SAEM Pulm Exam Questions and Answers 2024

SAEM Pulm Exam Questions and Answers 2024 A thin 18 year old female complains of acute onset of sharp right-sided chest pain this morning. She has developed some mild shortness of breath during the morning and thought she should get it checked out. Her chest X-ray is shown in the Figure. The next course of action should be: [PICTURE OF LUNGS WITH RIGHT BLUNTED COSTODIAPHRAGMATIC ANGLE] 1.Electrocardiogram 2.Antibiotics 3.Chest tube placement 4.Needle decompression - Answer ️️ -3. Chest tube placement A 28 year old patient arrives after helicopter transfer from an outlying center, where he had been intubated for altered mental status after significant alcohol intoxication. There were no reported signs of chest trauma, but the patient now has decreased breath sounds on the left. His vital signs are stable. Based upon the chest X-ray in the figure, what is the next step in management of this patient? [PICTURE OF HYPERINFLATED RIGHT LUNG AND CLOUDY LEFT LUNG] Answers: 1.Endotracheal tube adjustment 2.Chest tube placement 3.Nasogastric tube placement 4.Needle decompression - Answer ️️ -1.Endotracheal tube adjustment Regarding the epidemiology of asthma in the United States, which of the following is true? Answers: 1.Etiology is thought to be genetic, not environmental 2.Incidence is comparable for Caucasians and African-Americans 3.More common in males than females in adult and pediatric populations 4.Prevalence increased in the 1980's, and then decreased in the 1990's - Answer ️️ - 4.Prevalence increased in the 1980's, and then decreased in the 1990's Regarding pulsus paradoxus and asthma, which of the following statements is correct Answers: 1.Pulsus paradoxus is a fall in systolic blood pressure during inspiration 2.Pulsus paradoxus is pathognomonic for asthma 3.The absence of pulsus paradoxis in asthma rules out severe disease 4.The presence of pulsus paradoxis in asthma indicates severe disease - Answer ️️ -4.The presence of pulsus paradoxis in asthma indicates severe disease Which of the following is correct regarding the use of corticosteroids in acute asthma exacerbation? Answers: 1.Beneficial effects occur within the first hour of administration. 2.Inhaled steroids should be avoided 3.Intravenous steroids are superior to the oral route 4.Tapering is needed with all corticosteroid regimens - Answer ️️ -2.Inhaled steroids should be avoided Which of the following is true regarding the treatment of acute asthma exacerbation in the Emergency Department? Answers: 1.Anticholinergics by inhalation may be beneficial 2.Heliox should only be used in the intubated patient. 3.Intramuscular terbutaline is preferred over intravenous 4.Intravenous albuterol may be indicated - Answer ️️ -1.Anticholinergics by inhal