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PULMONARY MKSAP REVISION STUDY QUESTIONS AND ANSWERS COMPLETE RATED A.
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PULMONARY MKSAP REVISION STUDY QUESTIONS AND ANSWERS COMPLETE RATED A.
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PULMONARY MKSAP REVISION STUDYQUESTIONS AND ANSWERS COMPLETE
RATED A.
61 yo M evaluated in ED after he collapsed on a hot and humid day. Playing
in a marching band and had to stand in the sun for 2 hours while wearing a
heavy uniform. Which of the following is the most appropriate treatment?
Correct Answer -Sprayed water and cooling fans
53 yo M is evaluated in the ED after 4 days of cough, fever, chills, myalgia,
and poor appetite. Child diagnosed with influenza 2 weeks ago. Which of the
following is the most appropriate initial treatment?
Correct Answer -0.9% saline bolus
19 yo M is evaluated in ED for cardiac arrest after he fell through the ice of a
frozen lake. He was in the water less than 10 minutes. Most appropriate
management?
Correct Answer -Continue CPR with active internal (core) rewarming
31 yo M is evaluated near the end of a guided climb of a 11,482 feet summit
in the French Alps. Most appropriate treatment?
Correct Answer -Dexamethasone
42 yo M was hospitalized 2 days ago with necrotizing fasciitis of the leg. He
underwent extensive debridement and fasciotomy 2 hours earlier. Most
appropriate treatment?
Correct Answer -IV bolus of morphine
,24 yo F evaluated for follow up visit. Initially evaluated 6 weeks ago after a
fall at work. CXR on bottom.
Correct Answer -Observation
34 yo m hospitalized for acute respiratory failure following heroin overdose
and aspiration.
Correct Answer -Reduce tidal volume
51 yo M evaluated for fever, hypotension, and confusion. Admitted to the
ICU 8 days ago for observation after complications resulting from an
outpatient surgical procedure
Correct Answer -Remove the central venous catheter
31 yo F evaluated for 1 year history of daytime sleepiness. She falls asleep
while watching tv, at the theater and occasionally during a meal.
Correct Answer -Actigraphy
43 yo M evaluated for 1 week history of cough, SOB, chest pain, and night
sweats. CXR shows a large R pleural effusion with associated compressive
atelectasis or consolidation, and consolidation in RUL
Correct Answer -Complicated parapneumonc effusion
Which of the following vaccines should the patient receive at this time
Correct Answer -PPSV 23 and standard influenza
, 48 yo F evaluated for recurrent PE. First episode 18 months ago
Correct Answer -Pulmonary thromboendarterectomy
65 yo F evaluated for discontinuation of mechanical ventilation. She was
placed on vent 5 days ago for respiratory failure 2/2 COPD exacerbation.
Correct Answer -30 minute spontaneous breathing trial
48 yo F hospitalized for a 2 week history of cough, sputum production, fever,
and dyspnea. On Physical exam, temperature is 103.3. A diagnostic
thoracentesis is performed, which results in incomplete removal of the
effusion.
Correct Answer -Tissue plasminogen activator-deoxyribonuclease
67 yo F evaluated for hx of rhinorrhea, pharyngitis, non-productive cough,
and associated intermittent dyspnea. Sx began 12 weeks ago with low grade
fevers, rhinorrhea, and pharyngitis.
Correct Answer -Methacholine challenge testing
18 yo F evaluated in ED for lip swelling after eating at a neighborhood picnic.
Correct Answer -Epinephrine
62 yo M admitted 12 hours ago with severe acute respiratory distress
syndrome (ARDS). Overnight, developed fever and increasing respiratory
distress.
Correct Answer -Ventilate the patient in the prone position.
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