Pneumothorax: Definition and Classification
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Questions and Answers

What is the definition of pneumothorax?

  • A condition where the lungs are over-inflated
  • A collection of fluid within the pleural space
  • A collection of air within the lung tissue
  • A collection of air within the pleural space between the lungs and the chest wall (correct)

What is the classification of spontaneous pneumothorax?

  • Acute and chronic
  • Right-sided and left-sided
  • Primary and secondary (correct)
  • Simple and complicated

According to the BTS, patients over 50 years or with significant smoking history should be labeled as SSP because:

  • There is a high likelihood of pathologic lung changes even with normal CXR (correct)
  • Their risk of recurrent pneumothorax is higher
  • They are more likely to develop primary spontaneous pneumothorax
  • Their symptoms are often atypical and difficult to diagnose

What percentage of patients with primary spontaneous pneumothorax experience recurrent pneumothorax?

<p>~30% (A)</p> Signup and view all the answers

In terms of epidemiology, in what age group does primary spontaneous pneumothorax occur more frequently?

<p>Younger patients (A)</p> Signup and view all the answers

What distinguishes secondary spontaneous pneumothorax (SSP) from primary spontaneous pneumothorax (PSP)?

<p>The involvement of underlying lung disease (C)</p> Signup and view all the answers

What is the peak incidence of primary spontaneous pneumothorax?

<p>16-25 years (B)</p> Signup and view all the answers

What is the peak incidence of secondary spontaneous pneumothorax?

<p>60-65 years (B)</p> Signup and view all the answers

What is the most common cause of primary spontaneous pneumothorax?

<p>Ruptured subpleural apical blebs (A)</p> Signup and view all the answers

Which lung disease is most commonly associated with secondary spontaneous pneumothorax?

<p>COPD (B)</p> Signup and view all the answers

What is the primary risk factor for primary spontaneous pneumothorax?

<p>Smoking (B)</p> Signup and view all the answers

In which population does catamenial pneumothorax primarily occur?

<p>Women with endometriosis (B)</p> Signup and view all the answers

What is the characteristic manifestation of catamenial pneumothorax?

<p>Chest pain and dyspnea only during menstruation (D)</p> Signup and view all the answers

What is the mechanism of tension pneumothorax development?

<p>Progressive accumulation of air causing ipsilateral lung collapse and mediastinal shift (D)</p> Signup and view all the answers

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