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mireiajordan mireiajordan
wrote...
Posts: 543
Rep: 2 0
6 years ago
Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis.
 
  a. ascites
  b. congestive heart failure
  c. malignancy
  d. nephrotic syndrome



Q. 2  What method of chest tube removal has been associated with the lowest level of pneumothorax recurrence?
 
  a. Clamp the chest tube for 4 hr; if chest ra-diograph is good, remove the tube.
  b. Clamp chest tube for 24 hr; if clinically stable, remove the tube.
  c. Remove the chest tube as soon as the air leak resolves.
  d. Remove the chest tube 48 hr after the air leak resolves.



Q. 3  Which of the following are typical complications of thoracentesis? 1. Infection 2. Intercostal artery laceration 3. Rib fracture 4. Pneumothorax
 
  a. 1, 2, and 4 only
  b. 2 and 3 only
  c. 3 and 4 only
  d. 1, 2, 3, and 4



Q. 4  What diagnostic procedure or technique is most sensitive for the identification of pleural effu-sion?
 
  a. Chest radiography
  b. Computed tomography
  c. Pleurodesis
  d. Thoracoscopy



Q. 5  What is a common clinical finding even with small pleural effusions?
 
  a. Air bronchograms
  b. Arrhythmias
  c. Dyspnea
  d. Tachycardia



Q. 6  What agent has proved to be the most successful in pleurodesis?
 
  a. Mixture of saline and Mucomyst
  b. Acetaminophen in suspension
  c. Saline solution mixed with heparin
  d. Talc suspended in saline



Q. 7  What anatomical position is most likely to show the presence of a small pleural effusion in the upright chest radiograph?
 
  a. Apical regions
  b. Costophrenic angles
  c. Fissures
  d. Subdiaphragmatic region
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wrote...
6 years ago
(Answer to Q. 1)  ANS: C
Although pleurodesis of benign effusions, such as those occurring with CHF, nephrotic syn-drome, and idiopathic chylothorax, have been performed successfully, the procedure is discour-aged for pleural effusions that are not malignant.

(Answer to Q. 2)  ANS: D
The recurrence rate is near zero when chest tubes are removed 48 hr after the air leak no longer is seen in the water-seal chamber.

(Answer to Q. 3)  ANS: A
Thoracentesis involves the following three major risks: (1) intercostal artery laceration, (2) infec-tion, and (3) pneumothorax.

(Answer to Q. 4)  ANS: B
Computed tomography of the chest is the most sensitive study for identification of pleural effu-sion.

(Answer to Q. 5)  ANS: C
Dyspnea is common with small pleural effusions, even when lung mechanics are relatively pre-served.

(Answer to Q. 6)  ANS: D
The success of talc pleurodesis, approximately 90, is higher than that of all alternatives except surgical abrasion.

(Answer to Q. 7)  ANS: B
It is important that, if possible, the chest radiograph be obtained with the patient in an upright position to show a pleural fluid meniscus at the costophrenic angles.
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