Test your basic knowledge |

Emergency Medicine: Pulmonary

Subjects : health-sciences, emergency-medicine

Instructions:

Answer 26 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. Three thypes of pleural effusion
Transudate - Exudate - Chylous
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Acute Lung Injury (ARDS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

2. Initially dry cough then becomes productive with midline chest pain and low grade fever
Within 2 days with Amantadine
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Bronchospasm - Hypersecretion - Inflammation
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

3. Cavitary lesions and bulging fissures
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Klebsiella Pneumonia - H. Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Klebsiella Pneumonia

4. Which Influenza virus is worst? A or B? and which month is common for infection
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
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
A - Winter

5. MCC of Pleural Effusion
Deep Sulcus Sign
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia - H. Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

6. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Viral
A - Winter
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Lung Injury (ARDS)

7. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

8. COPD and Asthma Pneumonia
Viral
A - Winter
Klebsiella Pneumonia - H. Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia

9. Pus in pleural space and the three stages of development
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Transudate - Exudate - Chylous

10. Primary spontaneous common in young - tall malls in 20-40 YO
Old and young - Pregnant - Toxic - Serious comorbidity
CHF
Deep Sulcus Sign
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

11. 8th leading caUse of death in US
Transudate - Exudate - Chylous
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

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

13. Dyspnea - SOB - and hemoptysis are the most common signs in...
A - Winter
Viral
Pulmonary Embolism
Klebsiella Pneumonia - H. Influenza

14. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulsus Paradoxus
Transudate - Exudate - Chylous
Pulmonary Embolism
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

15. Dyspena Differentials
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
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
Transudate - Exudate - Chylous

16. Number one pathogen of Pneumonia
Viral
Pneumoccocus - 2 mo - 5 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

17. Fever - dry cough - night sweats - fatigue - weight loss
Pneumoccocus - 2 mo - 5 YO Pneumonia
Viral
CHF
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

18. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Bronchospasm - Hypersecretion - Inflammation
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
Within 2 days with Amantadine

19. Acute Bronchitis is 90% caused by
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulmonary Embolism
Pulsus Paradoxus

20. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

21. Three mechanism of Asthma
Beta Agonist
Bronchospasm - Hypersecretion - Inflammation
Within 2 days with Amantadine
Klebsiella Pneumonia

22. What is the goal of PE treatment
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

23. 5 YO - 14 YO Pneumonia
Transudate - Exudate - Chylous
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
A - Winter

24. Common symptoms of Influenza
Beta Agonist
Old and young - Pregnant - Toxic - Serious comorbidity
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

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

26. Special lab work for TB