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. 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
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

2. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)

3. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Within 2 days with Amantadine
A - Winter
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

4. Initially dry cough then becomes productive with midline chest pain and low grade fever
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF

5. Common symptoms of Influenza
Pulsus Paradoxus
Klebsiella Pneumonia
Beta Agonist
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

6. Primary spontaneous common in young - tall malls in 20-40 YO
Within 2 days with Amantadine
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

7. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Within 2 days with Amantadine

8. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pulmonary Embolism
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Acute Lung Injury (ARDS)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

9. Special lab work for TB

10. Pus in pleural space and the three stages of development
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Klebsiella Pneumonia - H. Influenza

11. 5 YO - 14 YO Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
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

12. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral
Pulsus Paradoxus
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

13. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
A - Winter
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Beta Agonist

14. Acute Bronchitis is 90% caused by
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
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Viral

15. Three mechanism of Asthma
Transudate - Exudate - Chylous
Viral
Bronchospasm - Hypersecretion - Inflammation
A - Winter

16. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
A - Winter
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pulsus Paradoxus

17. First line treatment for Asthma
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pulsus Paradoxus
Beta Agonist
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

18. Kerley V's Lines
Within 2 days with Amantadine
Pneumoccocus - 2 mo - 5 YO Pneumonia
CHF
Bronchospasm - Hypersecretion - Inflammation

19. What is the goal of PE treatment
Beta Agonist
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

20. MCC of Pleural Effusion
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Acute Lung Injury (ARDS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

21. 8th leading caUse of death in US
CHF
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
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

22. Three thypes of pleural effusion
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Klebsiella Pneumonia - H. Influenza
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Transudate - Exudate - Chylous

23. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Within 2 days with Amantadine
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Deep Sulcus Sign
Pneumoccocus - 2 mo - 5 YO Pneumonia

24. Dyspena Differentials
Klebsiella Pneumonia - H. Influenza
Transudate - Exudate - Chylous
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

25. 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
Within 2 days with Amantadine
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Beta Agonist

26. COPD and Asthma Pneumonia
CHF
Transudate - Exudate - Chylous
Klebsiella Pneumonia - H. Influenza
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)