Paradoxus
CHF

24. Acute Bronchitis is 90% caused by
Transudate - Exudate - Chylous
Viral
Within 2 days with Amantadine
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

25. 8th leading caUse of death in US
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pulsus Paradoxus

26. Which Influenza virus is worst? A or B? and which month is common for infection
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulsus Paradoxus
Pneumoccocus - 2 mo - 5 YO Pneumonia
A - Winter

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