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. First line treatment for Asthma
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Old and young - Pregnant - Toxic - Serious comorbidity

2. Special lab work for TB

3. 8th leading caUse of death in US
A - Winter
Bronchospasm - Hypersecretion - Inflammation
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

4. Which Influenza virus is worst? A or B? and which month is common for infection
Deep Sulcus Sign
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
A - Winter
Old and young - Pregnant - Toxic - Serious comorbidity

5. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Bronchospasm - Hypersecretion - Inflammation
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
A - Winter
Deep Sulcus Sign

6. COPD and Asthma Pneumonia
Klebsiella Pneumonia - H. Influenza
A - Winter
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pulmonary Embolism

7. Acute Bronchitis is 90% caused by
Old and young - Pregnant - Toxic - Serious comorbidity
CHF
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Viral

8. Kerley V's Lines
Beta Agonist
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Deep Sulcus Sign
CHF

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

10. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Lung Injury (ARDS)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

11. Fever - dry cough - night sweats - fatigue - weight loss
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Lung Injury (ARDS)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Klebsiella Pneumonia - H. Influenza

12. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Within 2 days with Amantadine
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulsus Paradoxus
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

13. Dyspena Differentials
Beta Agonist
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
CHF

14. Common symptoms of Influenza
Transudate - Exudate - Chylous
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Beta Agonist

15. Three mechanism of Asthma
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
Bronchospasm - Hypersecretion - Inflammation
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

16. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Bronchospasm - Hypersecretion - Inflammation
Transudate - Exudate - Chylous
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

17. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pulmonary Embolism
Beta Agonist
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

18. Number one pathogen of Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pneumoccocus - 2 mo - 5 YO Pneumonia
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

19. Pus in pleural space and the three stages of development
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia - H. Influenza
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

20. Cavitary lesions and bulging fissures
CHF
Within 2 days with Amantadine
Klebsiella Pneumonia
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

21. Initially dry cough then becomes productive with midline chest pain and low grade fever
Klebsiella Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Beta Agonist
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

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

23. 5 YO - 14 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
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
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

24. Three thypes of pleural effusion
Beta Agonist
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Acute Lung Injury (ARDS)

25. 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
Klebsiella Pneumonia - H. Influenza
Bronchospasm - Hypersecretion - Inflammation
Viral

26. MCC of Pleural Effusion
Deep Sulcus Sign
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer