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

2. Initially dry cough then becomes productive with midline chest pain and low grade fever
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

3. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pulmonary Embolism
Bronchospasm - Hypersecretion - Inflammation
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

4. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Viral
Klebsiella Pneumonia
Deep Sulcus Sign
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

5. COPD and Asthma Pneumonia
Klebsiella Pneumonia - H. Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Transudate - Exudate - Chylous
Pulmonary Embolism

6. What is the goal of PE treatment
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pulsus Paradoxus
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

7. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia
Within 2 days with Amantadine

8. Common symptoms of Influenza
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF
Transudate - Exudate - Chylous

9. 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
Old and young - Pregnant - Toxic - Serious comorbidity
Pneumoccocus - 2 mo - 5 YO Pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

10. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Within 2 days with Amantadine
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

11. 8th leading caUse of death in US
Within 2 days with Amantadine
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Deep Sulcus Sign
Klebsiella Pneumonia

12. 5 YO - 14 YO Pneumonia
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
Klebsiella Pneumonia - H. Influenza

13. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Pulmonary Embolism
Klebsiella Pneumonia
Beta Agonist

14. Admission rule for pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
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
Old and young - Pregnant - Toxic - Serious comorbidity

15. First line treatment for Asthma
Klebsiella Pneumonia - H. Influenza
Acute Lung Injury (ARDS)
Beta Agonist
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

16. Three thypes of pleural effusion
Beta Agonist
Transudate - Exudate - Chylous
A - Winter
Pneumoccocus - 2 mo - 5 YO Pneumonia

17. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Klebsiella Pneumonia - H. Influenza
Pulmonary Embolism
Pulsus Paradoxus
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

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

19. Pus in pleural space and the three stages of development
Klebsiella Pneumonia - H. Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Transudate - Exudate - Chylous
Acute Lung Injury (ARDS)

20. Kerley V's Lines
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF
Beta Agonist
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

21. Primary spontaneous common in young - tall malls in 20-40 YO
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Lung Injury (ARDS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

22. Fever - dry cough - night sweats - fatigue - weight loss
Beta Agonist
Acute Lung Injury (ARDS)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

23. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulmonary Embolism
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

24. Dyspena Differentials
Old and young - Pregnant - Toxic - Serious comorbidity
Deep Sulcus Sign
Acute Lung Injury (ARDS)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

25. Acute Bronchitis is 90% caused by
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral
Beta Agonist
Pneumoccocus - 2 mo - 5 YO Pneumonia

26. Special lab work for TB

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