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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. Fever - dry cough - night sweats - fatigue - weight loss
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
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

2. Acute Bronchitis is 90% caused by
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia

3. Common symptoms of Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Beta Agonist
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

4. 5 YO - 14 YO Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pneumoccocus - 2 mo - 5 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

5. Three mechanism of Asthma
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Bronchospasm - Hypersecretion - Inflammation
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign

6. Three thypes of pleural effusion
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Transudate - Exudate - Chylous
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

7. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Viral

8. COPD and Asthma Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Klebsiella Pneumonia - H. Influenza
CHF

9. What is the goal of PE treatment
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Old and young - Pregnant - Toxic - Serious comorbidity
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

10. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia - H. Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

11. First line treatment for Asthma
Beta Agonist
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

12. Dyspena Differentials
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulsus Paradoxus
Transudate - Exudate - Chylous
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

13. MCC of Pleural Effusion
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

14. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Old and young - Pregnant - Toxic - Serious comorbidity
CHF
Acute Lung Injury (ARDS)
Within 2 days with Amantadine

15. 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
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pulsus Paradoxus
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

16. 8th leading caUse of death in US
Pulsus Paradoxus
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pulmonary Embolism

17. Kerley V's Lines
CHF
Klebsiella Pneumonia
Deep Sulcus Sign
Bronchospasm - Hypersecretion - Inflammation

18. Which Influenza virus is worst? A or B? and which month is common for infection
Transudate - Exudate - Chylous
Viral
Deep Sulcus Sign
A - Winter

19. Special lab work for TB

20. Initially dry cough then becomes productive with midline chest pain and low grade fever
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
A - Winter
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

21. Pus in pleural space and the three stages of development
Within 2 days with Amantadine
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Deep Sulcus Sign
Acute Lung Injury (ARDS)

22. Dyspnea - SOB - and hemoptysis are the most common signs in...
Deep Sulcus Sign
Pulmonary Embolism
Klebsiella Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia

23. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

24. 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)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

25. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulsus Paradoxus
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Old and young - Pregnant - Toxic - Serious comorbidity
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

26. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Deep Sulcus Sign
Pulsus Paradoxus
Within 2 days with Amantadine