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8. Diseases of the pleural & vascular origin

Total questions: 43

Worksheet time: 22mins

Name
Class
Date
1.

When a blood clot from a systemic vein lodges in one or more branches of the pulmonary a. is called:

a)

Pulmonary embolism

b)

Thrombophilia

c)

Pulmonary HTN

2.

Estrogen therapy, Inflammation and dehydration cause:

a)

Vascular damage

b)

Circulatory statis

c)

Hypercoagulability

3.

Physical trauma, strain or injury, and microtrauma to vessel wall cause:

a)

Hypercoagulability

b)

Vascular damage

c)

Circulatory statis

4.

Congenital abnormalities affecting venous anatomy, bradycardia, and hypotension may cause:

a)

Hypercoagulability

b)

Circulatory statis

c)

Vascular damage

5.

In patients with pulmonary embolism, sudden death is due to:

a)

Blockage of blood flow

b)

Right side HF

6.

In patients with pulmonary embolism, death is due to:

a)

Blockage of blood flow

b)

right side HF

7.

In PE, patients has

a)

alveoli ventilated but not perfused

b)

alveoli not ventilated but perfused

8.

Alveoli ventilated but not perfused in PE, is due to:

a)

Respiratory compromise

b)

Hemodynamic compromise:

9.

Increased resistance to pulmonary blood flow in PE, is due to:

a)

Respiratory compromise

b)

Hemodynamic compromise

10.

A patient with PE and normal CV function may have:

a)

Hemorrhage

b)

Infarction

11.

A patient with PE and abnormal CV function may have:

a)

Hemorrhage

b)

Infarction

12.

Pulmonary embolus can be distinguished from a postmortem clot by the presence of Pulmonary embolus can be distinguished from a postmortem clot by the presence of (a)   in the thrombus in the thrombus

13.

The 1st stage of a pulmonary infarct (hemorrhagic) in PE is seen as:

a)

red-blue

b)

red-brown

c)

gray/white

14.

The 2nd stage of a pulmonary infarct (hemorrhagic) in PE is seen as:

a)

red-blue

b)

paler/red-brown

c)

Gray/white

15.

With time pulmonary infarct (hemorrhagic) in PE is seen as: ree

a)

red-brown

b)

red-blue

c)

gray/white peripheral zone

16.

EKG: S wave in the lead I, Q wave in lead III and a T inverted in lead III is seen in:

a)

PE

b)

Pulmonary HTN

c)

Pleural diseases

d)

Pneumothorax

17.

Dilation of pulmonary vessels proximal to embolism along collapse of distal vessels is seen in PE is called:

a)

McGinn-White Sign

b)

WESTERMARK SIGN

18.

In a PE, the spiral CT angiography shows:

a)

dilation of pulmonary a.

b)

Collapsed of the distal vasculature

c)

abnormal ventricular filling

19.

An acute PE, can resolved?

a)

True

b)

False

20.

A Mean pulmonary artery pressure > 25 mm Hg at rest cause:

a)

PE

b)

Pulmonary HTN

c)

Pneumothorax

21.

Pulmonary HTN is caused by Cardiopulmonary conditions that ______ either pulmonary blood flow, pulmonary vascular resistance, or left heart resistance to blood flow.

a)

Increase

b)

Decrease

22.

Findings in:

• Medial hypertrophy of the pulmonary muscular and elastic arteries

• Right ventricular hypertrophy

• Atheroma- like change

a)

Pulmonary HTN

b)

PE

c)

Pneumothorax

d)

Pleural effusion

23.

An enlarge cardiac silhouette is seen in:

a)

PE

b)

Pulmonary HTN

c)

Pleural effusion

d)

Pneumothorax

24.

Seen in:

a)

PE

b)

Pneumothorax

c)

Pleural effusion

d)

Pulmonary HTN

25.

Type of pleural effusion:

1. Due to ⬆ hydrostatic pressure or ⬇ oncotic pressure

Ex: CHF, Cirrhosis, Nephrotic syndrome, PE and Hypoalbunemia.

NON INFLAMMATORY

a)

Transudative

b)

Exudative

26.

Type of pleural effusion:

1. Due to Inflammation and⬆ capillary permeability

Ex: Pneumonia, Cancer, TB, Viral infection, PE and Autoimmune disease.

INFLAMMATORY

a)

Transudtative

b)

Exudative

27.

Fluid accumulation in the pleural space is called

a)

Pulmonary effusion

b)

Pulmonary edema

28.

Fluid accumulation in the alveolar space is called

a)

Pulmonary edema

b)

Pulmonary effusion

29.

Type of pleural effusion:

⬇ 0.5

⬇ 0.6

a)

Transudate

b)

Exudate

30.

Type of pleural effusion:

⬆ 0.5

⬆ 0.6

a)

Transudate

b)

Exudate

31.

In exudate pleuritis, large amounts of fluid sometimes accumulate and compress the lung, causing:

a)

RESPIRATORY DISTRESS

b)

RESTRICT PULMONARY

EXPANSION

32.

In Exudate empyema pleuritis, empyema may resolve but exudate organizes into dense, fibrous adhesions that obliterate or envelop the lung, causing:

a)

RESPIRATORY DISTRESS

b)

RESTRICT PULMONARY

EXPANSION

33.

Collections of serous fluid within the pleural cavities is called:

a)

HYDROTHORAX

b)

HEMOTHORAX

c)

CHYLOTHORAX

34.

Transudate pleuritis caused by cardiac failure + pulmonary congestion + edema

a)

HYDROTHORAX

b)

HEMOTHORAX

c)

CHYLOTHORAX

35.

Is a fatal complication of a ruptured aortic aneurysm or vascular trauma or it may occur postoperatively is called:

a)

HEMOTHORAX

b)

CHYLOTHORAX

c)

HYDROTHORAX

36.

Accumulation of milky fluid, usually of lymphatic origin in the pleural cavity is called:

a)

HYDROTHORAX

b)

CHYLOTHORAX

c)

HEMOTHORAX

37.

Caused by thoracic duct trauma or obstruction that causes rupture of major lymphatic ducts.

a)

CHYLOTHORAX

b)

HEMOTHORAX

c)

HYDROTHORAX

38.

Pneumothorax is associated with:

a)

EMPHYSEMA

b)

ASTHMA

c)

TUBERCULOSIS

d)

CANCER INVASION

39.

Any form of pulmonary disease that causes rupture of an alveolus is called:

a)

SPONTANEOUS

PNEUMOTHORAX

b)

TRAUMATIC

PNEUMOTHORAX

40.

Caused by some perforating injury to the chest wall, if it pierces the lung, it makes two avenues for the accumulation of air within the pleural spaces.

a)

SPONTANEOUS

PNEUMOTHORAX

b)

TRAUMATIC

PNEUMOTHORAX

41.

Physical examination:

Breath sounds: ⬇

Percussion: Dull

Fremitus: ⬇

Tracheal deviation: Contralateral

a)

Pleural effusion

b)

Simple pneumothorax

c)

Tension pneumothorax

42.

Physical examination:

Breath sounds: ⬇

Percussion: Hyper-resonant

Fremitus: ⬇

Tracheal deviation: Midline

a)

Pleural effusion

b)

Simple pneumothorax

c)

Tension pneumothorax

43.

Physical examination:

Breath sounds: ⬇

Percussion: Hyper-resonant

Fremitus: ⬇

Tracheal deviation: Contralateral

a)

Pleural effusion

b)

Simple pneumothorax

c)

Tension pneumothorax