Pulmonary Embolization Evaluation Quiz
30 Questions
1 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

What is the most useful diagnostic modality for establishing a diagnosis of dyspnea?

  • Imaging studies
  • Physical examination
  • Laboratory tests
  • History (correct)
  • What percentage of instances is the diagnosis established by history in studies of dyspnea?

  • 90%
  • 50%
  • 100%
  • 75% (correct)
  • What causes exertional dyspnea in both cardiac and pulmonary diseases?

  • Paroxysmal nocturnal dyspnea
  • Wheezing
  • Airway obstruction (correct)
  • Excessive airway secretions
  • Which misconception is commonly associated with paroxysmal nocturnal dyspnea?

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

    What can cause dyspnea and force a patient to sit up to clear the airway due to airway obstruction?

    <p>Large-airway bronchospasm</p> Signup and view all the answers

    What manifestation is wheezing considered in relation to heart failure and obstructive lung disease?

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

    What symptoms should a physician inquire about if embolization is suspected?

    <p>Pleuritic chest pain and leg edema</p> Signup and view all the answers

    Why is careful inquiry for historical evidence of recurrent pulmonary embolization important?

    <p>If pulmonary hypertension is encountered</p> Signup and view all the answers

    What might weight increase indicate in a patient?

    <p>Signs of worsening CHF</p> Signup and view all the answers

    What does the observation of contractions of the accessory muscles of respiration suggest?

    <p>Severe difficulty in breathing</p> Signup and view all the answers

    Which sign implies critical tracheal stenosis?

    <p>Retraction of the supraclavicular fossa</p> Signup and view all the answers

    How can air flow obstruction be observed in a patient?

    <p>Having the patient blow out as hard and fast as possible</p> Signup and view all the answers

    What is the most informative measurement for detecting obstructive and restrictive defects during pulmonary function tests?

    <p>Ratio of FEV1 to vital capacity</p> Signup and view all the answers

    Which test is important when an infiltrate is detected and tuberculosis is suspected?

    <p>Ziehl-Neelsen stain for acid-fast bacilli</p> Signup and view all the answers

    In restrictive lung disease, which of the following is true?

    <p>FEV1 to vital capacity ratio is close to 1.0</p> Signup and view all the answers

    What should be considered when patients are suspected of having tracheal stenosis?

    <p>Flow-volume studies</p> Signup and view all the answers

    Which measurement is associated with a poor 5-year survival rate among patients with COPD?

    <p>FEV1 less than 1.0 L/s</p> Signup and view all the answers

    When are sputum cytology tests indicated according to the text?

    <p>When hemoptysis has developed</p> Signup and view all the answers

    Which study reviewed the comparative advantages and disadvantages of computed tomography and older imaging approaches for acute pulmonary embolism?

    <p>Schoepf UJ, Goldhaber SZ, Costello P.Spiral computed tomography for acute pulmonary embolism</p> Signup and view all the answers

    Which trial found significant palliation among COPD patients with 20 mg of sustained-release morphine per day?

    <p>Abernathy AP, Currow DC, Frith P, et al.Randomised, double blind, placebo controlled crossover trial of sustained release morphine for the management of refractory dyspnea.BMJ 2003</p> Signup and view all the answers

    Which review argued that a high degree of accuracy can be achieved in diagnosing and excluding emphysema with validated criteria?

    <p>Schneider H-G, Lam L, Lokuge A, et al.B-type natriuretic peptide testing, clinical outcomes, and health services use in emergency department patients with dyspnea: a randomized trial</p> Signup and view all the answers

    Which trial found no effect on clinical outcomes or health services use in emergency department patients with dyspnea?

    <p>Schneider H-G, Lam L, Lokuge A, et al.B-type natriuretic peptide testing, clinical outcomes, and health services use in emergency department patients with dyspnea: a randomized trial</p> Signup and view all the answers

    Which study found limited usefulness in screening for left ventricular hypertrophy and systolic dysfunction using plasma natriuretic peptides?

    <p>Vasan RS, Benjamin EJ, Larson MG, et al.Plasma natriuretic peptides for community screening for left ventricular hypertrophy and systolic dysfunction: the Framingham Heart Study.JAMA 2002</p> Signup and view all the answers

    Which review critically assessed the uses of blood gas determinations?

    <p>Raffin TA.Indications for arterial blood gas analysis.Ann Intern Med 1986</p> Signup and view all the answers

    Which lung condition is most likely characterized by retraction of the intercostal muscles on inspiration?

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

    What is the significance of coarse crackles heard in early inspiration and throughout expiration on lung auscultation?

    <p>Related to interstitial lung disease</p> Signup and view all the answers

    Why is eliciting wheezing on maximal forced exhalation not recommended for diagnosing asthma?

    <p>It is neither sensitive nor specific</p> Signup and view all the answers

    When would fine crackles be heard during lung auscultation?

    <p>Mid-to-late inspiration and occasionally on expiration</p> Signup and view all the answers

    What does increased anterior–posterior diameter of the chest suggest?

    <p>Chronic Obstructive Pulmonary Disease (COPD)</p> Signup and view all the answers

    Why do normal findings on lung examination not rule out pulmonary pathology?

    <p>They reduce the probability of severe pathology</p> Signup and view all the answers

    More Like This

    CEN Exam Flashcards on Pulmonary Embolism
    102 questions
    Pulmonary Arterial Hypertension Overview
    11 questions
    Pulmonary System Overview Quiz
    15 questions
    Pulmonary Blood Flow Distribution
    20 questions
    Use Quizgecko on...
    Browser
    Browser