Pleural Effusion And Empyema

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Question 1
Free
Multiple Choice

The anatomic alteration caused by a pleural effusion is:

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A

pulmonary fibrosis.

B

separation of the visceral and parietal pleura.

C

adhesion of the visceral and parietal pleura.

D

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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A

diaphragm elevation.

B

atelectasis.

C

compression of the great vessels.

D

lung compression.

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Question 3
Free
Multiple Choice

Treatment of an empyema usually includes:

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A

pleurodesis.

B

thoracostomy tube insertion.

C

lobectomy.

D

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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A

specific gravity.

B

biochemical makeup.

C

cytologic examination.

D

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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A

Milky white

B

Straw colored

C

Red

D

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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A
Meniscus sign
B
Scarf sign
C
Transudate sign
D
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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A
Up to 10%
B
Up to 20%
C
Up to 30%
D
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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A
Malignant disease
B
Fungal disease
C
Chylothorax
D
Tuberculosis
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Question 9
Multiple Choice

What is the most common cause of a chylothorax?

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A
Thoracic duct trauma
B
Abdominal tumor
C
GERD
D
Pyloric stenosis
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