Which combination correctly represents the “BASE” acronym?
Anonymous Quiz
28%
A. Benadryl, Antibiotics, Steroids, Epinephrine
59%
B. Benadryl, Aminophylline, Steroids, Epinephrine
7%
C. Beta-blockers, Aminophylline, Salbutamol, Epinephrine
7%
D. Blood, Aspirin, Steroids, Enalapril
Which of the following is true about tension pneumothorax ?
Anonymous Quiz
3%
Valve-like tear
12%
It's progressive and fatal
6%
History of trauma or mechanical ventilation
79%
All of the above
Which of the following is found in examination of a patient with tension pneumothorax ?
Anonymous Quiz
13%
Dullness to percussion.
13%
⬆️ breath sounds on affected side.
58%
Subcutaneous emphysema
16%
All of the above
In a case with tension pneumothorax, the intrapleural manometer is ...
Anonymous Quiz
71%
Positive
29%
Negative
Which of the following is done in the 1ry survey for a case of hemothorax?
Anonymous Quiz
35%
Needle decompression
52%
Chest tube insertion
11%
Thoractomy
2%
Tracheostomy
A 22 year-old male came to the ER after road traffic accident. Chest wall examination revealed multiple bruises specially on the Lt side.
The patient was hypotensive with distended neck veins. On auscultation, muffled heart sounds were heard.
The patient was hypotensive with distended neck veins. On auscultation, muffled heart sounds were heard.
Provisional diagnosis:
Anonymous Quiz
31%
Tension pneumothorax
9%
Hemothorax
54%
Cardiac temponade
6%
Flail chest
The best investigation for this case is:
Anonymous Quiz
19%
Chest x-ray
13%
CT chest scan
63%
Echocardiography
6%
Isotope scan
A 25-year-old male came to the ER after a road traffic accident.
The chest wall showed multiple bruises with bulging of the Rt side. The patient had dyspnea with decreased chest movement. Percussion revealed hyper-resosnance on the Rt side & auscultation revealed dimnished breath sounds.
The chest wall showed multiple bruises with bulging of the Rt side. The patient had dyspnea with decreased chest movement. Percussion revealed hyper-resosnance on the Rt side & auscultation revealed dimnished breath sounds.
Provisional diagnosis:
Anonymous Quiz
80%
Rt tension pneumothorax
3%
Lt tension pneumothorax
14%
Rt hemothorax
3%
Lt hemothorax
The 1st step in management of this case is:
Anonymous Quiz
11%
Chest x-ray
9%
CT chest scan
66%
Needle decompression
14%
Intercostal chest tube insertion
0%
Emergency thoracotomy
Chest x-ray is expected to show:
Anonymous Quiz
60%
Jet black opacity on the Rt side
14%
Shift of the mediastinum to the Rt side
6%
Enlarged cardiac shadow
20%
Obliterated costo-phrenic angle
All of the following are causes of spontaneous pneumothorax, except:
Anonymous Quiz
14%
TB
14%
COPD
54%
Thoracoscopy
17%
Ruptured apical bleb
1st aid management of flail chest does NOT include:
Anonymous Quiz
9%
Maintenance of adequate ventilation
22%
Fluid management
16%
Pain management
38%
Thoracotomy
16%
Pulmonary toilet
All the following are indications of intercosral chest tube insertion EXCEPT
Anonymous Quiz
6%
Evacuation of pleural collections e.g. empyema & chylothorax
9%
Resistant bilateral pleural effusion
36%
1st aid management in tension pneumothorax
21%
Palliative in malignant pleural effusion
27%
2ry pneumothorax > 2 cm
Indications of emergency thoractomy in cases of hemothorax:
Anonymous Quiz
6%
As 1st aid management in all cases
35%
In persistent cases after chest tube insertion
35%
If there's immediate output of 1000 cc blood from the chest tube insertion
24%
If the rate of ongoing blood loss is 100 cc blood per hr over successive 4 hrs