Show:
Fungal Infection
Pulmonary Edema
Pulmonary Embolism
Flail Chest
100

What is the most common fungal disease in the United States?

Histoplasmosis

100

What other agent is sometimes used to increase the patient’s oncotic pressure to offset the increased hydrostatic forces of cardiogenic pulmonary edema, if the patient’s osmotic pressure is extremely low?

Albumin

100

I am the blood test that is used to check for an increased level of protein fibrinogen, an integral component of the blood clotting process. Who am I?

D-dimer blood test 

100

Sharp rib fragments may damage what? (Give 2, do not include the lungs)

diaphragm, spleen, liver, large blood vessels

200

What disease/disorder may develop secondary to a pulmonary fungal infection?

Cor Pulmonale

200

Name 3 clinical manifestations of a patient with ventricular failure.

  • Weight gain
  • Delirium
  • Activity intolerance
  • Dyspnea
  • Cough
  • Fatigue
  • Cardiac arrhythmia
200

I provide a clear image of the blood flow in the lungs and arteries. An extremely accurate test for diagnosis of pulmonary embolism. Who am I?

Pulmonary Angiogram 

200

Flail chest wall motion is the result of ———- fractures of at least ———- or more adjacent ribs.


double , three

300

 Fungal Spores are widely distributed through 4 main sources. What are the 4 sources?

air, soil, fomites, and animals

300

The ability of the left ventricle to pump blood can be determined by means of?

Left Ventricular Ejection Fraction (LVEF)

300

What are the three primary factors associated with the formation of DVT (AKA Virchow triad)?

1. Venous stasis (slowing or stagnation of blood flow through the veins)

2. Hypercoagulability ( the increased tendency of blood to form clots)

3. Injury to the endothelial cells that line the vessels

300

Define flail chest contusion. (2 identifying terms)

 

Alveolar hemorrhage , parenchymal damage

400

What is the best way to confirm Blastomycosis?

Direct visualization of the YEAST in sputum smears

400

What agent is used for their vasodilator agent effects and to increase myocardial contraction and cardiac output? Name one example

Positive Inotropic Agent. Eg Norepinephrine, Dopamine, and Dobutamine

400

What are 4 preventive measures that we can tell to patients who are at high risk for developing thromboembolic disease? 

1. Walking

2. Exercise while seated

3. Drink fluids

4. Wear compression stockings

400

What respiratory care techniques are commonly used to treat severe flail chest? (Give 2)


Intubation (PEEP,CPAP)

500

As a result of fungal disease causing an inflammatory response in the lungs, what anatomic alterations can this lead too? (Name 4)

Alveolar consolidation, tissue necrosis, granulomas, and cavity formation

500

What are the three main goals of the therapeutic intervention to address the patient’s circulatory systems? 

  • Reduction of pulmonary venous return (Preload reduction)
  • Reduction of systemic vascular resistance (Afterload reduction)
  • Inotropic agent ( Treatment for reduced of reduced cardiac contractility)
500

In the United States, how many individuals DIE each year from a pulmonary embolism, and who is more likely to develop a pulmonary embolism?

100,000

Males 

Also, increase with age.

500

When the patient has a severe flail chest, what hemodynamic change can occur?


 Increased CVP