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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. Initially dry cough then becomes productive with midline chest pain and low grade fever
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Beta Agonist
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

2. Admission rule for pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulmonary Embolism
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia - H. Influenza

3. Three thypes of pleural effusion
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Transudate - Exudate - Chylous
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)

4. Special lab work for TB

5. Primary spontaneous common in young - tall malls in 20-40 YO
A - Winter
Within 2 days with Amantadine
Beta Agonist
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

6. Dyspena Differentials
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
CHF
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Transudate - Exudate - Chylous

7. First line treatment for Asthma
Transudate - Exudate - Chylous
Klebsiella Pneumonia
Beta Agonist
Viral

8. 8th leading caUse of death in US
Deep Sulcus Sign
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)

9. Common symptoms of Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Transudate - Exudate - Chylous
Acute Lung Injury (ARDS)

10. COPD and Asthma Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
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
Klebsiella Pneumonia - H. Influenza

11. Pus in pleural space and the three stages of development
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Beta Agonist
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
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
A - Winter
Acute Lung Injury (ARDS)
Deep Sulcus Sign
Beta Agonist

13. MCC of Pleural Effusion
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
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Beta Agonist

14. Number one pathogen of Pneumonia
Deep Sulcus Sign
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia
Viral

15. 5 YO - 14 YO Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
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
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

16. Dyspnea - SOB - and hemoptysis are the most common signs in...
Beta Agonist
Pulmonary Embolism
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Old and young - Pregnant - Toxic - Serious comorbidity

17. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Within 2 days with Amantadine
Pulsus Paradoxus
Klebsiella Pneumonia - H. Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

18. Cavitary lesions and bulging fissures
Beta Agonist
Klebsiella Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Viral

19. Three mechanism of Asthma
Viral
Bronchospasm - Hypersecretion - Inflammation
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Transudate - Exudate - Chylous

20. What is the goal of PE treatment
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Deep Sulcus Sign
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pulsus Paradoxus

21. Acute Bronchitis is 90% caused by
Viral
Deep Sulcus Sign
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

22. 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
Transudate - Exudate - Chylous
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pulsus Paradoxus

23. Which Influenza virus is worst? A or B? and which month is common for infection
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Lung Injury (ARDS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
A - Winter

24. Kerley V's Lines
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Viral
Pulmonary Embolism
CHF

25. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Klebsiella Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Deep Sulcus Sign

26. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Within 2 days with Amantadine
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer