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Worksheets8. Diseases of the pleural & vascular origin
Total questions: 43
Worksheet time: 22mins
When a blood clot from a systemic vein lodges in one or more branches of the pulmonary a. is called:
Pulmonary embolism
Thrombophilia
Pulmonary HTN
Estrogen therapy, Inflammation and dehydration cause:
Vascular damage
Circulatory statis
Hypercoagulability
Physical trauma, strain or injury, and microtrauma to vessel wall cause:
Hypercoagulability
Vascular damage
Circulatory statis
Congenital abnormalities affecting venous anatomy, bradycardia, and hypotension may cause:
Hypercoagulability
Circulatory statis
Vascular damage
In patients with pulmonary embolism, sudden death is due to:
Blockage of blood flow
Right side HF
In patients with pulmonary embolism, death is due to:
Blockage of blood flow
right side HF
In PE, patients has
alveoli ventilated but not perfused
alveoli not ventilated but perfused
Alveoli ventilated but not perfused in PE, is due to:
Respiratory compromise
Hemodynamic compromise:
Increased resistance to pulmonary blood flow in PE, is due to:
Respiratory compromise
Hemodynamic compromise
A patient with PE and normal CV function may have:
Hemorrhage
Infarction
A patient with PE and abnormal CV function may have:
Hemorrhage
Infarction
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
The 1st stage of a pulmonary infarct (hemorrhagic) in PE is seen as:
red-blue
red-brown
gray/white
The 2nd stage of a pulmonary infarct (hemorrhagic) in PE is seen as:
red-blue
paler/red-brown
Gray/white
With time pulmonary infarct (hemorrhagic) in PE is seen as: ree
red-brown
red-blue
gray/white peripheral zone
EKG: S wave in the lead I, Q wave in lead III and a T inverted in lead III is seen in:
PE
Pulmonary HTN
Pleural diseases
Pneumothorax
Dilation of pulmonary vessels proximal to embolism along collapse of distal vessels is seen in PE is called:
McGinn-White Sign
WESTERMARK SIGN
In a PE, the spiral CT angiography shows:
dilation of pulmonary a.
Collapsed of the distal vasculature
abnormal ventricular filling
An acute PE, can resolved?
True
False
A Mean pulmonary artery pressure > 25 mm Hg at rest cause:
PE
Pulmonary HTN
Pneumothorax
Pulmonary HTN is caused by Cardiopulmonary conditions that ______ either pulmonary blood flow, pulmonary vascular resistance, or left heart resistance to blood flow.
Increase
Decrease
Findings in:
• Medial hypertrophy of the pulmonary muscular and elastic arteries
• Right ventricular hypertrophy
• Atheroma- like change
Pulmonary HTN
PE
Pneumothorax
Pleural effusion
An enlarge cardiac silhouette is seen in:
PE
Pulmonary HTN
Pleural effusion
Pneumothorax
Seen in:
PE
Pneumothorax
Pleural effusion
Pulmonary HTN
Type of pleural effusion:
1. Due to ⬆ hydrostatic pressure or ⬇ oncotic pressure
Ex: CHF, Cirrhosis, Nephrotic syndrome, PE and Hypoalbunemia.
NON INFLAMMATORY
Transudative
Exudative
Type of pleural effusion:
1. Due to Inflammation and⬆ capillary permeability
Ex: Pneumonia, Cancer, TB, Viral infection, PE and Autoimmune disease.
INFLAMMATORY
Transudtative
Exudative
Fluid accumulation in the pleural space is called
Pulmonary effusion
Pulmonary edema
Fluid accumulation in the alveolar space is called
Pulmonary edema
Pulmonary effusion
Type of pleural effusion:
⬇ 0.5
⬇ 0.6
Transudate
Exudate
Type of pleural effusion:
⬆ 0.5
⬆ 0.6
Transudate
Exudate
In exudate pleuritis, large amounts of fluid sometimes accumulate and compress the lung, causing:
RESPIRATORY DISTRESS
RESTRICT PULMONARY
EXPANSION
In Exudate empyema pleuritis, empyema may resolve but exudate organizes into dense, fibrous adhesions that obliterate or envelop the lung, causing:
RESPIRATORY DISTRESS
RESTRICT PULMONARY
EXPANSION
Collections of serous fluid within the pleural cavities is called:
HYDROTHORAX
HEMOTHORAX
CHYLOTHORAX
Transudate pleuritis caused by cardiac failure + pulmonary congestion + edema
HYDROTHORAX
HEMOTHORAX
CHYLOTHORAX
Is a fatal complication of a ruptured aortic aneurysm or vascular trauma or it may occur postoperatively is called:
HEMOTHORAX
CHYLOTHORAX
HYDROTHORAX
Accumulation of milky fluid, usually of lymphatic origin in the pleural cavity is called:
HYDROTHORAX
CHYLOTHORAX
HEMOTHORAX
Caused by thoracic duct trauma or obstruction that causes rupture of major lymphatic ducts.
CHYLOTHORAX
HEMOTHORAX
HYDROTHORAX
Pneumothorax is associated with:
EMPHYSEMA
ASTHMA
TUBERCULOSIS
CANCER INVASION
Any form of pulmonary disease that causes rupture of an alveolus is called:
SPONTANEOUS
PNEUMOTHORAX
TRAUMATIC
PNEUMOTHORAX
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.
SPONTANEOUS
PNEUMOTHORAX
TRAUMATIC
PNEUMOTHORAX
Physical examination:
Breath sounds: ⬇
Percussion: Dull
Fremitus: ⬇
Tracheal deviation: Contralateral
Pleural effusion
Simple pneumothorax
Tension pneumothorax
Physical examination:
Breath sounds: ⬇
Percussion: Hyper-resonant
Fremitus: ⬇
Tracheal deviation: Midline
Pleural effusion
Simple pneumothorax
Tension pneumothorax
Physical examination:
Breath sounds: ⬇
Percussion: Hyper-resonant
Fremitus: ⬇
Tracheal deviation: Contralateral
Pleural effusion
Simple pneumothorax
Tension pneumothorax
