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Pleural Diseases: Pleural Empyema, Spontaneous Pneumothorax, Tumors of the Pleura, Malignant Pleural Effusions Surgical Diseases 4th Year- PMU

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Pleural Diseases- Surgical Diseases 4th Year- PMU

Frage 1 von 17

1

If you want Flashcards go to
https://quizlet.com/_6qwel9

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 2 von 17

1

Pleural fluid is characterized as a transudate or an exudate. How do we differentiate between the two?

Wähle eine der folgenden:

  • Culture for aerobic, anaerobic, and fungal organisms

  • Visual characteristics

  • Light’s criteria

  • Ranson's Criteria

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Frage 3 von 17

1

Which of these chemistry markers are included in light’s criteria?

Wähle eine der folgenden:

  • protein and LDH levels

  • glucose, LDH and pH

  • albumin and glucose levels

  • only pleural and serum protein levels

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Frage 4 von 17

1

Which of these conditions is not a cause of exudative effusions?

Wähle eine der folgenden:

  • Congestive heart failure

  • Primary lung or metastatic carcinoma

  • Empyema

  • Rheumatoid arthritis

  • Esophageal perforation

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Frage 5 von 17

1

Which of these conditions can cause malignant pleural effusion?

Wähle eine der folgenden:

  • direct or metastatic pleural involvement

  • bronchial or lymphatic obstruction

  • hypoproteinemia

  • sympathetic accumulation from infradiaphragmatic involvement

  • all of the above

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Frage 6 von 17

1

What is the definition of a “trapped” lung?

Wähle eine der folgenden:

  • presence of a massive pleural effusion leading to severe dyspnea

  • severe infection of the pleural space

  • failure of the lung to expand completely after thoracentesis

  • when chyle from the thoracic duct empties into the pleural space

  • none of the above

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Frage 7 von 17

1

Why do we perform talk pleurodesis in patients with malignant pleural effusions?

Wähle eine der folgenden:

  • to prevent recurrence of the effusion

  • to improve life expectancy

  • to take biopsy

  • all of the above

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Frage 8 von 17

1

Which of these conditions can mot cause pleural empyema?

Wähle eine der folgenden:

  • bronchopleural fistula

  • pulmonary embolism

  • rupture of a pulmonary or mediastinal abscess

  • esophageal perforation

  • tuberculosis

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Frage 9 von 17

1

How do we treat patients with organizing/late stage empyema?

Wähle eine der folgenden:

  • antibiotics and supportive care

  • fibrinolytic agents

  • chest tube drainage

  • thoracotomy with decortication

  • thoracotomy and pulmonectomy

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Frage 10 von 17

1

A 37-year-old patient is admitted to the hospital with symptoms of general malaise, fever, weight loss, cough and dyspnea for the past two weeks. On the plain x-ray there is evidence of massive pleural effusion. What is the most probable diagnosis?

Wähle eine der folgenden:

  • primary lung or metastatic carcinoma

  • chylothorax

  • primary spontaneous pneumothorax

  • empyema

  • congestive heart failure

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Frage 11 von 17

1

A 20-year-old man comes to the emergency department with symptoms of sudden sharp pain in his right hemithorax and dyspnea. He does not report for any trauma. Findings from the physical examination - reduced breath sounds on the right side. Before performing any imaging tests what is the most probable diagnosis?

Wähle eine der folgenden:

  • Empyema

  • Tuberculosis

  • Massive hemothorax

  • Primary spontaneous pneumothorax

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Frage 12 von 17

1

Patients with spontaneous pneumothorax are usually

Wähle eine der folgenden:

  • small children

  • elderly

  • young men

  • young women

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Frage 13 von 17

1

Which of these conditions can cause primary spontaneous pneumothorax?

Wähle eine der folgenden:

  • trauma

  • needle aspiration

  • surgery

  • subpleural blebs

  • central line insertion

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Frage 14 von 17

1

What is the treatment of initial subtotal spontaneous pneumothorax?

Wähle eine der folgenden:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy

  • thoracotomy

  • all of the above

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Frage 15 von 17

1

What is the treatment of recurrent spontaneous pneumothorax on the same side?

Wähle eine der folgenden:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy with resection of apical blebs

  • thoracotomy with lobectomy

  • none of the above

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Frage 16 von 17

1

Malignant pleural mesothelioma is commonly associated with

Wähle eine der folgenden:

  • Radiation exposure during childhood

  • Asbestos exposure

  • Genetic mutations

  • Tuberculosis

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Frage 17 von 17

1

What is the treatment of malignant pleural mesothelioma?

Wähle eine der folgenden:

  • chemotherapy

  • radiation therapy

  • extrapleural pneumonectomy

  • all of the above

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