Test your basic knowledge |

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. First line treatment for Asthma
Transudate - Exudate - Chylous
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Beta Agonist
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

2. MCC of Pleural Effusion
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Beta Agonist
Klebsiella Pneumonia - H. Influenza

3. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Bronchospasm - Hypersecretion - Inflammation
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF
Within 2 days with Amantadine

4. Cavitary lesions and bulging fissures
Pulsus Paradoxus
Beta Agonist
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia

5. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Transudate - Exudate - Chylous
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

6. 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
Bronchospasm - Hypersecretion - Inflammation
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumoccocus - 2 mo - 5 YO Pneumonia

7. COPD and Asthma Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Klebsiella Pneumonia - H. Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

8. Primary spontaneous common in young - tall malls in 20-40 YO
Viral
Pulsus Paradoxus
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

9. What is the goal of PE treatment
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia - H. Influenza
Pulmonary Embolism
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

10. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

11. Dyspena Differentials
A - Winter
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulmonary Embolism
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

12. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulmonary Embolism
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pulsus Paradoxus

13. Special lab work for TB

14. Pus in pleural space and the three stages of development
Deep Sulcus Sign
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

15. Common symptoms of Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

16. Kerley V's Lines
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
CHF
Klebsiella Pneumonia

17. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pulmonary Embolism
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Lung Injury (ARDS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

18. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Bronchospasm - Hypersecretion - Inflammation
Acute Lung Injury (ARDS)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Within 2 days with Amantadine

19. Three thypes of pleural effusion
Klebsiella Pneumonia - H. Influenza
Pulsus Paradoxus
Transudate - Exudate - Chylous
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

20. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral
Transudate - Exudate - Chylous
Pneumoccocus - 2 mo - 5 YO Pneumonia

21. Three mechanism of Asthma
Pulsus Paradoxus
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia - H. Influenza

22. Admission rule for pneumonia
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Klebsiella Pneumonia - H. Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity

23. Acute Bronchitis is 90% caused by
Old and young - Pregnant - Toxic - Serious comorbidity
Viral
Pulmonary Embolism
Beta Agonist

24. Fever - dry cough - night sweats - fatigue - weight loss
Klebsiella Pneumonia - H. Influenza
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Beta Agonist

25. 5 YO - 14 YO Pneumonia
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
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

26. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF
Klebsiella Pneumonia - H. Influenza