Answer 40

40.  Choice D is the correct answer.  Pulmonary hypertension will typically lead to bilateral JVD.  Exertional dyspnea, unexplained syncope, atypical chest pain, and peripheral edema are all symptoms of pulmonary hypertension.  

Choice 40

40.  All of the following are symptoms of pulmonary hypertension except:

A.  Exertional dyspnea

B.  Unexplained syncope

C.  Atypical chest pain

D.  Unilateral JVD

Answer 39

39. Choice B is the correct answer.  Influenza typically presents with fever, rhinorrhea, headache, myalgias and fever.  RSV typically does not cause theses symptoms in older adults usually rhinorrhea.  Strep pharyngitis presents with fever sore throat, and viral symptoms are typically absent.

Question 39

39.  Your patient is a 24 year old female that presents with rhinorrhea, non productive cough, fever, headache, and myalgias.  Which of the following is the most likely diagnosis?

A.  URI
B.  Influenza
C.  RSV
D.  Strep Pharyngitis

Answer 38

38.  Choice B is the correct answer.  The correct site for needle compression is the second or third interspace mid-clavicular line because that is the area of highest pressure.  Forth or fifth interspace anterior axillary line in the correct site for chest tube insertion because that is where it is the safest and is directed up toward the apex.

Question 38

38.  Your patient is a 24 year old male that presents with right sided chest pain and shortness of breath.  His chest x ray demonstrates a 50% right sided tension pneumothorax.  Which of the following is the correct position for needle decompression?

A.  Second or Third interspace anterior axillary line on right side
B.  Second or Third interspace mid-clavicular line on the right side
C.  Forth or Fifth interspace anterior axillary line on the right side
D.  Forth or Fifth interspace mid-clavicular line on the right side

Answer 37

37.  Choice C is the correct answer.  Single pulmonary lesions less than 30 mm are considered pulmonary nodules.  Single pulmonary lesions greater than 30 mm are considered masses.

Question 37

37.  Pulmonary nodules are defined as singular pulmonary lesions less than _____ mm.

A.  10 mm
B.  20 mm
C.  30 mm
D.  40 mm

Answer 36

36.  Choice B is the correct answer.  Patients with carcinoid tumors can present with symptoms of carcinoid crisis which are cutaneous flushing, diarrhea, bronchospasm and venous telangectasia.   Theses symptoms come from carcinoid tumors producing vasoactive substance such as serotonin and bioactive amines.  

Question 36

36.  Your patient is a 64 year old male that presents with flushing, diarrhea, wheezing, and a lung mass seen on x ray.  Which of the following is the most likely diagnosis?

A.  Adenocarcinoma
B.  Carcinoid Tumor
C.  Small Cell Cancer
D.  Pancoast Tumor