COPD
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Questions and Answers

What is the most common condition associated with secondary spontaneous pneumothorax?

  • Chronic obstructive pulmonary disease (COPD) (correct)
  • Pulmonary thromboembolism
  • Reactive airway disease
  • Decompression sickness
  • What is the classic radiograph finding for pneumothorax?

  • A dense opacity in the lung field
  • A thin, visceral, pleural line lying parallel to the chest wall, separated by a radiolucent band that is devoid of lung markings (correct)
  • Consolidation of the lung parenchyma
  • Hyperinflation of the lungs
  • If the initial chest X-ray is negative, what additional imaging modality may be used to evaluate for pneumothorax?

  • D-dimer
  • Echocardiogram
  • V/Q scan
  • Inspiratory and expiratory films or a lateral decubitus film (correct)
  • What is the purpose of a D-dimer test in the workup of this patient's dyspnea?

    <p>To diagnose pulmonary thromboembolism</p> Signup and view all the answers

    What is the purpose of a V/Q scan in the workup of this patient's dyspnea?

    <p>To diagnose pulmonary thromboembolism</p> Signup and view all the answers

    Which of the following is the most appropriate next step in the evaluation of this patient's pneumothorax?

    <p>Obtain inspiratory and expiratory films or a lateral decubitus film</p> Signup and view all the answers

    What is the most appropriate next step in managing this patient's respiratory distress?

    <p>Obtain a stat portable chest X-ray</p> Signup and view all the answers

    Which X-ray view of the chest is most likely to detect a small pleural effusion in the patient described?

    <p>Lateral decubitus with the left side down</p> Signup and view all the answers

    What is the most likely cause of the soot in the patient's upper airway?

    <p>Thermal burns</p> Signup and view all the answers

    Which condition can present with decreased breath sounds at the lung base?

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

    What is the most appropriate intervention for a suspected foreign-body aspiration?

    <p>Perform nasopharyngoscopy</p> Signup and view all the answers

    Which condition is characterized by diffuse rhonchi bilaterally on physical examination?

    <p>Reactive airway disease</p> Signup and view all the answers

    Which of the following is the most common cause of mediastinal shift and decreased venous return leading to severe hypotension?

    <p>Tension pneumothorax</p> Signup and view all the answers

    What is the first appropriate step to take when a patient presents with absent breath sounds over the left lung?

    <p>Rule out mainstem intubation</p> Signup and view all the answers

    Which of the following is the most effective method for detecting small pleural effusions?

    <p>Lateral decubitus chest X-ray with the affected side down</p> Signup and view all the answers

    What is the most likely cause of the severe inflammatory reaction and pneumonitis in a patient with singed nasal hairs?

    <p>Thermal burns to the pulmonary system</p> Signup and view all the answers

    Which of the following is the most appropriate first-line treatment for a patient with a tension pneumothorax?

    <p>Perform needle decompression</p> Signup and view all the answers

    Which of the following is the most common cause of decreased venous return leading to severe hypotension?

    <p>Tension pneumothorax</p> Signup and view all the answers

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