18 Questions
What is the most common condition associated with secondary spontaneous pneumothorax?
Chronic obstructive pulmonary disease (COPD)
What is the classic radiograph finding for pneumothorax?
A thin, visceral, pleural line lying parallel to the chest wall, separated by a radiolucent band that is devoid of lung markings
If the initial chest X-ray is negative, what additional imaging modality may be used to evaluate for pneumothorax?
Inspiratory and expiratory films or a lateral decubitus film
What is the purpose of a D-dimer test in the workup of this patient's dyspnea?
To diagnose pulmonary thromboembolism
What is the purpose of a V/Q scan in the workup of this patient's dyspnea?
To diagnose pulmonary thromboembolism
Which of the following is the most appropriate next step in the evaluation of this patient's pneumothorax?
Obtain inspiratory and expiratory films or a lateral decubitus film
What is the most appropriate next step in managing this patient's respiratory distress?
Obtain a stat portable chest X-ray
Which X-ray view of the chest is most likely to detect a small pleural effusion in the patient described?
Lateral decubitus with the left side down
What is the most likely cause of the soot in the patient's upper airway?
Thermal burns
Which condition can present with decreased breath sounds at the lung base?
Pneumothorax
What is the most appropriate intervention for a suspected foreign-body aspiration?
Perform nasopharyngoscopy
Which condition is characterized by diffuse rhonchi bilaterally on physical examination?
Reactive airway disease
Which of the following is the most common cause of mediastinal shift and decreased venous return leading to severe hypotension?
Tension pneumothorax
What is the first appropriate step to take when a patient presents with absent breath sounds over the left lung?
Rule out mainstem intubation
Which of the following is the most effective method for detecting small pleural effusions?
Lateral decubitus chest X-ray with the affected side down
What is the most likely cause of the severe inflammatory reaction and pneumonitis in a patient with singed nasal hairs?
Thermal burns to the pulmonary system
Which of the following is the most appropriate first-line treatment for a patient with a tension pneumothorax?
Perform needle decompression
Which of the following is the most common cause of decreased venous return leading to severe hypotension?
Tension pneumothorax
Learn about the diagnosis of secondary spontaneous pneumothorax, commonly associated with chronic obstructive pulmonary disease (COPD). Understand the classic radiograph findings and signs that indicate a pneumothorax. Explore how chest radiographs can help in identifying this condition.
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