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. What is the goal of PE treatment
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Lung Injury (ARDS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer

2. Three mechanism of Asthma
Old and young - Pregnant - Toxic - Serious comorbidity
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Pneumoccocus - 2 mo - 5 YO Pneumonia
Bronchospasm - Hypersecretion - Inflammation

3. 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
Pulmonary Embolism
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

4. Heroin overdose typically causes fluffy patchy bilateral infiltrates and can result in 50% mortality in 72 hours
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Acute Lung Injury (ARDS)
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Klebsiella Pneumonia

5. COPD and Asthma Pneumonia
Klebsiella Pneumonia - H. Influenza
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Acute Lung Injury (ARDS)
Transudate - Exudate - Chylous

6. Pus in pleural space and the three stages of development
Beta Agonist
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Viral
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

7. MCC of Pleural Effusion
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
CHF

8. Initially dry cough then becomes productive with midline chest pain and low grade fever
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Beta Agonist
CHF
Acute Lung Injury (ARDS)

9. First line treatment for Asthma
Eliminate clot and prevent recurrence with Anticoagulation (IV Heparin and Warfarin)
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza
Old and young - Pregnant - Toxic - Serious comorbidity
Beta Agonist

10. Acute Bronchitis is 90% caused by
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Viral
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)

11. When blood pressure corresponds with breathing and pressure goes down on inspiration.
Klebsiella Pneumonia - H. Influenza
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Pulsus Paradoxus

12. Pneumothorax is associated with chest pain - decreased breath sound - subcutaneous emphysema - and which sign
Acute Lung Injury (ARDS)
Old and young - Pregnant - Toxic - Serious comorbidity
Deep Sulcus Sign
Empyema 1. Exudative 2. Fibrinopurulent 3. Organization

13. Number one pathogen of Pneumonia
Pneumoccocus - 2 mo - 5 YO Pneumonia
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
A - Winter
Klebsiella Pneumonia - H. Influenza

14. Which Influenza virus is worst? A or B? and which month is common for infection
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia
A - Winter

15. When should high risk patients such as old - pregnant - immunocompromised - and children (2-4 YO) be treated
Beta Agonist
Within 2 days with Amantadine
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS

16. Common symptoms of Influenza
Within 2 days with Amantadine
Acute Lung Injury (ARDS)
Klebsiella Pneumonia
Abrupt onset of fever - Muscle aches - Headache - General Malaise - Rhinorrhea - Sore Throat - Lymphadenopathy

17. Three thypes of pleural effusion
Within 2 days with Amantadine
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)
Transudate - Exudate - Chylous
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

18. Admission rule for pneumonia
CHF
Old and young - Pregnant - Toxic - Serious comorbidity
Acute Lung Injury (ARDS)
Klebsiella Pneumonia

19. Fever - dry cough - night sweats - fatigue - weight loss
Viral
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
Pulsus Paradoxus
Pulmonary Embolism

20. Special lab work for TB

21. Dyspena Differentials
Acute Lung Injury (ARDS)
Pulmonary Embolism
Tuberculosis (Reactivation) - Primary TB usually silent asymptomatic - Tx: Isoniazid - Rifampn for 6 months - Special feature on TB xray
ABCDEFGHI - Asthma - Anxiety - Block or obstruction - COPD - Carcinoma - Cardiac - Distress (ARDS) - Embolus - Fluids (effusions) - Gone Bad (Trauma) - Hempotysis - Infection - Influenza

22. Cavitary lesions and bulging fissures
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)
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

23. Primary spontaneous common in young - tall malls in 20-40 YO
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
CHF (Tx: Diuresis 75%) - Pneumonia (Tx: Thorancentesis 25%) - Cancer
Pneumothorax - Tx: Less than 20%: observe. - Greater than 20%: tube thoracostomy at 2nd ICS
Old and young - Pregnant - Toxic - Serious comorbidity

24. Kerley V's Lines
Pneumoccocus - 2 mo - 5 YO Pneumonia
Transudate - Exudate - Chylous
CHF
Klebsiella Pneumonia - H. Influenza

25. 5 YO - 14 YO Pneumonia
Ghon complex and diffuse 'milia' - Sputnum culture with acid fast stain
Old and young - Pregnant - Toxic - Serious comorbidity
Transudate - Exudate - Chylous
GBS - N. Meningitis - S. Pneumonia - Mycoplasma Pneumonia (atypical) - Alcoholics and DM Pneumonia

26. 8th leading caUse of death in US
Pneumonia - Macrolides - 3rd generation cephalosporin - fluroquinolones 3-5 days (afebrile) or 7-14 days (febrile)
Beta Agonist
Within 2 days with Amantadine
Acute Bronchitis - Tx: Beta Agonist MDI (NO ANTIBIOTICS)