18 Questions
What is a significant complication of severe hypoxemia?
Tension pneumothorax
What underlying disease can make it difficult to maintain adequate alveolar ventilation in acute hypercapnic respiratory acidosis?
Chronic obstructive lung disease (COPD)
Which of the following is a radiologic diagnosis?
Pneumothorax
What is the primary focus of treatment for hemodynamically unstable patients with pneumothorax?
Stabilizing the airway, breathing, and circulation
What is the characteristic of a simple pneumothorax?
No mediastinal shift to the contralateral side
Which patients may require chest computed tomography (CT) for diagnosis?
Those in whom the diagnosis is uncertain
What percentage of patients are likely to develop tension pneumothorax?
1 to 2 percent
What is the term used to describe patients who have evidence of both fluid and air in the pleural space?
Hydropneumothorax
According to the British Thoracic Society (BTS) guidelines, what is the definition of a small pneumothorax?
A distance of 3 cm from the chest wall to the visceral pleural line at the level of the hilum
What is the recommended treatment for unstable patients with pneumothorax?
Immediate chest tube thoracostomy
What is the clinical evidence of tension pneumothorax?
Tachycardia, hypotension, and severe dyspnea
What is the recommended treatment when chest tube thoracostomy is delayed?
Needle decompression of the pleural space
What is the suggested treatment for patients with recurrent pneumothorax during the same hospital admission?
Chest tube thoracostomy with a small-bore tube followed by a definitive procedure
Which of the following is an indication for a definitive procedure after the first episode of PSP?
Patients with a strong desire to avoid recurrence
What is the purpose of radiologic evaluation in outpatient follow-up?
To ensure continued full expansion of the lung
Why should patients be advised to stop smoking?
To reduce the risk of PSP recurrence
What is the significance of large, bilateral, or life-threatening PSP?
It is a relative indication for a definitive procedure
Why should patients with high-risk occupations undergo a definitive procedure?
To reduce the risk of PSP recurrence
This quiz is about the characteristics of acute hypercapnic respiratory acidosis and its relation to electrocardiography. Learn about the effects of underlying diseases on respiratory acidosis and how to identify rhythm disturbances on an ECG.
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