lung abscess

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lung abscess
2014-02-09 10:41:16
lung abscess

lung abscess
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  1. which of the following is or are anaerobic organisms?
    1. blastomyces
    2. peptococcus
    3. coccidiolodes immitis
    4. bacteroides
    b. 2 and 4
  2. which of the following is or are predisposing factors to the aspiration of gastrointestinal fluids (and anaerobes)?
    1. seizure disorders
    2. head trauma
    3. alcoholic binges
    4. general anesthesia
    d. 1, 2, 3, 4
  3. which of the following is or are associated with the formation of a lung absess?
    1. bullae or cysts that become infected
    2. interstitial lung disease with cavity formation
    3. bronchial obstruction with secondary cavitating infection
    4. penetrating chest wounds tha lead to an infection
    d. all of the above
  4. anatomically, a lung abscess most commonly forms in which parts of the lung?
    1. posterior segment of the upper lobe
    2. lateral basal segment of the lower lobe
    3. anterior segment of the upper lobe
    4. superior segment of the lower lobe
    c. 1 and 4
  5. which of the following pulmonary function findings may be associated with a severe and extensive lung abscess?
    1. decreased fvc
    2. increased pefr
    3. decreased rv
    4. increased frc
    d. 1 and 3
  6. what is defined as necrosis of the lung tissue that in severe cases leads to a localized air and fluid filled cavity
    lung abscess
  7. during what stage can a lung abscess not be  distinguished from an acute pneumonia
    during the early stages
  8. if  an inflammatory process progresses, what can occur
    tissue necrosis involving all lung structures occurs. it can rupture into the bronchus or intrapleural space
  9. which are pathologic or structural changes with lung abscess:
    1. alveolar consolidation
    2. tissue necrosis
    3. cavity formation
    4. fibrosis and calcification of the lung parenchyma
    5. bronchopleural fistules and empyema
    6. atelectasis
    7. excessive airway secretions
    8. all of the above
    8. all of the above
  10. aspiration of gastric and oral fluids can cause:
    1. chemical pneumonia
    2. anaerobic bacterial pneumonia
    3. combination of both
    4. all of the above
    4. all of the above
  11. when does a anaerobic organism often colonize in th small grooves and spaces between the teeth
    with poor oral hygeine
  12. aspiration often occurs in patients with:
    a decreased level of consciousness
  13. general management can vary with the severity of the pneumonia and lung abcess. some general mananagement can be based on
    1. appropriate antimicrobial therapy with prompt drainage and surgical debridement
    2. oxygen
    3. bronchopulmonary hygiene
    4. lung expansion
    5. all of the above
    5. all of the above