5 Written Questions

1. Pleural space in direct contact with atmosphere "sucking chest wound"
2. Thoracentesis(used to dx and tx), Pleurodesis(prevent REOCCURANCE of accumulated pleural fluid. TALC injected into chest cavity, visceral and parietal stick together., Thoracentesis(used to dx and tx), Pleurodesis(prevent REOCCURANCE of accumulated pleural fluid. TALC injected into chest cavity, visceral and parietal stick together.
3. Video Assisted thoracic surgery...staples, bullectomy
4. large bore needle inserted into 2nd intercostal space(mid-clavicular) CRT
5. Accumulation of fluid in pleural space., between the visceral and parietal pleura

5 Matching Questions

1. dx of Pleural Effusion
2. Transudate
3. tx of pnemo
4. Closed Pneumo
5. Thoracentesis

1. a Pleural space NOT in direct contact with atmosphere.
2. b Fluid aspirated through needle inserted into chest wall to dx and remove ALL the fuid
3. c Thin, watery fluid, FEW blood cells, PULMONARY CAPILLARIES LEAK to pleural space.
4. d Breath sounds(Abscent over the effusion), Percussion, Dull or Flat over FLUID, CXR
5. e <20%, NO tx..>20%..pleurodesis, Supportive O2 therapy, Thoracentesis, Chest tube, Surgical

5 Multiple Choice Questions

1. Occurs during diagnostic or therapeutic procedure..ex. mech ventilation, thoracentesis, biopsy, chest tube insertion, tracheostomy.
   1. Iatrogenic Pneumo
   2. Closed Pneumo
   3. Open Pneumo
   4. Traumatic Pneumo
2. Unsuspected, Arise in healty people without cause, 20-40 year old men, tall and thin...Rupture of bleb(blister on lung surface)
   1. Iatrogenic Pneumo
   2. Secondary Spontaneous Pneumo
   3. Primary Spontaneous Pneumo
   4. Emergency tx of pneumo
3. MOST DEADLY, ACUTE DISTRESS.."one way valve" Air enters on Inspiration, but can't escape..Air gets trapped, compressing the intrathoracic vessels impairing venous return CAUSING reduced cardiac output, hypoxemia.
   1. tx of pnemo
   2. Open Pneumo
   3. Tension Pneumo
   4. Closed Pneumo
4. Sudden dyspnea, dry cough, chest pain, cyanosis, tachycardia HYPERRESONANT percussion, ABSCENT breath sounds, Tracheal deviation AWAY from affected side, Subcutaneous emphysema
   1. Thoracentesis
   2. Clinical Features
   3. Pleural Effusionn
   4. LATERAL DECUBITIS
5. accumulation of PUS in pleural space, INFECTION, INFLAMMATION
   1. CXR
   2. Hemothorax
   3. Exudate
   4. Empyema

5 True/False Questions

1. Exudate → Video Assisted thoracic surgery...staples, bullectomy

   True        False

2. Pleurodesis → Air accumulation in pleural space..trachial deviation AWAY from affected side

   True        False

3. Deep Sulcus Sign → radiologic finding in a pneumo..costraphrenic angle dipped down.

   True        False

4. Bleb larger than 5 cm is called a → Bullae

   True        False

5. dx of pnemo → CXR.

   True        False