Pleural effusion is the build-up of excess fluid between the layers pleura and the lungs. We encourage you to take this quiz to learn more about Pleural effusion. Can you ace the examination with ease? All the questions on this test are carefully curated to help you gain in-depth knowledge about the subject matter. Make sure to read all the questions carefully before answering. There is no negative marking and time bar. So, take it up as often as you like. Good Luck & keep learning.
Rheumatoid Arthritis
PE
Pancreatitis
Systolic Heart Failure
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Transudate
Exudate
Pedal edema
None of the above
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Consider surgical pleurectomy and apical bullectomy
VATS
No scuba diving
No flying for at least 8 weeks
All of the above
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Pleural proteins/serum proteins greater than 0.5 ratio
Pleural LDH/serum LDH greater than 0.6 ratio
LDH greater than 2/3 upper limit of normal for serum
Total proteins greater than 2/3 upper limit of normal for serum
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Multi-loculated effusion
Airspace disease
Pleural enhancement
Infectious/inflammatory etiology
Air bronchograms
All of the above
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Pericarditis
Pneumonia
Pneumothorax
Pulmonary embolism
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Very young or very old
Women > men
Diabetes
Alcoholism or substance abuse
Rheumatoid arthritis of chronic lung disease
Poor dentition and aspiration risk
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Treat for infection
Treat with anti-inflammatories
Biopsy liver
Thoracoscopy
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Exudative empyema
Exudative complex parapneumonic
Transudative empyema
Transudative simple parapneumonic
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Young, tall, thin
Male
Female
Smoking
Subpleural blebs
Airway inflammation
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Surgical management
Broad-spectrum antibiotics
Drained and a catheter left in place
None of the above
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10-20%
25-50%
50-75%
80-90%
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Mediastinal shift
Large left-sided effusion
Meniscus sign laterally
None of the above
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Moderate right pleural effusion
Atelectasis in right upper lung
Displacement of mediastinal structures
No cardiomegaly
No vascular redistribution
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No time - 14 gauge needle to 2nd intercostal space NOW
You can go for coffee first, no rush
ASAP but not emergent
None of the above
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Observation
Simple aspiration
14 gauge needle to 2nd intercostal space
Chest tube drainage
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>1cm, normal glucose & pH >7.2, gram stain neg
>1cm, pH < 7.2, gram stain/culture +, no pus
> 1cm, pH < 7.2, gram stain/culture +, frank pus
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