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

2. Cavitary lesions and bulging fissures
CHF
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia

3. Initially dry cough then becomes productive with midline chest pain and low grade fever
Deep Sulcus Sign
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
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. Primary spontaneous common in young - tall malls in 20-40 YO
Deep Sulcus Sign
Pulmonary Embolism
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

5. Common symptoms of Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Beta Agonist
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pneumoccocus - 2 mo - 5 YO Pneumonia

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

7. Dyspena Differentials
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)

8. 8th leading caUse of death in US
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
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
Viral

9. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Pulsus Paradoxus
Deep Sulcus Sign
Pulmonary Embolism
Klebsiella Pneumonia - H. Influenza

10. 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
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

11. What is the goal of PE treatment
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

12. Three thypes of pleural effusion
Transudate - Exudate - Chylous
Within 2 days with Amantadine
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pulmonary Embolism

13. Kerley V's Lines
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF
Deep Sulcus Sign
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

14. Admission rule for pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Old and young - Pregnant - Toxic - Serious comorbidity
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

15. Acute Bronchitis is 90% caused by
Within 2 days with Amantadine
Viral
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Beta Agonist

16. Pus in pleural space and the three stages of development
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Beta Agonist
Within 2 days with Amantadine

17. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Beta Agonist
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Lung Injury (ARDS)

18. Which Influenza virus is worst? A or B? and which month is common for infection
Deep Sulcus Sign
A - Winter
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

19. COPD and Asthma Pneumonia
Acute Lung Injury (ARDS)
Pulmonary Embolism
Klebsiella Pneumonia - H. Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia

20. First line treatment for Asthma
Beta Agonist
CHF
Deep Sulcus Sign
Klebsiella Pneumonia

21. Number one pathogen of Pneumonia
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Klebsiella Pneumonia

22. Special lab work for TB

23. Dyspnea - SOB - and hemoptysis are the most common signs in...
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
Klebsiella Pneumonia - H. Influenza
Pulmonary Embolism

24. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Klebsiella Pneumonia - H. Influenza
Viral
Pulsus Paradoxus
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

25. 5 YO - 14 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation
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

26. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Pulmonary Embolism
Klebsiella Pneumonia
Beta Agonist
Within 2 days with Amantadine