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Test your basic knowledge |
Emergency Medicine: Pulmonary
Start Test
Study First
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. Three thypes of pleural effusion
Beta Agonist
Transudate - Exudate - Chylous
Pulsus Paradoxus
Klebsiella Pneumonia - H. Influenza
2. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Pulsus Paradoxus
Viral
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Within 2 days with Amantadine
3. Special lab work for TB
4. Three mechanism of Asthma
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
5. Pus in pleural space and the three stages of development
Pneumoccocus - 2 mo - 5 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
A - Winter
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
6. MCC of Pleural Effusion
Klebsiella Pneumonia - H. Influenza
Pulmonary Embolism
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
7. Cavitary lesions and bulging fissures
Klebsiella Pneumonia - H. Influenza
CHF
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia
8. Which Influenza virus is worst? A or B? and which month is common for infection
Viral
A - Winter
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
9. Primary spontaneous common in young - tall malls in 20-40 YO
Deep Sulcus Sign
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
10. COPD and Asthma Pneumonia
Transudate - Exudate - Chylous
A - Winter
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia - H. Influenza
11. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pulmonary Embolism
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)
12. First line treatment for Asthma
CHF
Beta Agonist
Klebsiella Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
13. 8th leading caUse of death in US
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Within 2 days with Amantadine
14. Acute Bronchitis is 90% caused by
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Old and young - Pregnant - Toxic - Serious comorbidity
Viral
Pulsus Paradoxus
15. 5 YO - 14 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Deep Sulcus Sign
Bronchospasm - Hypersecretion - Inflammation
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
16. Fever - dry cough - night sweats - fatigue - weight loss
Acute Lung Injury (ARDS)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Klebsiella Pneumonia
Bronchospasm - Hypersecretion - Inflammation
17. Common symptoms of Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
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
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
18. Dyspnea - SOB - and hemoptysis are the most common signs in...
Acute Lung Injury (ARDS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulsus Paradoxus
Pulmonary Embolism
19. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Viral
Beta Agonist
Deep Sulcus Sign
Pulsus Paradoxus
20. Number one pathogen of Pneumonia
Beta Agonist
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pneumoccocus - 2 mo - 5 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
21. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Lung Injury (ARDS)
Pulsus Paradoxus
CHF
22. What is the goal of PE treatment
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
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
Pulsus Paradoxus
23. When blood pressure corresponds with breathing and pressure goes down on inspiration.
A - Winter
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF
Pulsus Paradoxus
24. Kerley V's Lines
Old and young - Pregnant - Toxic - Serious comorbidity
Within 2 days with Amantadine
CHF
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
25. Dyspena Differentials
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
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
CHF
26. Admission rule for pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Klebsiella Pneumonia - H. Influenza
Old and young - Pregnant - Toxic - Serious comorbidity
A - Winter