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Pleural Diseases: Pleural Empyema, Spontaneous Pneumothorax, Tumors of the Pleura, Malignant Pleural Effusions Surgical Diseases 4th Year- PMU

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Pleural Diseases- Surgical Diseases 4th Year- PMU

Pleural Diseases- Surgical Diseases 4th Year- PMU

Question 1 of 17

1

If you want Flashcards go to
https://quizlet.com/_6qwel9

Select one of the following:

  • True
  • False

Explanation

Question 2 of 17

1

Pleural fluid is characterized as a transudate or an exudate. How do we differentiate between the two?

Select one of the following:

  • Culture for aerobic, anaerobic, and fungal organisms

  • Visual characteristics

  • Light’s criteria

  • Ranson's Criteria

Explanation

Question 3 of 17

1

Which of these chemistry markers are included in light’s criteria?

Select one of the following:

  • protein and LDH levels

  • glucose, LDH and pH

  • albumin and glucose levels

  • only pleural and serum protein levels

Explanation

Question 4 of 17

1

Which of these conditions is not a cause of exudative effusions?

Select one of the following:

  • Congestive heart failure

  • Primary lung or metastatic carcinoma

  • Empyema

  • Rheumatoid arthritis

  • Esophageal perforation

Explanation

Question 5 of 17

1

Which of these conditions can cause malignant pleural effusion?

Select one of the following:

  • direct or metastatic pleural involvement

  • bronchial or lymphatic obstruction

  • hypoproteinemia

  • sympathetic accumulation from infradiaphragmatic involvement

  • all of the above

Explanation

Question 6 of 17

1

What is the definition of a “trapped” lung?

Select one of the following:

  • presence of a massive pleural effusion leading to severe dyspnea

  • severe infection of the pleural space

  • failure of the lung to expand completely after thoracentesis

  • when chyle from the thoracic duct empties into the pleural space

  • none of the above

Explanation

Question 7 of 17

1

Why do we perform talk pleurodesis in patients with malignant pleural effusions?

Select one of the following:

  • to prevent recurrence of the effusion

  • to improve life expectancy

  • to take biopsy

  • all of the above

Explanation

Question 8 of 17

1

Which of these conditions can mot cause pleural empyema?

Select one of the following:

  • bronchopleural fistula

  • pulmonary embolism

  • rupture of a pulmonary or mediastinal abscess

  • esophageal perforation

  • tuberculosis

Explanation

Question 9 of 17

1

How do we treat patients with organizing/late stage empyema?

Select one of the following:

  • antibiotics and supportive care

  • fibrinolytic agents

  • chest tube drainage

  • thoracotomy with decortication

  • thoracotomy and pulmonectomy

Explanation

Question 10 of 17

1

A 37-year-old patient is admitted to the hospital with symptoms of general malaise, fever, weight loss, cough and dyspnea for the past two weeks. On the plain x-ray there is evidence of massive pleural effusion. What is the most probable diagnosis?

Select one of the following:

  • primary lung or metastatic carcinoma

  • chylothorax

  • primary spontaneous pneumothorax

  • empyema

  • congestive heart failure

Explanation

Question 11 of 17

1

A 20-year-old man comes to the emergency department with symptoms of sudden sharp pain in his right hemithorax and dyspnea. He does not report for any trauma. Findings from the physical examination - reduced breath sounds on the right side. Before performing any imaging tests what is the most probable diagnosis?

Select one of the following:

  • Empyema

  • Tuberculosis

  • Massive hemothorax

  • Primary spontaneous pneumothorax

Explanation

Question 12 of 17

1

Patients with spontaneous pneumothorax are usually

Select one of the following:

  • small children

  • elderly

  • young men

  • young women

Explanation

Question 13 of 17

1

Which of these conditions can cause primary spontaneous pneumothorax?

Select one of the following:

  • trauma

  • needle aspiration

  • surgery

  • subpleural blebs

  • central line insertion

Explanation

Question 14 of 17

1

What is the treatment of initial subtotal spontaneous pneumothorax?

Select one of the following:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy

  • thoracotomy

  • all of the above

Explanation

Question 15 of 17

1

What is the treatment of recurrent spontaneous pneumothorax on the same side?

Select one of the following:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy with resection of apical blebs

  • thoracotomy with lobectomy

  • none of the above

Explanation

Question 16 of 17

1

Malignant pleural mesothelioma is commonly associated with

Select one of the following:

  • Radiation exposure during childhood

  • Asbestos exposure

  • Genetic mutations

  • Tuberculosis

Explanation

Question 17 of 17

1

What is the treatment of malignant pleural mesothelioma?

Select one of the following:

  • chemotherapy

  • radiation therapy

  • extrapleural pneumonectomy

  • all of the above

Explanation

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