Test your basic knowledge |

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. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Transudate - Exudate - Chylous
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

2. 5 YO - 14 YO Pneumonia
Pulmonary Embolism
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

3. Three thypes of pleural effusion
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Transudate - Exudate - Chylous

4. MCC of Pleural Effusion
Klebsiella Pneumonia - H. Influenza
Pulsus Paradoxus
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

5. Pus in pleural space and the three stages of development
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
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

6. COPD and Asthma Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia - H. Influenza
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

7. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Within 2 days with Amantadine
Pulsus Paradoxus
A - Winter
Old and young - Pregnant - Toxic - Serious comorbidity

8. Fever - dry cough - night sweats - fatigue - weight loss
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

9. Special lab work for TB

10. 8th leading caUse of death in US
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)
Viral
Bronchospasm - Hypersecretion - Inflammation

11. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Lung Injury (ARDS)
Pulmonary Embolism
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

12. Dyspnea - SOB - and hemoptysis are the most common signs in...
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulsus Paradoxus
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pulmonary Embolism

13. Kerley V's Lines
CHF
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Viral
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

14. Acute Bronchitis is 90% caused by
Viral
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

15. Common symptoms of Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Klebsiella Pneumonia
Transudate - Exudate - Chylous

16. Cavitary lesions and bulging fissures
Klebsiella Pneumonia - H. Influenza
Klebsiella Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

17. Which Influenza virus is worst? A or B? and which month is common for infection
Transudate - Exudate - Chylous
Viral
Pulmonary Embolism
A - Winter

18. Three mechanism of Asthma
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Bronchospasm - Hypersecretion - Inflammation
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

19. Admission rule for pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Lung Injury (ARDS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

20. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Within 2 days with Amantadine
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Klebsiella Pneumonia

21. Dyspena Differentials
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulsus Paradoxus

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

23. Primary spontaneous common in young - tall malls in 20-40 YO
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)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Klebsiella Pneumonia - H. Influenza

24. What is the goal of PE treatment
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)
Klebsiella Pneumonia
Bronchospasm - Hypersecretion - Inflammation

25. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Within 2 days with Amantadine
Pulmonary Embolism
Pulsus Paradoxus
Acute Lung Injury (ARDS)

26. First line treatment for Asthma
Acute Lung Injury (ARDS)
Beta Agonist
Klebsiella Pneumonia - H. Influenza
Bronchospasm - Hypersecretion - Inflammation