Pleural Effusion Quiz
73 Questions
9 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is a common cause of pneumonia?

  • Legionella pneumophila
  • Chlamydia pneumoniae
  • Influenza viruses
  • Streptococcus pneumoniae (correct)

    • What is the typical incidence of pneumonia in the general population?

  • 1-3 per 1000 (correct)
  • 5-7 per 1000
  • 7-9 per 1000
  • 3-5 per 1000

    • Which of the following is a classification of pneumonia based on anatomical location?

  • Bronchopneumonia
  • Lobar pneumonia (correct)
  • Pneumococcal pneumonia
  • Atypical pneumonia

    • Which type of pneumonia develops more than 48 hours after hospital admission?

    <p>Ventilator-associated pneumonia</p> Signup and view all the answers

    What is the main symptom of pneumonia?

    <p>Shortness of breath</p> Signup and view all the answers

    Which type of pneumonia occurs in ambulatory patients who are not hospitalized and have had extensive healthcare contact within the last 3 months?

    <p>Healthcare-associated pneumonia</p> Signup and view all the answers

    Which type of pneumonia is the most common?

    <p>Community-acquired pneumonia</p> Signup and view all the answers

    Which of the following invasive approaches should be considered if thoracoscopy is unavailable?

    <p>Both A and B</p> Signup and view all the answers

    What is the definition of Health care associated pneumonia (HCAP)?

    <p>Pneumonia that occurs in ambulatory patients who are not hospitalized and have had extensive healthcare contact within the last 3 months</p> Signup and view all the answers

    Which of the following refers to a milky white effusion high in triglycerides?

    <p>Chylous effusion</p> Signup and view all the answers

    Which of the following is NOT a type of fluid that can accumulate in the pleural space?

    <p>Urine</p> Signup and view all the answers

    Which of the following is a relative contraindication for thoracentesis?

    <p>Patients on mechanical ventilation</p> Signup and view all the answers

    Which of the following is a clue to the common etiology of pleural effusion?

    <p>Distended neck veins</p> Signup and view all the answers

    Which of the following is a characteristic of exudative pleural effusion?

    <p>Pleural fluid LDH more than two-thirds normal upper limit for serum</p> Signup and view all the answers

    Which of the following is a common bacterial cause of pneumonia?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is the typical incidence of pneumonia in the general population?

    <p>1-3 per 1000</p> Signup and view all the answers

    Which of the following is a common symptom of pneumonia?

    <p>Cough</p> Signup and view all the answers

    Which of the following invasive procedures should be considered if thoracoscopy is unavailable?

    <p>CT-guided biopsy</p> Signup and view all the answers

    What is the definition of Health care associated pneumonia (HCAP)?

    <p>Pneumonia that occurs in ambulatory patients who are not hospitalized and have had extensive healthcare contact within the last 3 months</p> Signup and view all the answers

    Which of the following is a characteristic of exudative pleural effusion?

    <p>High protein content</p> Signup and view all the answers

    Which of the following is NOT a risk factor for pneumonia?

    <p>Obstruction of bronchi from tumors</p> Signup and view all the answers

    Which of the following is a characteristic of red hepatization/early consolidation in pneumonia?

    <p>Firm liver-like consistency</p> Signup and view all the answers

    Which of the following is a symptom of pneumonia in infants and the elderly?

    <p>Fever</p> Signup and view all the answers

    Which of the following is a recommended therapy for inpatient non-ICU management of pneumonia?

    <p>Combination of beta-lactam/second or third-generation cephalosporin and a macrolide</p> Signup and view all the answers

    Which of the following is the most common cause of exudative pleural effusion?

    <p>Pulmonary embolism</p> Signup and view all the answers

    Which of the following is the most sensitive and specific marker for tuberculosis in pleural fluid analysis?

    <p>PCR for mycobacterial DNA</p> Signup and view all the answers

    Which of the following is the best screening test for pulmonary embolism in a patient with pleuritic chest pain, hemoptysis, or dyspnea?

    <p>D-dimer in the peripheral blood</p> Signup and view all the answers

    Which of the following cell types in pleural fluid analysis indicates an acute process affecting the pleura?

    <p>Neutrophils</p> Signup and view all the answers

    Which of the following is a common bacterial cause of pneumonia?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is the typical incidence of pneumonia in the general population?

    <p>0.1-0.3%</p> Signup and view all the answers

    Which type of pneumonia develops more than 48 hours after hospital admission?

    <p>Hospital-acquired pneumonia (HAP)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for pneumonia?

    <p>Malnutrition</p> Signup and view all the answers

    Which of the following is a common symptom of pneumonia?

    <p>Loss of appetite</p> Signup and view all the answers

    What is the typical treatment for outpatient management of pneumonia?

    <p>Macrolides</p> Signup and view all the answers

    Which of the following is a complication of pneumonia?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a contraindication for thoracentesis?

    <p>Active skin infection at the port of entry</p> Signup and view all the answers

    Which of the following is a common cause of exudative pleural effusion?

    <p>Congestive heart failure</p> Signup and view all the answers

    Which of the following is the most sensitive and specific marker for tuberculosis in pleural fluid analysis?

    <p>PCR for mycobacterial DNA</p> Signup and view all the answers

    Which of the following is the best screening test for pulmonary embolism in a patient with pleuritic chest pain, hemoptysis, or dyspnea?

    <p>D-dimer in the peripheral blood</p> Signup and view all the answers

    Which of the following is NOT a cause of pneumonia?

    <p>Haemophilus influenzae</p> Signup and view all the answers

    Which of the following is a typical bacterial cause of pneumonia?

    <p>Staphylococcus aureus</p> Signup and view all the answers

    Which of the following is a common symptom of pneumonia?

    <p>Cough with sputum production</p> Signup and view all the answers

    Which of the following is a potential alternative invasive approach if thoracoscopy is unavailable for diagnosing pleural effusion?

    <p>Both A and B</p> Signup and view all the answers

    What is the approximate percentage of patients with exudative effusions for whom no known etiology is found?

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

    Which of the following definitions best describes Health care associated pneumonia (HCAP)?

    <p>Pneumonia that occurs in ambulatory patients who are not hospitalized and have had extensive healthcare contact within the last 3 months</p> Signup and view all the answers

    Which of the following is a potential cause of exudative effusions in patients who do not respond to conservative treatment?

    <p>Both A and B</p> Signup and view all the answers

    Which of the following is a potential alternative invasive approach if thoracoscopy is unavailable?

    <p>Both A and B</p> Signup and view all the answers

    What percentage of patients do not have a diagnosed cause for their condition despite invasive procedures?

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

    Which of the following is NOT a type of fluid that can accumulate in the pleural space?

    <p>Lymph</p> Signup and view all the answers

    Which of the following is a common cause of exudative pleural effusion?

    <p>Pulmonary embolism</p> Signup and view all the answers

    Which of the following cell types in pleural fluid analysis indicates an acute process affecting the pleura?

    <p>Neutrophils</p> Signup and view all the answers

    Which of the following is the best screening test for pulmonary embolism in a patient with pleuritic chest pain, hemoptysis, or dyspnea?

    <p>D-dimer test</p> Signup and view all the answers

    Which of the following is a common predisposing condition for pneumonia?

    <p>Cigarette smoking</p> Signup and view all the answers

    Which of the following is a characteristic of grey hepatization/late consolidation in pneumonia?

    <p>Microscopically marked cellular exudate of neutrophils</p> Signup and view all the answers

    What is the first choice therapy for outpatient management of pneumonia?

    <p>Macrolides, such as azithromycin and clarithromycin</p> Signup and view all the answers

    Which of the following is a complication of pneumonia?

    <p>Pleural Effusion</p> Signup and view all the answers

    Which of the following invasive procedures is recommended if thoracoscopy is unavailable?

    <p>Both needle biopsy and open biopsy of the pleura</p> Signup and view all the answers

    What percentage of patients with exudative effusions have no known etiology?

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

    Which of the following is a characteristic of chylous effusion?

    <p>Milky white effusion high in triglycerides</p> Signup and view all the answers

    Which of the following is a common bacterial cause of pneumonia?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is the typical incidence of pneumonia in the general population?

    <p>1-3 per 1000</p> Signup and view all the answers

    Which of the following is a common symptom of pneumonia?

    <p>Cough</p> Signup and view all the answers

    Which of the following is a potential cause of exudative effusions in patients who do not respond to conservative treatment?

    <p>A. Cancer</p> Signup and view all the answers

    Which of the following invasive approaches should be considered if thoracoscopy is unavailable?

    <p>A. Needle biopsy</p> Signup and view all the answers

    What is the approximate percentage of patients with exudative effusions for whom no known etiology is found?

    <p>A. 15%</p> Signup and view all the answers

    Which of the following is NOT a type of pneumonia?

    <p>Healthcare-associated pneumonia (HCAP)</p> Signup and view all the answers

    Which of the following is NOT a common predisposing condition for pneumonia?

    <p>Obstruction of bronchi from tumors</p> Signup and view all the answers

    Which of the following is a characteristic of red hepatization/early consolidation in pneumonia?

    <p>Fibrin strands replace the edema fluid of the previous phase.</p> Signup and view all the answers

    Which of the following is NOT a potential complication of pneumonia?

    <p>Atrial Fibrillation</p> Signup and view all the answers

    Which of the following conditions is NOT a potential cause of pleural effusion?

    <p>Myxedema</p> Signup and view all the answers

    Which of the following is a potential cause of chylothorax?

    <p>Pancreatitis</p> Signup and view all the answers

    Which of the following is a potential cause of pyothorax or empyema?

    <p>Urinary tract infection</p> Signup and view all the answers

    Which of the following is a potential cause of urinothorax?

    <p>Urinary tract infection</p> Signup and view all the answers

    Study Notes

    Pneumonia

    • A common cause of pneumonia is Streptococcus pneumoniae.
    • Typical incidence of pneumonia in the general population is 5-6 cases per 1,000 people per year.
    • Main symptom of pneumonia is cough.

    Classification of Pneumonia

    • Classification of pneumonia based on anatomical location: community-acquired pneumonia, hospital-acquired pneumonia, and healthcare-associated pneumonia (HCAP).
    • HCAP develops more than 48 hours after hospital admission.

    Types of Pneumonia

    • Community-acquired pneumonia: occurs in ambulatory patients who are not hospitalized and have not had extensive healthcare contact within the last 3 months.
    • Hospital-acquired pneumonia: develops more than 48 hours after hospital admission.

    Pleural Effusion

    • Definition of exudative pleural effusion: high protein content and lactate dehydrogenase (LDH) levels, and low glucose levels.
    • Characteristics of exudative pleural effusion: high protein content, high LDH levels, and low glucose levels.
    • Typical cause of exudative pleural effusion: bacterial infection.
    • Chylous effusion: milky white effusion high in triglycerides.

    Diagnosis and Treatment

    • Thoracentesis: a relative contraindication is bleeding diathesis.
    • Invasive approach if thoracoscopy is unavailable: ultrasound-guided thoracentesis or CT-guided thoracentesis.
    • Recommended therapy for inpatient non-ICU management of pneumonia: macrolides, fluoroquinolones, or beta-lactam antibiotics.
    • First choice therapy for outpatient management of pneumonia: macrolides or fluoroquinolones.

    Complications

    • Complications of pneumonia: respiratory failure, sepsis, and empyema.
    • Potential cause of exudative effusions in patients who do not respond to conservative treatment: malignancy or tuberculosis.

    Miscellaneous

    • Approximate percentage of patients with exudative effusions for whom no known etiology is found: 20%.
    • Typical bacterial cause of pneumonia: Streptococcus pneumoniae.
    • Common symptom of pneumonia: cough.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    4. Pneumonia.pptx

    Description

    Test your knowledge on pleural effusion and its various types of fluid accumulation. Learn about the causes, symptoms, and evaluation of this condition through this informative quiz.

    More Like This

    Pneumonia: Causes, Types, and Anatomical Classification
    7 questions

    Anatomical Classification of Pneumonia: Types and Causes Quiz and Flas...

    InstructiveBambooFlute avatar
    InstructiveBambooFlute
    Pneumonia Classification and Causes
    5 questions

    Pneumonia Classification and Causes

    CharismaticBarbizonSchool avatar
    CharismaticBarbizonSchool
    Pneumonia: Classifications and Causes
    10 questions

    Pneumonia: Classifications and Causes

    UncomplicatedConnemara657 avatar
    UncomplicatedConnemara657
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser