Quiz
HYDROTHORAX
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Questions in this quiz (30)
1Check the correct mechanisms leading to hydrothorax?
- Alow fluid pressure in the blood vessels of pleura
- Bhigh fluid pressure in the blood vessels of pleura
- Clow oncotic pressure (eg liver cirrhosis, nephrotic syndrome, hemochromat disease - low albumin levels)
- Datelectasis (some areas in lung is oxygenated)
- Elow permeability of the vessels' wall
- Fhigh permeability of vessels' walls - due to infection or neoplasm
- Gheart failure
- Hlowered amount of fluid in perioneal cavity (peritoneal dialysis)
- Iobstruction or damaged lymph vessels?
2Pleural effusion is described as...
- Apus in the pleural cavity
- Bblood in the pleural cavity
- Cfluid accumulation in the pleural cavity
- Dfluid in the airways of lungs
- Efliud in the alveoli
3You are preparing a patient for a thoracentesis. Which of the following is the most appropriate position for the patient during the procedure?
- Apatient is laying on the affected side
- Bpatient is sitting up, leaning over a bedside table and feet supported on the ground or stool
- Cprone with both rms extended above the head
- DThe head-side of bed is elevated 45 degrees, and patient is laying on unaffected side - to trace down the fliud,
4Which of the folowing signs indicating hydrothorax is wrong?
- Apercussion note - Hyperresonant
- BBreath sound - loud
- Ctactile fremitus and transmitted voice sounds - loud
- Dtrachea not shifted toward opposite side in a large effusion
- EAll are wrong
5Patient undergoing a thoracentesis for a pleural effusion. After the procedure, the healthcare provider will monitor the patient for which of the following possible complications of the procedure?
- Apulmonary fibrosis
- Bpneumothorax
- Crespiratory acidosis
- DCOPD
6We can perform a thoracocentesis when INR>1,5
- ATrue
- BFalse
7APTT > 2x upper limit - is a contraindication for thoracocentetis
- ATrue
- BFalse
8we can peform a thoracocentetis in case of PLT > 50000/mcl
- ATrue
- BFalse
9Which of the folowing is a late complication of TCC?
- APneumothorax, Hemothorax
- BPleural empyema
- CAnesthetics' side effect
- DLung cancer
- EB and D
- FA and B
10LDH test is necessary to distinguish transudate and exudate fluid
- ATrue
- BFalse
11High level of glucose indicates neoplasmatic exudate, pleural empyema, TBC
- ATrue
- BFalse
12Which of the folowing causes transudate pleural fluid?
- ALiver cirrhosis
- BPulmonary embolism
- CLung cancer
- DTubercolosis
- EKidney diseases
- FAutoimmune disease
13Percussion note for pneumothorax is [blank_start]hyperresonant or tympanic[blank_end]
- Ahyperresonant or tympanic
- Bdeadened resonance
14Percussion note for pneumonia is [blank_start]hyperresonant[blank_end]
- Ahyperresonant
- Bdull over the airless area
15Percussion note for atelactasis is [blank_start]hyperresonant[blank_end]?
- Ahyperresonant
- Bdull over the airless area
16High level of amylase and adenosine deaminase is respectively seen in
- Aacute hepatitis and TBC
- Bacute pancreatitis and hemothorax
- Cacute pancreastitis and TBC
- Dnone of the above
17Pneumothorax might be asymptomatic
- ATrue
- BFalse
18Tactile fremitus and transmitted voice sounds for pneumothorax?
- Adecreased to absent
- Bincreases to decreased
- Cabsent
19[blank_start]Tension pneumothorox[blank_end] requires urgent needle compression in order to prevent cardiac arrest
- ATension pneumothorox
- BSpontanous pneumothorax
- CIatrogenic penumothorax
20Which of the folowing is not a typical cause of acute bronchitis?
- Ainfluenza A, B
- BParainfluence virus, RSV
- CCoronavirus and adeno virus
- DRhinovirus
- EBordetella pertusis (bacteria)
- FA-D is correct
- GAll is correct
21In acute B. the heart rate is >100, breating rate >24/min, >38C
- ATrue
- BFalse
22Which of the folowing is mostly used to treat acute B.?
- AAntibiotics and antipyretics
- BAnalgesics
- CPenicilin
- DAmoxicilin
23Hospital acquired pneumonia is when pneumonia is contracted by a patient in a hospital at least
- A24h
- B48h
- C76 h
- Djust within few hours
24Which one is not an atypical organism causing pneumonia?
- AStreptococcus pneumoniae
- BHaemophlius influenzae
- CChlamydophilia
- DLegionella pneumophilia
- EA and B
25In pneumonia breath sound is bronchial, and tactile fremitus [blank_start]increase over the involved area[blank_end]
- Aincrease over the involved area
- Bdecreased to absent
- Cabsent
26in pleural effusion percussion note is [blank_start]dull to flat over the fliud[blank_end] and tactile fremitus is decreased to absent
- Adull /flat over the fluid
- Bdecreased to absent
- Cabsent
- Ddull over the airless area
27Select the truthfull statements concerning patients with CRB65 score
- A0 are in high risk of death, and require hospitalization
- B1 or 2 are at increased risk of death - specially score 2
- Cscore 3 or more require urgent treatment and hospital admission
28Select the truthfull statements concerning CURB-65
- Ascore 0-1 is in low risk of death
- Bscore 2 should need a short-stay treatment
- Cscore 4 and 5 should be transferred to ICU
- Dscore 3 or more are at high risk of death
29CAP treatment
- AAntipyretics
- BAnalgesics
- CAmoxicilin
- DAll
30decompression of chest: a needle inserted to pleural space through [blank_start]2nd[blank_end] intercostal space in [blank_start]midclavicular line[blank_end]
- A2nd
- B3rd
- C1st
- Dmidclavicular line
- Emidscapular line
- Fmid axillary
- Gposterior axillary
Information
- Description
- CLINICAL TEST 1 Quiz on HYDROTHORAX, created by Karuthu Kandasamy on 04/11/2017.
- Author
- Karuthu Kandasamy
- Language
- English
- Views
- 26
- History
- Created on 4 Nov 2017 · updated on 17 Nov 2017
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