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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. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Deep Sulcus Sign

2. Number one pathogen of Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

3. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Within 2 days with Amantadine

4. What is the goal of PE treatment
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulsus Paradoxus
Old and young - Pregnant - Toxic - Serious comorbidity
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

5. Dyspena Differentials
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
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Old and young - Pregnant - Toxic - Serious comorbidity

6. Common symptoms of Influenza
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

7. MCC of Pleural Effusion
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Transudate - Exudate - Chylous
Klebsiella Pneumonia - H. Influenza
Within 2 days with Amantadine

8. Acute Bronchitis is 90% caused by
Viral
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Beta Agonist
Acute Lung Injury (ARDS)

9. Primary spontaneous common in young - tall malls in 20-40 YO
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia - H. Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
A - Winter

10. Admission rule for pneumonia
A - Winter
Old and young - Pregnant - Toxic - Serious comorbidity
Pulsus Paradoxus
Pulmonary Embolism

11. 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
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pulsus Paradoxus
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

12. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Viral
Pulmonary Embolism
Acute Lung Injury (ARDS)

13. 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
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulmonary Embolism

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

15. 5 YO - 14 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Transudate - Exudate - Chylous
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity

16. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
A - Winter
Acute Lung Injury (ARDS)

17. Special lab work for TB

18. 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
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Within 2 days with Amantadine

19. Kerley V's Lines
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Bronchospasm - Hypersecretion - Inflammation
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
CHF

20. Cavitary lesions and bulging fissures
Beta Agonist
Klebsiella Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

21. Three mechanism of Asthma
Old and young - Pregnant - Toxic - Serious comorbidity
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Bronchospasm - Hypersecretion - Inflammation
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

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

23. Three thypes of pleural effusion
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Transudate - Exudate - Chylous

24. First line treatment for Asthma
Pneumoccocus - 2 mo - 5 YO Pneumonia
Beta Agonist
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Bronchospasm - Hypersecretion - Inflammation

25. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Klebsiella Pneumonia - H. Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pulsus Paradoxus

26. Pus in pleural space and the three stages of development
Viral
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray