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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. Which Influenza virus is worst? A or B? and which month is common for infection
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
A - Winter
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

2. What is the goal of PE treatment
Transudate - Exudate - Chylous
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

3. Special lab work for TB

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4. 5 YO - 14 YO Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Deep Sulcus Sign
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

5. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Klebsiella Pneumonia - H. Influenza
Old and young - Pregnant - Toxic - Serious comorbidity
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Deep Sulcus Sign

6. Fever - dry cough - night sweats - fatigue - weight loss
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
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

7. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Within 2 days with Amantadine
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Lung Injury (ARDS)

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
Within 2 days with Amantadine
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

9. Three thypes of pleural effusion
Klebsiella Pneumonia
Transudate - Exudate - Chylous
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

10. MCC of Pleural Effusion
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Beta Agonist
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

11. 8th leading caUse of death in US
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

12. Acute Bronchitis is 90% caused by
A - Winter
Viral
Within 2 days with Amantadine
Pneumoccocus - 2 mo - 5 YO Pneumonia

13. Dyspnea - SOB - and hemoptysis are the most common signs in...
Viral
CHF
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulmonary Embolism

14. Cavitary lesions and bulging fissures
Deep Sulcus Sign
Klebsiella Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Bronchospasm - Hypersecretion - Inflammation

15. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Within 2 days with Amantadine
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Old and young - Pregnant - Toxic - Serious comorbidity

16. Dyspena Differentials
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
Transudate - Exudate - Chylous

17. First line treatment for Asthma
A - Winter
Beta Agonist
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

18. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Viral
Within 2 days with Amantadine

19. Common symptoms of Influenza
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

20. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Transudate - Exudate - Chylous
Pulsus Paradoxus
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

21. Initially dry cough then becomes productive with midline chest pain and low grade fever
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
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

22. COPD and Asthma Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Pulsus Paradoxus
Klebsiella Pneumonia - H. Influenza
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

23. Three mechanism of Asthma
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Bronchospasm - Hypersecretion - Inflammation
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Beta Agonist

24. Pus in pleural space and the three stages of development
Viral
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF

25. Number one pathogen of Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)
Klebsiella Pneumonia - H. Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia

26. Kerley V's Lines
CHF
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia