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.
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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
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

2. Acute Bronchitis is 90% caused by
Viral
Deep Sulcus Sign
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

3. Admission rule for pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Old and young - Pregnant - Toxic - Serious comorbidity
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

4. Cavitary lesions and bulging fissures
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Klebsiella Pneumonia
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

5. Three mechanism of Asthma
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
Deep Sulcus Sign
Bronchospasm - Hypersecretion - Inflammation

6. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Viral
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Within 2 days with Amantadine
Pulmonary Embolism

7. First line treatment for Asthma
Klebsiella Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Beta Agonist
Within 2 days with Amantadine

8. Number one pathogen of Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
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

9. Primary spontaneous common in young - tall malls in 20-40 YO
Deep Sulcus Sign
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 Lung Injury (ARDS)

10. Special lab work for TB

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

12. COPD and Asthma Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Klebsiella Pneumonia - H. Influenza
Within 2 days with Amantadine
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

13. Fever - dry cough - night sweats - fatigue - weight loss
Deep Sulcus Sign
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray

14. Initially dry cough then becomes productive with midline chest pain and low grade fever
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Beta Agonist

15. Dyspena Differentials
Bronchospasm - Hypersecretion - Inflammation
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

16. Which Influenza virus is worst? A or B? and which month is common for infection
Klebsiella Pneumonia
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
A - Winter
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

17. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Acute Lung Injury (ARDS)
Old and young - Pregnant - Toxic - Serious comorbidity
Pulmonary Embolism

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

19. Kerley V's Lines
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
CHF
Klebsiella Pneumonia - H. Influenza

20. 5 YO - 14 YO Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

21. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Transudate - Exudate - Chylous
Klebsiella Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Deep Sulcus Sign

22. Dyspnea - SOB - and hemoptysis are the most common signs in...
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Klebsiella Pneumonia - H. Influenza
A - Winter
Pulmonary Embolism

23. 8th leading caUse of death in US
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia - H. Influenza
Transudate - Exudate - Chylous
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

24. Pus in pleural space and the three stages of development
Klebsiella Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

25. What is the goal of PE treatment
A - Winter
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pneumoccocus - 2 mo - 5 YO Pneumonia

26. Three thypes of pleural effusion
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Acute Lung Injury (ARDS)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia