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