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Pulm 5 -PE, ARDS, the rest ;)

Total questions: 12

Worksheet time: 7mins

Name
Class
Date
1.

Ginny is a 20 yr old who just started oral contraceptive agents. She presents with unilateral lower extremity swelling without a mechanism of injury. Which of the following should be applied?

a)

CURB-65

b)

Centor Criteria

c)

Well Criteria

d)

TNM classification

2.

Josue is a 65 yr old American male who flew in from Spain after a work trip 2 days ago. He is in your ER today with shortness of breath. BP 80/40, HR 130, RR 30, SpO2 90%. Which of the following terms could be used to describe him at this time? (choose all that apply)

a)

Hypoxic

b)

Tachycardic

c)

Tachypneic

d)

Hypertensive

3.

People with pulmonary emboli should be assessed for Virchow's triad which includes (choose all that apply)

a)

Vascular (intimal) injury

b)

Hypercoagulable states

c)

Asbestos exposure

d)

History of smoking

e)

Venous stasis

4.

Which of the following drugs may induce a hypercoagulable state?

a)

Factor Xa inhibitors

b)

Tissue plasminogen activator

c)

Beta-lactam antibiotics

d)

Oral contraceptive pills

e)

Anticoagulants

5.

The primary cause of pulmonary hypertension (right heart failure) is:

a)

Left heart failure

b)

Pulmonary embolus

c)

Cirrhosis of the liver

d)

Lung malignancy

6.

Your patient has primary pulmonary hypertension confirmed with right heart catheterization. Which of the following physical exam findings might lead you to a cause?

a)

Decreased lung sounds

b)

Elastic, stretchy skin

c)

Skin abscesses, dental decay

d)

Retinal changes

7.

Which of the following drug classes may be used to treat someone with pulmonary arterial hypertension?

a)

Vasopressors

b)

Antibiotics

c)

NOACs/DOACs

d)

Beta agonists

e)

PDE-5 inhibitors

8.

The most common causeS of ARDS include (choose all that apply):

a)

COVID pneumonia

b)

Heroin use

c)

Inhalation injury

d)

Malignancy

e)

Vaping

9.

Which of the following is consistent with the pathophysiology of acute respiratory distress syndrome?

a)

Injury of the rib cage generating tension difference in the pleural space

b)

Inflammatory mediator cascade with tissue injury and pulmonary edema

c)

Leaking vessel disorder caused by increased vascular pressure

d)

Granulomatous disease of the small airways causing cavitary lesions

10.

(Unrelated to this exam but just so you know in general).

Which pulmonary complications has COVID-19 been associated with? (choose all that apply)

a)

Acute respiratory distress syndrome

b)

Pneumonia

c)

Pulmonary fibrosis

d)

Pulmonary emboli

11.

Analogies! Dialysis is to the kidney as ________ is to the lung.

a)

CPAP

b)

ECMO

c)

CT Pulmonary Angiogram

d)

BIPAP

e)

Mechanical ventilation

12.

Mike is transgender female and is on high school track team where she specializes in relays. She presents with acute onset shortness of breath. On physical exam, she is 6'2", 175lbs, BP 100/70, HR 80, Temp 98.7, SpO2 99% on room air. There are absent right lung sounds. This scenario is most consistent with:

a)

Pneumothorax

b)

Emphysema

c)

Bronchitis

d)

Pleural effusion

e)

Cor pulmonale