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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
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia - H. Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
A - Winter

2. Kerley V's Lines
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
CHF
Pulmonary Embolism
Pulsus Paradoxus

3. Three thypes of pleural effusion
Transudate - Exudate - Chylous
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

4. Primary spontaneous common in young - tall malls in 20-40 YO
Klebsiella Pneumonia
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
Pulmonary Embolism

5. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia - H. Influenza

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

7. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pulmonary Embolism
Pulsus Paradoxus
A - Winter

8. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
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
Acute Lung Injury (ARDS)
Klebsiella Pneumonia - H. Influenza

9. Dyspnea - SOB - and hemoptysis are the most common signs in...
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulmonary Embolism
Pulsus Paradoxus

10. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Deep Sulcus Sign
Transudate - Exudate - Chylous
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

11. Special lab work for TB

12. Three mechanism of Asthma
Within 2 days with Amantadine
CHF
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Bronchospasm - Hypersecretion - Inflammation

13. 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
Viral
Bronchospasm - Hypersecretion - Inflammation
Within 2 days with Amantadine

14. MCC of Pleural Effusion
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Within 2 days with Amantadine
Pulsus Paradoxus

15. Common symptoms of Influenza
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF

16. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Within 2 days with Amantadine
Deep Sulcus Sign
Pulmonary Embolism

17. Fever - dry cough - night sweats - fatigue - weight loss
Pneumoccocus - 2 mo - 5 YO Pneumonia
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
Within 2 days with Amantadine

18. Pus in pleural space and the three stages of development
A - Winter
Transudate - Exudate - Chylous
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulsus Paradoxus

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

20. Dyspena Differentials
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Klebsiella Pneumonia - H. Influenza
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

21. COPD and Asthma Pneumonia
Within 2 days with Amantadine
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia - H. Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

22. 5 YO - 14 YO Pneumonia
Within 2 days with Amantadine
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity

23. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Klebsiella Pneumonia - H. Influenza
Pulsus Paradoxus
Pulmonary Embolism
Klebsiella Pneumonia

24. Admission rule for pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Beta Agonist
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Old and young - Pregnant - Toxic - Serious comorbidity

25. First line treatment for Asthma
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia - H. Influenza
Beta Agonist

26. Acute Bronchitis is 90% caused by
Viral
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Bronchospasm - Hypersecretion - Inflammation
Pneumoccocus - 2 mo - 5 YO Pneumonia