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. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Old and young - Pregnant - Toxic - Serious comorbidity
Within 2 days with Amantadine
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

2. Special lab work for TB

3. What is the goal of PE treatment
Viral
Klebsiella Pneumonia - H. Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Bronchospasm - Hypersecretion - Inflammation

4. Dyspnea - SOB - and hemoptysis are the most common signs in...
Within 2 days with Amantadine
Pulmonary Embolism
Viral
Transudate - Exudate - Chylous

5. Fever - dry cough - night sweats - fatigue - weight loss
Transudate - Exudate - Chylous
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Acute Lung Injury (ARDS)
Old and young - Pregnant - Toxic - Serious comorbidity

6. Common symptoms of Influenza
Klebsiella Pneumonia
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
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

7. Cavitary lesions and bulging fissures
Deep Sulcus Sign
Klebsiella Pneumonia
CHF
Bronchospasm - Hypersecretion - Inflammation

8. MCC of Pleural Effusion
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Bronchospasm - Hypersecretion - Inflammation
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

9. Primary spontaneous common in young - tall malls in 20-40 YO
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus

10. Number one pathogen of Pneumonia
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia - H. Influenza

11. Acute Bronchitis is 90% caused by
Viral
A - Winter
Transudate - Exudate - Chylous
CHF

12. Three mechanism of Asthma
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia

13. Three thypes of pleural effusion
Klebsiella Pneumonia - H. Influenza
Transudate - Exudate - Chylous
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

14. First line treatment for Asthma
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Old and young - Pregnant - Toxic - Serious comorbidity
Beta Agonist
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

15. Admission rule for pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia

16. 8th leading caUse of death in US
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
Viral
Bronchospasm - Hypersecretion - Inflammation

17. Which Influenza virus is worst? A or B? and which month is common for infection
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
A - Winter
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

18. Initially dry cough then becomes productive with midline chest pain and low grade fever
Pneumoccocus - 2 mo - 5 YO Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral

19. Dyspena Differentials
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
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

20. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Acute Lung Injury (ARDS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

21. COPD and Asthma Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Lung Injury (ARDS)
Klebsiella Pneumonia - H. Influenza

22. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia
A - Winter
Deep Sulcus Sign

23. Kerley V's Lines
Bronchospasm - Hypersecretion - Inflammation
Beta Agonist
Old and young - Pregnant - Toxic - Serious comorbidity
CHF

24. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulsus Paradoxus
Viral
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

25. Pus in pleural space and the three stages of development
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
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

26. 5 YO - 14 YO Pneumonia
Deep Sulcus Sign
Bronchospasm - Hypersecretion - Inflammation
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer