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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

Pleural Diseases- Surgical Diseases 4th Year- PMU

Questão 1 de 17

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 2 de 17

1

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

Selecione uma das seguintes:

  • Culture for aerobic, anaerobic, and fungal organisms

  • Visual characteristics

  • Light’s criteria

  • Ranson's Criteria

Explicação

Questão 3 de 17

1

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

Selecione uma das seguintes:

  • protein and LDH levels

  • glucose, LDH and pH

  • albumin and glucose levels

  • only pleural and serum protein levels

Explicação

Questão 4 de 17

1

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

Selecione uma das seguintes:

  • Congestive heart failure

  • Primary lung or metastatic carcinoma

  • Empyema

  • Rheumatoid arthritis

  • Esophageal perforation

Explicação

Questão 5 de 17

1

Which of these conditions can cause malignant pleural effusion?

Selecione uma das seguintes:

  • direct or metastatic pleural involvement

  • bronchial or lymphatic obstruction

  • hypoproteinemia

  • sympathetic accumulation from infradiaphragmatic involvement

  • all of the above

Explicação

Questão 6 de 17

1

What is the definition of a “trapped” lung?

Selecione uma das seguintes:

  • 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

Explicação

Questão 7 de 17

1

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

Selecione uma das seguintes:

  • to prevent recurrence of the effusion

  • to improve life expectancy

  • to take biopsy

  • all of the above

Explicação

Questão 8 de 17

1

Which of these conditions can mot cause pleural empyema?

Selecione uma das seguintes:

  • bronchopleural fistula

  • pulmonary embolism

  • rupture of a pulmonary or mediastinal abscess

  • esophageal perforation

  • tuberculosis

Explicação

Questão 9 de 17

1

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

Selecione uma das seguintes:

  • antibiotics and supportive care

  • fibrinolytic agents

  • chest tube drainage

  • thoracotomy with decortication

  • thoracotomy and pulmonectomy

Explicação

Questão 10 de 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?

Selecione uma das seguintes:

  • primary lung or metastatic carcinoma

  • chylothorax

  • primary spontaneous pneumothorax

  • empyema

  • congestive heart failure

Explicação

Questão 11 de 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?

Selecione uma das seguintes:

  • Empyema

  • Tuberculosis

  • Massive hemothorax

  • Primary spontaneous pneumothorax

Explicação

Questão 12 de 17

1

Patients with spontaneous pneumothorax are usually

Selecione uma das seguintes:

  • small children

  • elderly

  • young men

  • young women

Explicação

Questão 13 de 17

1

Which of these conditions can cause primary spontaneous pneumothorax?

Selecione uma das seguintes:

  • trauma

  • needle aspiration

  • surgery

  • subpleural blebs

  • central line insertion

Explicação

Questão 14 de 17

1

What is the treatment of initial subtotal spontaneous pneumothorax?

Selecione uma das seguintes:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy

  • thoracotomy

  • all of the above

Explicação

Questão 15 de 17

1

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

Selecione uma das seguintes:

  • conservative - observation

  • chest tube drainage

  • thoracoscopy with resection of apical blebs

  • thoracotomy with lobectomy

  • none of the above

Explicação

Questão 16 de 17

1

Malignant pleural mesothelioma is commonly associated with

Selecione uma das seguintes:

  • Radiation exposure during childhood

  • Asbestos exposure

  • Genetic mutations

  • Tuberculosis

Explicação

Questão 17 de 17

1

What is the treatment of malignant pleural mesothelioma?

Selecione uma das seguintes:

  • chemotherapy

  • radiation therapy

  • extrapleural pneumonectomy

  • all of the above

Explicação

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