Hemoptysis Causes Review

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Questions and Answers

Which condition is characterized by patients coughing up 'currant jelly' sputum?

  • Pulmonary infarction
  • Aspergillomas
  • Pulmonary contusion
  • Necrotizing pneumonia (correct)

What is the most common symptom of aspergillomas?

  • Vascular disruption
  • Frothy sputum
  • Hemoptysis (correct)
  • Pleuritic pain

Which condition is more likely to affect a patient with prior cavitary disease from TB or bronchiectasis?

  • Aspergillomas (correct)
  • Pulmonary infarction
  • Necrotizing pneumonia
  • Pulmonary contusion

What is a common symptom of pulmonary infarction secondary to embolization?

<p>Pleuritic pain (A)</p> Signup and view all the answers

What is the common symptom of pulmonary contusion resulting from blunt chest trauma?

<p>Hemoptysis (C)</p> Signup and view all the answers

What percentage of patients with hemoptysis and normal chest radiographic findings were eventually diagnosed with lung cancer?

<p>5.4% (A)</p> Signup and view all the answers

Where do most cancers that cause hemoptysis originate?

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

What percentage of cancers causing hemoptysis are parenchymal?

<p>15% (B)</p> Signup and view all the answers

What should the history and physical examination focus on first to avoid unnecessary workup for a pulmonary cause of blood-tinged sputum?

<p>Nasal and oropharyngeal mucosa (D)</p> Signup and view all the answers

In the study, how many patients with hemoptysis had abnormal chest x-rays at presentation?

<p>Nearly 1,000 (C)</p> Signup and view all the answers

What is the most common cause of blood-tinged sputum in the primary care setting during the winter?

<p>Upper respiratory tract origin (B)</p> Signup and view all the answers

What percentage of cancers causing hemoptysis are endobronchial?

<p>~80% (A)</p> Signup and view all the answers

Which part of the pulmonary system is least likely to be the origin of cancers causing hemoptysis?

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

What is the most common indication for fiberoptic bronchoscopy?

<p>Ruling out the possibility of tumor (D)</p> Signup and view all the answers

Why should fiberoptic bronchoscopy not be considered a routine test for hemoptysis?

<p>It has a low diagnostic yield in low-risk patients (D)</p> Signup and view all the answers

Who are appropriate candidates for bronchoscopy based on the text?

<p>Patients with a high-risk profile or positive cytology (B)</p> Signup and view all the answers

What was reported as a rare but serious complication of fiberoptic bronchoscopy?

<p>Life-threatening cardiovascular or respiratory complications (A)</p> Signup and view all the answers

When is bronchoscopy mandatory in patients with massive hemoptysis?

<p>For patients who need surgery and to locate the bleeding site (B)</p> Signup and view all the answers

What kind of complications are rare but do occur during fiberoptic bronchoscopy?

<p>Life-threatening cardiovascular or respiratory complications (D)</p> Signup and view all the answers

Why is subjecting low-risk patients to bronchoscopic examination considered wasteful according to the text?

<p>It increases the cost and morbidity associated with the procedure (A)</p> Signup and view all the answers

Who is most at risk of experiencing hypoxia following bronchoscopy?

<p>&quot;Older persons with chronic obstructive pulmonary disease and coronary disease&quot; (A)</p> Signup and view all the answers

What condition is characterized by hemoptysis, diffuse interstitial infiltrates, anemia, and may be accompanied by idiopathic pulmonary hemosiderosis?

<p>Idiopathic pulmonary hemosiderosis (D)</p> Signup and view all the answers

Which condition may manifest with a family history of bleeding problems, visible telangiectasia in the buccal cavity and on the skin, and prior episodes of bleeding from multiple sites?

<p>Hereditary hemorrhagic telangiectasia (D)</p> Signup and view all the answers

What underlying feature is usually present along with hemoptysis being the first sign of a bleeding disorder or excessive anticoagulant therapy?

<p>An underlying bronchopulmonary lesion (A)</p> Signup and view all the answers

Which condition may be responsible for hemoptysis found in cases where there is a dilated pulmonary–bronchial venous connection rupture due to severe mitral stenosis?

<p>Hereditary vascular malformations (A)</p> Signup and view all the answers

What condition is characterized by vasculitic injury and hematuria accompanying the symptoms?

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

Which condition may present with an audible bruit on auscultation of the lung when arteriovenous malformations are present?

<p>Hereditary hemorrhagic telangiectasia (B)</p> Signup and view all the answers

What diagnostic strategy is concluded to be the most efficient in detecting lung cancers as a cause of hemoptysis?

<p>Bronchoscopy with initial sputum cytology (A)</p> Signup and view all the answers

Which imaging technique had a sensitivity of 84% and a specificity of 68% in correlating with bronchoscopy for patients with hemoptysis?

<p>Multislice computed tomography (A)</p> Signup and view all the answers

What is the leading cause of hemoptysis according to Weber F's study in 2001?

<p>Thoracic endometriosis (A)</p> Signup and view all the answers

In Garvey CJ and Hanlon R's study, what imaging technique is described as having advantages and disadvantages compared to magnetic resonance imaging?

<p>Multislice computed tomography (D)</p> Signup and view all the answers

Which study reviews the differential diagnosis and treatment of minor, moderate, and massive bleeding due to hemoptysis?

<p>Johnson JL (D)</p> Signup and view all the answers

What was the conclusion of Millar AB, Boothroyd AE, Edwards D, et al. regarding computed tomography in the investigation of unexplained hemoptysis?

<p>High sensitivity and high specificity (C)</p> Signup and view all the answers

Which study reappraises the causes of hemoptysis and attributes most cases to infection?

<p>[Santiago S, Tobias J, Williams AJ] A reappraisal of the causes of hemoptysis (C)</p> Signup and view all the answers

"Catamenial hemoptysis" is a term used to describe a rare result of which condition?

<p>[Thoracic endometriosis] (A)</p> Signup and view all the answers

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