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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. Common symptoms of Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
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

2. Admission rule for pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Pulmonary Embolism
Pneumoccocus - 2 mo - 5 YO Pneumonia
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

3. Three mechanism of Asthma
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Bronchospasm - Hypersecretion - Inflammation

4. First line treatment for Asthma
Transudate - Exudate - Chylous
Pulsus Paradoxus
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Beta Agonist

5. Which Influenza virus is worst? A or B? and which month is common for infection
Bronchospasm - Hypersecretion - Inflammation
A - Winter
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Acute Lung Injury (ARDS)

6. Initially dry cough then becomes productive with midline chest pain and low grade fever
Within 2 days with Amantadine
Transudate - Exudate - Chylous
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral

7. COPD and Asthma Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia - H. Influenza
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
CHF

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

9. Acute Bronchitis is 90% caused by
A - Winter
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

10. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Pulsus Paradoxus
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

11. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Within 2 days with Amantadine
Acute Lung Injury (ARDS)
Old and young - Pregnant - Toxic - Serious comorbidity

12. Dyspnea - SOB - and hemoptysis are the most common signs in...
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pneumoccocus - 2 mo - 5 YO Pneumonia
Pulmonary Embolism
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

13. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
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

14. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Beta Agonist
Pneumoccocus - 2 mo - 5 YO Pneumonia
Acute Lung Injury (ARDS)
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

15. Dyspena Differentials
Transudate - Exudate - Chylous
Beta Agonist
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Bronchospasm - Hypersecretion - Inflammation

16. 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
Within 2 days with Amantadine
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

17. Three thypes of pleural effusion
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Within 2 days with Amantadine
Transudate - Exudate - Chylous
Bronchospasm - Hypersecretion - Inflammation

18. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
A - Winter
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)

19. Primary spontaneous common in young - tall malls in 20-40 YO
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
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
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

20. Special lab work for TB

21. Cavitary lesions and bulging fissures
Viral
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
CHF

22. What is the goal of PE treatment
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulmonary Embolism
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

23. Kerley V's Lines
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
CHF
Pulmonary Embolism
A - Winter

24. 5 YO - 14 YO Pneumonia
Deep Sulcus Sign
Klebsiella Pneumonia - H. Influenza
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Pulsus Paradoxus

25. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Klebsiella Pneumonia
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

26. MCC of Pleural Effusion
Beta Agonist
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Deep Sulcus Sign