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. Initially dry cough then becomes productive with midline chest pain and low grade fever
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Deep Sulcus Sign
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Within 2 days with Amantadine

2. Cavitary lesions and bulging fissures
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
Pulsus Paradoxus
Klebsiella Pneumonia

3. COPD and Asthma Pneumonia
Within 2 days with Amantadine
Klebsiella Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Klebsiella Pneumonia - H. Influenza

4. Common symptoms of Influenza
Deep Sulcus Sign
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Viral
Pneumoccocus - 2 mo - 5 YO Pneumonia

5. Three thypes of pleural effusion
Transudate - Exudate - Chylous
Klebsiella Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

6. Admission rule for pneumonia
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Old and young - Pregnant - Toxic - Serious comorbidity
Transudate - Exudate - Chylous
Klebsiella Pneumonia - H. Influenza

7. First line treatment for Asthma
Pulmonary Embolism
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Beta Agonist
Klebsiella Pneumonia

8. Primary spontaneous common in young - tall malls in 20-40 YO
Klebsiella Pneumonia - H. Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia

9. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Transudate - Exudate - Chylous
Bronchospasm - Hypersecretion - Inflammation
Beta Agonist

10. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Beta Agonist
Transudate - Exudate - Chylous
Viral
Acute Lung Injury (ARDS)

11. 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
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Deep Sulcus Sign

12. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Within 2 days with Amantadine
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
A - Winter

13. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Viral
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Beta Agonist

14. Dyspena Differentials
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
Acute Lung Injury (ARDS)
Pneumoccocus - 2 mo - 5 YO Pneumonia

15. 5 YO - 14 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign

16. Dyspnea - SOB - and hemoptysis are the most common signs in...
Old and young - Pregnant - Toxic - Serious comorbidity
Pulmonary Embolism
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia - H. Influenza

17. Special lab work for TB

18. 8th leading caUse of death in US
Pulsus Paradoxus
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
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)

19. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Deep Sulcus Sign
Pulsus Paradoxus
Beta Agonist

20. Pus in pleural space and the three stages of development
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulmonary Embolism

21. MCC of Pleural Effusion
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Deep Sulcus Sign

22. Kerley V's Lines
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Old and young - Pregnant - Toxic - Serious comorbidity
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF

23. Acute Bronchitis is 90% caused by
Pulmonary Embolism
Viral
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
A - Winter

24. Three mechanism of Asthma
A - Winter
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Lung Injury (ARDS)
Bronchospasm - Hypersecretion - Inflammation

25. 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
Transudate - Exudate - Chylous
Klebsiella Pneumonia
CHF

26. What is the goal of PE treatment
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Viral