Pleural Diseases- Surgical Diseases 4th Year- PMU

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Quiz by Med Student , updated 7 months ago
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Pleural Diseases: Pleural Empyema, Spontaneous Pneumothorax, Tumors of the Pleura, Malignant Pleural Effusions Surgical Diseases 4th Year- PMU

Resource summary

Question 1

Question
If you want Flashcards go to https://quizlet.com/_6qwel9
Answer
  • True
  • False

Question 2

Question
Pleural fluid is characterized as a transudate or an exudate. How do we differentiate between the two?
Answer
  • Culture for aerobic, anaerobic, and fungal organisms
  • Visual characteristics
  • Light’s criteria
  • Ranson's Criteria

Question 3

Question
Which of these chemistry markers are included in light’s criteria?
Answer
  • protein and LDH levels
  • glucose, LDH and pH
  • albumin and glucose levels
  • only pleural and serum protein levels

Question 4

Question
Which of these conditions is not a cause of exudative effusions?
Answer
  • Congestive heart failure
  • Primary lung or metastatic carcinoma
  • Empyema
  • Rheumatoid arthritis
  • Esophageal perforation

Question 5

Question
Which of these conditions can cause malignant pleural effusion?
Answer
  • direct or metastatic pleural involvement
  • bronchial or lymphatic obstruction
  • hypoproteinemia
  • sympathetic accumulation from infradiaphragmatic involvement
  • all of the above

Question 6

Question
What is the definition of a “trapped” lung?
Answer
  • 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

Question 7

Question
Why do we perform talk pleurodesis in patients with malignant pleural effusions?
Answer
  • to prevent recurrence of the effusion
  • to improve life expectancy
  • to take biopsy
  • all of the above

Question 8

Question
Which of these conditions can mot cause pleural empyema?
Answer
  • bronchopleural fistula
  • pulmonary embolism
  • rupture of a pulmonary or mediastinal abscess
  • esophageal perforation
  • tuberculosis

Question 9

Question
How do we treat patients with organizing/late stage empyema?
Answer
  • antibiotics and supportive care
  • fibrinolytic agents
  • chest tube drainage
  • thoracotomy with decortication
  • thoracotomy and pulmonectomy

Question 10

Question
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?
Answer
  • primary lung or metastatic carcinoma
  • chylothorax
  • primary spontaneous pneumothorax
  • empyema
  • congestive heart failure

Question 11

Question
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?
Answer
  • Empyema
  • Tuberculosis
  • Massive hemothorax
  • Primary spontaneous pneumothorax

Question 12

Question
Patients with spontaneous pneumothorax are usually
Answer
  • small children
  • elderly
  • young men
  • young women

Question 13

Question
Which of these conditions can cause primary spontaneous pneumothorax?
Answer
  • trauma
  • needle aspiration
  • surgery
  • subpleural blebs
  • central line insertion

Question 14

Question
What is the treatment of initial subtotal spontaneous pneumothorax?
Answer
  • conservative - observation
  • chest tube drainage
  • thoracoscopy
  • thoracotomy
  • all of the above

Question 15

Question
What is the treatment of recurrent spontaneous pneumothorax on the same side?
Answer
  • conservative - observation
  • chest tube drainage
  • thoracoscopy with resection of apical blebs
  • thoracotomy with lobectomy
  • none of the above

Question 16

Question
Malignant pleural mesothelioma is commonly associated with
Answer
  • Radiation exposure during childhood
  • Asbestos exposure
  • Genetic mutations
  • Tuberculosis

Question 17

Question
What is the treatment of malignant pleural mesothelioma?
Answer
  • chemotherapy
  • radiation therapy
  • extrapleural pneumonectomy
  • all of the above
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