4-uWorld

Question 1

diagnostic option for REM behavior disorder

Answer 1

polysomnography

Question 2

tx REM behavior disorder

Answer 2

Melatonin

Question 3

what are RED FLAG FEATURES on imaging CT/us features of a parapneumonic effusion

Answer 3

-pleural thickening
-loculations
- >1/2 of the hemithorax

Question 4

Next step: parapneumonic Effusion, free flowing, <10mm

Answer 4

will go away on its own with abx

Question 5

Next step: parapneumonic Effusion, free flowing, >10mm

Answer 5

Ask: does it have high risk features? (ie pleural thickening/half of hemithorax/loculations)

-YES: thoracostomy and drain
-NO: do diagnostic thora and further plan based on Cx(wheter complicated or not)

Question 6

what is defined as complicated parapneuonic effusion

Answer 6

Eff grows on Cx/Gram stain
-OR-
pH<7.2

Question 7

Spontaneous breathing trials in ICU allow for decreased____time and _____stay in ICU

Answer 7

decrease vent time

Decreased length of ICU stay

Question 8

tx for goodpasteur’s syndrome

Answer 8

Plasmapheresis with steroids AND cyclophosphamide

Question 9

can uncomplicated parapneumonic effusion be exduative

Answer 9

YES!

Question 10

patient has had thoractostomy to drain complicated parapneumonic effusion, still hasn’t improved and effusion still plentiful, NEXT STEP?

Answer 10

VATS
(thoracotomy)

Question 11

indication for lung reduction procedure in COPD

Answer 11

emphysema upper lobe who
-severe COPD who fail maximal therapy
-low exercise capacity

Question 12

what is considered Mod-severe COPD symptoms

Answer 12

COPD with walking minimal level surface

Question 13

what is considered Mild COPD symptoms

Answer 13

COPD with walking up stairs or really exerting