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Emergency Medicine: Pulmonary

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 26 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. COPD and Asthma Pneumonia
Klebsiella Pneumonia - H. Influenza
Viral
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Transudate - Exudate - Chylous

2. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Transudate - Exudate - Chylous
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Lung Injury (ARDS)

3. 5 YO - 14 YO Pneumonia
Beta Agonist
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

4. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
CHF
Klebsiella Pneumonia - H. Influenza

5. Fever - dry cough - night sweats - fatigue - weight loss
Deep Sulcus Sign
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Bronchospasm - Hypersecretion - Inflammation
CHF

6. Pus in pleural space and the three stages of development
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pneumoccocus - 2 mo - 5 YO Pneumonia

7. What is the goal of PE treatment
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Deep Sulcus Sign

8. Special lab work for TB

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9. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Transudate - Exudate - Chylous
Acute Lung Injury (ARDS)
Within 2 days with Amantadine

10. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Within 2 days with Amantadine
CHF
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

11. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

12. When blood pressure corresponds with breathing and pressure goes down on inspiration.
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia - H. Influenza
Pulsus Paradoxus
Within 2 days with Amantadine

13. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Klebsiella Pneumonia
Beta Agonist
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Deep Sulcus Sign

14. Dyspena Differentials
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Viral
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

15. Acute Bronchitis is 90% caused by
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Viral
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

16. Kerley V's Lines
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Klebsiella Pneumonia
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia

17. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Beta Agonist
A - Winter

18. First line treatment for Asthma
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
Beta Agonist
Klebsiella Pneumonia

19. Admission rule for pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Old and young - Pregnant - Toxic - Serious comorbidity
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

20. Three thypes of pleural effusion
Viral
A - Winter
Transudate - Exudate - Chylous
Within 2 days with Amantadine

21. Common symptoms of Influenza
Acute Lung Injury (ARDS)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF

22. Which Influenza virus is worst? A or B? and which month is common for infection
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia
A - Winter

23. Dyspnea - SOB - and hemoptysis are the most common signs in...
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF
Pulmonary Embolism
Pulsus Paradoxus

24. Primary spontaneous common in young - tall malls in 20-40 YO
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Bronchospasm - Hypersecretion - Inflammation
CHF
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

25. MCC of Pleural Effusion
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
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

26. Cavitary lesions and bulging fissures
Pulsus Paradoxus
Klebsiella Pneumonia
A - Winter
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization