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. COPD and Asthma Pneumonia
Bronchospasm - Hypersecretion - Inflammation
CHF
Klebsiella Pneumonia - H. Influenza
Within 2 days with Amantadine

2. Dyspnea - SOB - and hemoptysis are the most common signs in...
CHF
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulmonary Embolism
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

3. Dyspena Differentials
Deep Sulcus Sign
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
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

4. Common symptoms of Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Pulsus Paradoxus

5. Special lab work for TB

6. What is the goal of PE treatment
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Viral

7. 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
Viral
Bronchospasm - Hypersecretion - Inflammation
Klebsiella Pneumonia

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

9. Acute Bronchitis is 90% caused by
A - Winter
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Within 2 days with Amantadine

10. Primary spontaneous common in young - tall malls in 20-40 YO
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

11. Which Influenza virus is worst? A or B? and which month is common for infection
Pulmonary Embolism
Viral
A - Winter
Pneumoccocus - 2 mo - 5 YO Pneumonia

12. Admission rule for pneumonia
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Old and young - Pregnant - Toxic - Serious comorbidity
Within 2 days with Amantadine

13. Cavitary lesions and bulging fissures
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Beta Agonist
Old and young - Pregnant - Toxic - Serious comorbidity
Klebsiella Pneumonia

14. 5 YO - 14 YO Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
CHF
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pulmonary Embolism

15. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Acute Lung Injury (ARDS)
Transudate - Exudate - Chylous
Bronchospasm - Hypersecretion - Inflammation
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

16. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Beta Agonist

17. 8th leading caUse of death in US
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Viral
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Beta Agonist

18. Initially dry cough then becomes productive with midline chest pain and low grade fever
Bronchospasm - Hypersecretion - Inflammation
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
CHF

19. Pus in pleural space and the three stages of development
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

20. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Bronchospasm - Hypersecretion - Inflammation
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulsus Paradoxus

21. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Pulmonary Embolism
Old and young - Pregnant - Toxic - Serious comorbidity
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

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

23. Number one pathogen of Pneumonia
Pulsus Paradoxus
Pneumoccocus - 2 mo - 5 YO Pneumonia
Klebsiella Pneumonia
Within 2 days with Amantadine

24. Three thypes of pleural effusion
Pulsus Paradoxus
Klebsiella Pneumonia
Transudate - Exudate - Chylous
Old and young - Pregnant - Toxic - Serious comorbidity

25. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Viral
Deep Sulcus Sign
Pulmonary Embolism

26. Kerley V's Lines
Pulmonary Embolism
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
CHF
Acute Lung Injury (ARDS)