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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.
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. Special lab work for TB

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2. COPD and Asthma Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia - H. Influenza

3. Primary spontaneous common in young - tall malls in 20-40 YO
Pneumoccocus - 2 mo - 5 YO Pneumonia
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
Pulsus Paradoxus

4. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Transudate - Exudate - Chylous
Klebsiella Pneumonia
Pulsus Paradoxus

5. Pus in pleural space and the three stages of development
Bronchospasm - Hypersecretion - Inflammation
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Deep Sulcus Sign
Klebsiella Pneumonia - H. Influenza

6. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Acute Lung Injury (ARDS)
Viral
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Deep Sulcus Sign

7. Dyspnea - SOB - and hemoptysis are the most common signs in...
Bronchospasm - Hypersecretion - Inflammation
Pulsus Paradoxus
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulmonary Embolism

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

9. Acute Bronchitis is 90% caused by
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulsus Paradoxus
Viral

10. 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
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Within 2 days with Amantadine
Klebsiella Pneumonia

11. 5 YO - 14 YO Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pulmonary Embolism
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

12. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Transudate - Exudate - Chylous
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

13. 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)
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

14. Cavitary lesions and bulging fissures
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Bronchospasm - Hypersecretion - Inflammation
Viral
Klebsiella Pneumonia

15. Dyspena Differentials
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Within 2 days with Amantadine
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)

16. Common symptoms of Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Lung Injury (ARDS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
A - Winter

17. Fever - dry cough - night sweats - fatigue - weight loss
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

18. Which Influenza virus is worst? A or B? and which month is common for infection
Klebsiella Pneumonia - H. Influenza
A - Winter
Transudate - Exudate - Chylous
CHF

19. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Transudate - Exudate - Chylous
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia

20. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF
Deep Sulcus Sign

21. Kerley V's Lines
Pulmonary Embolism
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign
CHF

22. Three thypes of pleural effusion
Pulsus Paradoxus
Pneumoccocus - 2 mo - 5 YO Pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Transudate - Exudate - Chylous

23. When blood pressure corresponds with breathing and pressure goes down on inspiration.
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)
Pulsus Paradoxus
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

24. Number one pathogen of Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pneumoccocus - 2 mo - 5 YO Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

25. Admission rule for pneumonia
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

26. First line treatment for Asthma
Beta Agonist
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Old and young - Pregnant - Toxic - Serious comorbidity