Pleural Effusion And Empyema
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- The Patient InterviewThe Physical Examination and Its Basis in PhysiologyPulmonary Function Study AssessmentsArterial Blood Gas AssessmentsOxygenation AssessmentsCardiovascular System AssessmentsRadiologic Examination of the ChestOther Important Tests and ProceduresThe Therapist-Driven Protocol Program and the Role of the Respiratory TherapistRespiratory Failure and the Mechanical Ventilation ProtocolRecording Skills: The Basis for Data Collection, Organization, Assessment SkillChronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and EmphysemaAsthmaBronchiectasisCystic FibrosisPneumoniaLung AbscessTuberculosisFungal Diseases of the LungPulmonary EdemaPulmonary Vascular Disease: Pulmonary Embolism and Pulmonary HypertensionFlail ChestPneumothoraxPleural Effusion and EmpyemaKyphoscoliosisInterstitial Lung DiseasesCancer of the LungAcute Respiratory Distress SyndromeGuillain-Barré SyndromeMyasthenia GravisSleep ApneaClinical Manifestations Common with Newborn and Early Childhood Respiratory DisMeconium Aspiration SyndromeTransient Tachypnea of the NewbornRespiratory Distress SyndromePulmonary Air Leak SyndromesRespiratory Syncytial Virus (Bronchiolitis or Pneumonitis)Bronchopulmonary DysplasiaCongenital Diaphragmatic HerniaCongenital Heart DiseasesCroup Syndrome: Laryngotracheobronchitis and Acute EpiglottitisNear Drowning/Wet DrowningSmoke Inhalation, Thermal Injuries, and Carbon Monoxide IntoxicationAtelectasis
Question 1
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Multiple Choice
The anatomic alteration caused by a pleural effusion is:
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pulmonary fibrosis.
separation of the visceral and parietal pleura.
adhesion of the visceral and parietal pleura.
pulmonary edema.
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Question 2
Free
Multiple Choice
The major pathologic and structural changes associated with a significant pleural effusion include all of the following EXCEPT:
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diaphragm elevation.
atelectasis.
compression of the great vessels.
lung compression.
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Question 3
Free
Multiple Choice
Treatment of an empyema usually includes:
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pleurodesis.
thoracostomy tube insertion.
lobectomy.
pneumonectomy.
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Question 4
Free
Multiple Choice
A patient has a pleural effusion from an unknown cause. A fluid sample has been taken for analysis. To help identify the cause of the effusion, all of the following tests should be performed EXCEPT:
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specific gravity.
biochemical makeup.
cytologic examination.
bacterial culture.
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Question 5
Free
Multiple Choice
A respiratory therapist is assisting a physician who is performing a thoracentesis. It is suspected that the patient has a chylothorax. How would the pleural effusion be described?
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Milky white
Straw colored
Red
Green
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Question 6
Multiple Choice
While reviewing an upright chest radiograph of a patient with a pleural effusion, the respiratory therapist observes a fluid density in the right lung area that extends upward around the anterior, lateral, and posterior thoracic walls. What is this characteristic sign called?
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Meniscus sign
Scarf sign
Transudate sign
Kerley B lines
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Question 7
Multiple Choice
What percentage of patients with bacterial pneumonia are likely to develop pleural effusion?
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Up to 10%
Up to 20%
Up to 30%
Up to 40%
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Question 8
Multiple Choice
In the absence of surgery or trauma, what does the presence of blood in the pleural fluid most likely signify?
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Malignant disease
Fungal disease
Chylothorax
Tuberculosis
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Question 9
Multiple Choice
What is the most common cause of a chylothorax?
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Thoracic duct trauma
Abdominal tumor
GERD
Pyloric stenosis
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