Pulmonary Vascular Disorders

Descrição

PE Pulmonary HTN
IPLINUIGEDIT EDIT
Quiz por IPLINUIGEDIT EDIT, atualizado more than 1 year ago
IPLINUIGEDIT EDIT
Criado por IPLINUIGEDIT EDIT quase 5 anos atrás
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Resumo de Recurso

Questão 1

Questão
A 29 year old female presented with a 2 day history of shortness of breath & right-sided pleuritic chest pain. She had one episode of haemoptysis. She was on the COCP & had just returned from a weekend away in London On examination, RR 26/min, HR 110bpm, BP 124/84mmHg, SpO2 94% on room air. There was no lower limb size discrepancy & chest examination was normal. What is your diagnositic test of choice?
Responda
  • Age adjusted D-dimers
  • Non age adjusted D-dimers
  • High resolution CT Thorax
  • CT Pulmonary Angiogram
  • Troponin

Questão 2

Questão
All of the below are criteria of the Modified Wells Score EXCEPT:
Responda
  • History of Deep Vein Thrombosis
  • Oral Contraceptive Pill
  • Chemotherapy for colon cancer 2 days ago
  • Total Hip replacement 2 weeks ago

Questão 3

Questão
Deep Vein Thrombosis Risk is significant after how many kilometers of travel?
Responda
  • 50,000
  • 5,000
  • 1,000
  • 10,000

Questão 4

Questão
What does this CT PA show?
Responda
  • Nothing, this is a normal CT PA
  • RIght main stem filling defect
  • Left main stem filling defect
  • Bilateral filling defects

Questão 5

Questão
A 72 year old man presents with a 4 day history of right sided pleuritic chest pain, cough & sputum. There was one episode of haemoptysis. He has a background of COPD, GOLD B & is on a LABA/LAMA. He is an ex-smoker, no other PMH On examination, HR 88 bpm, RR 24/min, BP 130/78mmHg, SpO2 94% on RA, calves soft, scattered wheeze throughout chest What Investigation will you order?
Responda
  • Age adjusted d-dimer
  • Non age adjusted d-dimer
  • High resolution CT Thorax
  • CT Pulmonary Angiogram
  • Pro-BNP

Questão 6

Questão
Patient is haemodynamically stable There is no clinical evidence of PE or DVT D-dimer is negative (ie low) What is your next magament step
Responda
  • CT Pulmonary Angiogram
  • Chest X-ray
  • No treatment
  • Thrombolysis with Apixiban

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