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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.
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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. 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
Bronchospasm - Hypersecretion - Inflammation
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
CHF

2. First line treatment for Asthma
Beta Agonist
Pulsus Paradoxus
Transudate - Exudate - Chylous
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

3. Common symptoms of Influenza
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
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain

4. COPD and Asthma Pneumonia
Klebsiella Pneumonia
Klebsiella Pneumonia - H. Influenza
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF

5. Admission rule for pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Viral
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Old and young - Pregnant - Toxic - Serious comorbidity

6. Which Influenza virus is worst? A or B? and which month is common for infection
A - Winter
CHF
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

7. Number one pathogen of Pneumonia
Bronchospasm - Hypersecretion - Inflammation
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pneumoccocus - 2 mo - 5 YO Pneumonia

8. Acute Bronchitis is 90% caused by
Viral
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

9. Cavitary lesions and bulging fissures
Klebsiella Pneumonia
Beta Agonist
Pneumoccocus - 2 mo - 5 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation

10. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
CHF
Pulsus Paradoxus
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)

11. Primary spontaneous common in young - tall malls in 20-40 YO
Viral
CHF
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

12. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Old and young - Pregnant - Toxic - Serious comorbidity
Bronchospasm - Hypersecretion - Inflammation
Pulsus Paradoxus
CHF

13. Dyspnea - SOB - and hemoptysis are the most common signs in...
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Klebsiella Pneumonia
Acute Lung Injury (ARDS)
Pulmonary Embolism

14. Three mechanism of Asthma
Bronchospasm - Hypersecretion - Inflammation
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulsus Paradoxus
Beta Agonist

15. What is the goal of PE treatment
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)
Transudate - Exudate - Chylous
CHF

16. Three thypes of pleural effusion
Klebsiella Pneumonia - H. Influenza
Within 2 days with Amantadine
Transudate - Exudate - Chylous
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

17. Dyspena Differentials
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Deep Sulcus Sign
Klebsiella Pneumonia
Within 2 days with Amantadine

18. 5 YO - 14 YO Pneumonia
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Old and young - Pregnant - Toxic - Serious comorbidity

19. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Acute Lung Injury (ARDS)
Viral
Transudate - Exudate - Chylous
Within 2 days with Amantadine

20. Kerley V's Lines
CHF
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
Bronchospasm - Hypersecretion - Inflammation

21. Pus in pleural space and the three stages of development
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Beta Agonist
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

22. MCC of Pleural Effusion
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Pulmonary Embolism
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

23. Special lab work for TB

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24. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Klebsiella Pneumonia

25. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Acute Lung Injury (ARDS)
Beta Agonist
Pulmonary Embolism
Within 2 days with Amantadine

26. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Deep Sulcus Sign
Beta Agonist
Viral
A - Winter

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Emergency Medicine: Pulmonary

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