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. Cavitary lesions and bulging fissures
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus
Klebsiella Pneumonia
CHF

2. Three thypes of pleural effusion
Old and young - Pregnant - Toxic - Serious comorbidity
Pneumoccocus - 2 mo - 5 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Transudate - Exudate - Chylous

3. Admission rule for pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Old and young - Pregnant - Toxic - Serious comorbidity
Pulmonary Embolism
Klebsiella Pneumonia - H. Influenza

4. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulsus Paradoxus
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

5. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Lung Injury (ARDS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

6. MCC of Pleural Effusion
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Viral
A - Winter
Pulmonary Embolism

7. Fever - dry cough - night sweats - fatigue - weight loss
Beta Agonist
Viral
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

8. Primary spontaneous common in young - tall malls in 20-40 YO
Klebsiella Pneumonia - H. Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

9. First line treatment for Asthma
Old and young - Pregnant - Toxic - Serious comorbidity
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Beta Agonist
Viral

10. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Deep Sulcus Sign
A - Winter
Viral

11. Initially dry cough then becomes productive with midline chest pain and low grade fever
A - Winter
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumoccocus - 2 mo - 5 YO Pneumonia

12. Pus in pleural space and the three stages of development
Acute Lung Injury (ARDS)
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

13. Dyspnea - SOB - and hemoptysis are the most common signs in...
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulmonary Embolism
Within 2 days with Amantadine
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

14. What is the goal of PE treatment
Beta Agonist
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
A - Winter
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

15. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Bronchospasm - Hypersecretion - Inflammation
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Old and young - Pregnant - Toxic - Serious comorbidity

16. COPD and Asthma Pneumonia
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
CHF
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

17. Kerley V's Lines
Within 2 days with Amantadine
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF
Pneumoccocus - 2 mo - 5 YO Pneumonia

18. Dyspena Differentials
Beta Agonist
Within 2 days with Amantadine
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

19. Number one pathogen of Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pneumoccocus - 2 mo - 5 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Old and young - Pregnant - Toxic - Serious comorbidity

20. 5 YO - 14 YO Pneumonia
Transudate - Exudate - Chylous
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia - H. Influenza

21. Acute Bronchitis is 90% caused by
CHF
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
Viral

22. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Deep Sulcus Sign
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

23. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Transudate - Exudate - Chylous
A - Winter
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Within 2 days with Amantadine

24. Common symptoms of Influenza
Beta Agonist
Klebsiella Pneumonia
Within 2 days with Amantadine
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

25. Special lab work for TB

26. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Pulsus Paradoxus
Pneumoccocus - 2 mo - 5 YO Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer