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Question 1 of 20
1. Question
Which one of the following is true regarding catamenial pneumothoraces?
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Question 2 of 20
2. Question
Which of the following is true regarding empyema?
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Question 3 of 20
3. Question
Which of the following pleural fluid markers is an indication for intervention?
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Question 4 of 20
4. Question
Which of the following is an indication for surgery in patients with spontaneous pneumothoraces?
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Question 5 of 20
5. Question
You are consulted for the evaluation of a 75 year old male with a past medical history of atrial fibrillation on warfarin, CAD with a recent history of PCI on clopidogrel, COPD on 2L O2 at home, right upper lobe bronchogenic carcinoma with known metastasis to the brain and liver currently undergoing treatment with pembrolizumab, hypertension, and hyperlipidemia who is currently managed on the medical service for a COPD exacerbation and developed large volume hemoptysis. On evaluation, the patient is actively expectorating large volumes of blood, tachycardic to 130s, hypotensive to 83/45, and receiving 100% O2 via non-rebreather with SpO2 decreased to low 80s. Morning laboratory work shows HCT 39.0, PLT 250, BUN 42, sCr 1.1, and INR of 2.5. Initial management of the patient includes:
The patient described in the scenario above is stabilized and transferred to the intensive care unit. Further diagnostic work-up and management should include:
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Question 6 of 20
6. Question
You are consulted for the evaluation of a 75 year old male with a past medical history of atrial fibrillation on warfarin, CAD with a recent history of PCI on clopidogrel, COPD on 2L O2 at home, right upper lobe bronchogenic carcinoma with known metastasis to the brain and liver currently undergoing treatment with pembrolizumab, hypertension, and hyperlipidemia who is currently managed on the medical service for a COPD exacerbation and developed large volume hemoptysis. On evaluation, the patient is actively expectorating large volumes of blood, tachycardic to 130s, hypotensive to 83/45, and receiving 100% O2 via non-rebreather with SpO2 decreased to low 80s. Morning laboratory work shows HCT 39.0, PLT 250, BUN 42, sCr 1.1, and INR of 2.5. Initial management of the patient includes:
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Question 7 of 20
7. Question
You are caring for a 72 year old patient with a known history of dysphagia and frequent aspiration who has acutely developed fevers. Chest CT demonstrates an area of parenchymal necrosis with an associated air fluid level in the right lower lobe. The nursing staff reports that the patient now has foul smelling sputum. Treatment of this patient should include:
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Question 8 of 20
8. Question
Pulmonary resection surgery is indicated for the management of which of the following patients with tuberculosis:
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Question 9 of 20
9. Question
At the conclusion of a bilateral lung transplant for a patient with pulmonary hypretension, you note adequate oxygenation and ventilation, but ongoing RV dysfunction, with inability to wean from mechanical support. The best option for management is:
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Question 10 of 20
10. Question
You are performing bilateral lung transplant for a patient with pulmonary hypertension, and during explant of the recipient lungs you note significant hypotension with right ventricular dysfunction. Options for management include:
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Question 11 of 20
11. Question
A 45 yo woman is two years post-op from bilateral lung transplant, and develops new shortness of breath. Despite increasing her immunosuppression, on PFTs she is noted to have a serial decrease in FEV1 of 30% over the course of one year. The most likely explanation is:
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Question 12 of 20
12. Question
A 34 yo man on the lung transplant waiting list is hospitalized with acute, worsening hypoxemia requiring mechanical ventilation. Prior to transplant, the strategy for managing his hypoxemia associated with the best post-transplant outcomes includes:
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Question 13 of 20
13. Question
Which of the following patients is probably not a candidate for lung transplantation?
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Question 14 of 20
14. Question
What is the primary purpose of the retrograde flush that is administered after cardiectomy?
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Question 15 of 20
15. Question
Which of the following should be injected into the pulmonary artery prior to aortic cross-clamp application?
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Question 16 of 20
16. Question
What is the minimum acceptable P:F ratio for a donor lung on ABG?
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Question 17 of 20
17. Question
Which of the following is an effective way to assess lung compliance during lung organ recovery?
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Question 18 of 20
18. Question
A 30 yo African-American man has had progressive vague systemic symptoms for the past six months, and after ruling out multiple other possible causes, you are concerned about a possible diagnosis of sarcoidosis. Chest CT is negative for parenchymal changes and hilar adenopathy. Physical exam is negative for skin changes. What diagnostic test can aid in diagnosis?
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Question 19 of 20
19. Question
A 65 yo man is referred to your office with a history of worsening shortness of breath for the past one year. His primary care physician has recommended he begin an empiric course of steroids, but he requests a second opinion. In which of the following circumstances would steroids be potentially harmful for this patient?
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Question 20 of 20
20. Question
1. A 40 yo woman presents to your office after CT chest, obtained incidentally for trauma, demonstrates bilateral hilar adenopathy. She is otherwise feeling well and has no symptoms. The next best step is:
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