Pleural Diseases and Pulmonary Embolism Quiz

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38 Questions

Which membrane lines the pleural cavity and produces a sterile serous fluid?

Mesothelium

What is the potential space between the visceral and parietal pleura called?

Pleural cavity

Which condition is characterized by the presence of pus in the pleural cavity?

Empyema

Which condition is characterized by the presence of blood in the pleural cavity?

Haemothorax

Which of the following conditions is characterized by the presence of air in the pleural cavity?

Pneumothorax

Which of the following is NOT a mechanism involved in pleural effusion?

Decreased vascular permeability

Which type of pleural effusion is characterized by the presence of high protein and LDH levels in the pleural fluid?

Exudative

Which condition can lead to pleural effusion through the mechanism of decreased plasma oncotic pressure?

Cirrhosis

Which mechanism is responsible for pleural effusion in cancer?

Lymphatic obstruction

Which mechanisms are primarily responsible for the development of exudative pleural effusion in pneumonia?

Inflammation and increased capillary permeability

Which of the following is a characteristic of primary spontaneous pneumothorax?

More common in males than females

What is the main difference between open pneumothorax and tension pneumothorax?

In open pneumothorax, air can exit the pleural cavity but cannot exit in tension pneumothorax

What is the initial management for tension pneumothorax?

Immediate needle decompression with a simple hypodermic needle

Where is the recommended site for needle decompression in tension pneumothorax?

2nd intercostal space (ICS), midclavicular line (MCL)

What confirms the diagnosis of tension pneumothorax during needle decompression?

Gush of air

Which type of pneumothorax is more severe, presents with sudden onset of breathlessness, and is associated with underlying lung diseases?

Spontaneous secondary pneumothorax

Which type of pneumothorax is caused by blunt trauma to the chest?

Traumatic pneumothorax

In open pneumothorax, there is a tear in the pleura that establishes a connection between the pleural cavity and the:

Outside environment

Tension pneumothorax occurs when:

There is a tear in the pleura that acts as a one-way valve, allowing air to enter but not exit during expiration.

Which of the following is the most common cause of hemothorax?

Blunt chest trauma

How do microorganisms gain entry into the pleural cavity in cases of empyema?

All of the above

Which of the following is a symptom of hemothorax?

Pleuritic chest pain

Which of the following microorganisms are involved in empyema?

E. coli

Which finding is consistent with a normal respiratory examination?

Resonant percussion

Which finding is associated with pleural effusion?

Reduced air entry during auscultation

Which finding is consistent with pneumothorax?

Reduced air entry during auscultation

A patient shows hyper resonant percussion and decreased chest expansion on examination. Which condition is the most probable cause?

Pneumothorax

Which of the following is the most common cause of pulmonary embolism?

Thrombus

Which of the following is a risk factor for developing venous thromboembolism (VTE)?

All of the above

Which of the following is a symptom of deep vein thrombosis (DVT)?

Swelling, redness, and pain of the affected leg

Which of the following is NOT a benign pleural neoplasm?

Mesothelioma

What are the common site of origin for metastatic pleural neoplasms?

Lungs

Which condition is associated with exposure to asbestos?

Mesothelioma

Which of the following medications is associated with an increased risk of venous thromboembolism (VTE)?

Oral contraceptives (OCP)

Which symptom is most commonly associated with acute massive pulmonary embolism?

Syncope

Which sign is typically observed in patients with acute small or medium pulmonary embolism?

Fever

What are the two important consequences of pulmonary arterial occlusion?

Hemodynamic compromise and respiratory compromise

What is a potential outcome of a massive pulmonary embolism or chronic pulmonary embolism?

Pulmonary hypotension

Test your knowledge on pleural diseases and pulmonary embolism with this quiz! Learn about pleural effusions, pneumothorax, empyema, haemothorax, and pleural neoplasms.

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