Test your basic knowledge |

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. 5 YO - 14 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Klebsiella Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

2. Three thypes of pleural effusion
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Transudate - Exudate - Chylous
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

3. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus

4. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia - H. Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

5. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

6. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Pulsus Paradoxus
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

7. Kerley V's Lines
CHF
Old and young - Pregnant - Toxic - Serious comorbidity
Deep Sulcus Sign
Klebsiella Pneumonia

8. COPD and Asthma Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia - H. Influenza
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

9. First line treatment for Asthma
Beta Agonist
Klebsiella Pneumonia
Transudate - Exudate - Chylous
Deep Sulcus Sign

10. 8th leading caUse of death in US
Deep Sulcus Sign
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)
Bronchospasm - Hypersecretion - Inflammation

11. MCC of Pleural Effusion
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Deep Sulcus Sign
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

12. Special lab work for TB

13. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Within 2 days with Amantadine
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Deep Sulcus Sign
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

14. Acute Bronchitis is 90% caused by
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Old and young - Pregnant - Toxic - Serious comorbidity
Pulmonary Embolism
Viral

15. Pus in pleural space and the three stages of development
Pulmonary Embolism
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia - H. Influenza

16. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Klebsiella Pneumonia
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

17. Common symptoms of Influenza
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Acute Lung Injury (ARDS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF

18. Initially dry cough then becomes productive with midline chest pain and low grade fever
Bronchospasm - Hypersecretion - Inflammation
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

19. Number one pathogen of Pneumonia
Viral
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

20. 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
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
CHF
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

21. Dyspena Differentials
Acute Lung Injury (ARDS)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulsus Paradoxus
A - Winter

22. Cavitary lesions and bulging fissures
Acute Lung Injury (ARDS)
Pulsus Paradoxus
Klebsiella Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

23. What is the goal of PE treatment
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF
Transudate - Exudate - Chylous

24. Fever - dry cough - night sweats - fatigue - weight loss
Transudate - Exudate - Chylous
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

25. Dyspnea - SOB - and hemoptysis are the most common signs in...
Beta Agonist
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pulmonary Embolism
A - Winter

26. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Viral
Acute Lung Injury (ARDS)