Clinical Medicine: Pulmonary Vascular Disease

1

Mortality rates in the first 3 months following a PE dx are:

1

Emboli begin as thrombi which may consist of:

1

Venous thromboembolism may originate from:

1

Which of the following are physiologic anticoagulants that oppose thrombosis?

1

Which of the following are the most common sources for clinically important pulmonary emboli? (select all that apply)

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Which of the following compose Virchow's Triad:

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Which of the following may cause venous stasis?

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Which of the following may cause hypercoagubility? (select all that apply)

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Over 95% of pulmonary emboli are thromboemboli.

1

Which of the following are NOT true regarding the natural history of a venous thomboembolism?

1

Of the following sxs, which are all associated w/ PE, which is the least common?
(choose one)

1

Which of the following is the most common sign associated with PE?
(found in approximately 54% of PE presentations)

1

Which of the following is NOT part of the PERC clinical decision tool (i.e. HADCLOTS) used for diagnosing PE?

1

Which of the following pairs would have the HIGHEST Wells score?

1

An EKG & Chest X-ray can be helpful tools in diagnosing a PE.

1

Which of the following may be found on a chest x-ray of a pt w/ PE?
(note: these are neither sensitive nor specific findings)

1

Which of the following may be found on an EKG of a pt w/ PE?
(note: these are neither sensitive nor specific findings)

1

Which of the following clinical signs of PE is shown on this x-ray?

1

Which of the following clinical signs of PE is shown on this x-ray?

1

Which of the following is NOT true regarding use of CT angiography in dx of PE?
(select any that apply)

1

CT scanning has excellent (~90%) positive predictive values.

1

Pulmonary angiography is considered the "gold standard" for dx of PE.

1

Which of the following statements is/are NOT accurate regarding pulmonary angiography.

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Which of the following is/are NOT true in regards to V/Q scanning in dx of PE:
(select any that apply)

1

A "high probability" V/Q scan result, coupled with high clinical suspicion, gives a > 95% likelihood of PE.

1

A negative (i.e. normal) D-Dimer result may be used to rule-out DVT and PE, regardless of clinical presentation and probability scores.

1

Which of the following labs is LEAST helpful in the dx of PE?

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Which of the following labs/results are NOT properly matched, in regards to dx PE.

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A D-Dimer test could be positive in which of the following cases?

1

According to the diagnostic algorithm for pulmonary embolism, if the pt's Wells score exceeds 4, what is the next step?

1

According to the diagnostic algorithm for pulmonary embolism, if the pt's Wells score is below 4, what is the next step?

1

Small emboli discovered in the course of dx are relatively benign and do not require tx.

1

Which three signs/sxs are most indicative of an acute PE?

1

Prompt use of heparin in pt's w/ a DVT helps to lyse the clot and reduce mortality.

1

Mortality of PE after the initiation of heparin decreases to <5%

1

Which of the following anticoagulants is the treatment of choice in pt's w/ a bleeding risk?

1

Which of the following statement is NOT accurate?

1

Which of the following is NOT true regarding Rivaroxaban & Dabigatran?

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Thrombolytics are only indicated in hemodynamically stable patients.

1

Thromolytic tx may cause an intracranial hemorrhage.

1

Thrombolyics are typically administered by a vascular surgeon and/or radiologist.

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Which of the following might necessitate the use of an IVC ?

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Which of the following are predictors of poor outcomes for pt's w/ hx of PE? (choose all that apply)

1

A resting pulmonary artery pressure of ________ is considered pulmonary hypertension.

1

Pulmonary hypertension may be:

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Pulm. HTN is due to hypoxia and hypoxemia and may be seen in diseases such as COPD.

1

An increase in blood flow, such as one experiences while exercising, will cause a proportional increase across the pulmonary vascular bed.

1

Which of the following may cause pulm HTN (via chronic hypoxemia): (select all that apply)

1

Which of the following may also cause pulm HTN:
(select all that apply)

1

Idiopathic pulm HTN is most common in women, ages 20-45 years old, and is due to medial hypertrophy and intimal proliferation and fibrosis.

1

Common symptoms of Pulm HTN may include:
(choose all that apply)

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Possible signs of pulm HTN may include:

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All of the following are possible lab/diagnostic findings in Pulm HTN, EXCEPT:

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Which of the following are potential treatments for Pulm HTN: (select all that apply)

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Of the vasodilators used to tx pulm HTN, which is the most controversial?

1

Which of the following statements is NOT accurate regarding Cor Pulmonale?

1

Which are NOT common sxs associated with Cor Pulmonale:

1

Common lab findings in Cor Pulmonale include:

1

All of the following are used to tx Cor Pulmonale EXCEPT:

1

This is a rare autoimmune disease that affects the kidneys and lungs, causing necrosis of alveoli and loss of gas exchange.

1

While Goodpasture's may affect persons of all ages, it is found to be more common in younger males and older females.

1

Signs/Sxs that might differentiate Goodpasture's from diseases such as PE and Pulmonary HTN, include:
(select all that apply)

1

Which of the following diagnostics are indicated in a work-up for Goodpasture's syndrome?
(Select all that apply)

1

Goodpasture's Syndrome is treated with:

1

This rare disease causes "geograpahic" necrosis and granulomatous inflammation of the airways.

1

Wegener's granulomatous is believed to be caused by cellular immune processes and may present w/ respiratory and renal involvement.

1

Which of the following statements concerning Wegener's granulomatous is FALSE ?

1

This rare disease can cause recurrent sinusitis, chronic ear infections, and a variety of flu-like sxs.

1

The work-up for this disease includes a blood test for anti-neutrophil cytoplasmic antibodies.

1

While many survivors may be dependent on dialysis, the 5-year survival rate for Wegener's granulomatous is about 70%

Pulmonary Vascular Disease ppt

Clinical Medicine: Pulmonary Vascular Disease

Mortality rates in the first 3 months following a PE dx are:

Emboli begin as thrombi which may consist of:

Venous thromboembolism may originate from:

Which of the following are physiologic anticoagulants that oppose thrombosis?

Which of the following are the most common sources for clinically important pulmonary emboli? (select all that apply)

Which of the following compose Virchow's Triad:

Which of the following may cause venous stasis?

Which of the following may cause hypercoagubility? (select all that apply)

Over 95% of pulmonary emboli are thromboemboli.

Which of the following are NOT true regarding the natural history of a venous thomboembolism?

Of the following sxs, which are all associated w/ PE, which is the least common? (choose one)

Which of the following is the most common sign associated with PE? (found in approximately 54% of PE presentations)

Which of the following is NOT part of the PERC clinical decision tool (i.e. HADCLOTS) used for diagnosing PE?

Which of the following pairs would have the HIGHEST Wells score?

An EKG & Chest X-ray can be helpful tools in diagnosing a PE.

Which of the following may be found on a chest x-ray of a pt w/ PE? (note: these are neither sensitive nor specific findings)

Which of the following may be found on an EKG of a pt w/ PE? (note: these are neither sensitive nor specific findings)

Which of the following clinical signs of PE is shown on this x-ray?

Which of the following clinical signs of PE is shown on this x-ray?

Which of the following is NOT true regarding use of CT angiography in dx of PE? (select any that apply)

Of the following sxs, which are all associated w/ PE, which is the least common?
(choose one)

Which of the following is the most common sign associated with PE?
(found in approximately 54% of PE presentations)

Which of the following may be found on a chest x-ray of a pt w/ PE?
(note: these are neither sensitive nor specific findings)

Which of the following may be found on an EKG of a pt w/ PE?
(note: these are neither sensitive nor specific findings)

Which of the following is NOT true regarding use of CT angiography in dx of PE?
(select any that apply)

Which of the following is/are NOT true in regards to V/Q scanning in dx of PE:
(select any that apply)