Lectures

Pulmonary Embolism

by Carlo Raj, MD
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    About the Lecture

    The lecture Pulmonary Embolism by Carlo Raj, MD is from the course Disorders of the pulmonary circulation and the respiratory regulation. It contains the following chapters:

    • Pathogenesis
    • Clinical Findings
    • Risk Factors
    • Prevention
    • Signs & Symptoms
    • Diagnosis
    • Treatment

    Included Quiz Questions

    1. Plasmin
    2. Fibrin
    3. Von Willebrand factor
    4. D-dimer
    5. Vitamin K
    1. Wedge-shaped infarct near the pleura
    2. Unilateral opacity in the lower lobe
    3. Increased vascularity
    4. Atelectasis
    5. Bilateral reticular pattern of opacities
    1. Pain on dorsiflexion of the lower extremity
    2. Bronchial breath sounds
    3. Bilateral pitting edema of the lower extremities
    4. Throbbing of the femoral artery on palpation
    5. Pain on inspiration with palpation
    1. Right atrial enlargement
    2. Elevated left ventricular pressure
    3. Decreased left atrial pressure.
    4. Decreased right atrial pressure
    5. Left ventricular enlargement
    1. Myocardial infarction
    2. Myocarditis
    3. COPD
    4. Pneumonia
    5. Endocarditis
    1. Hemophilia
    2. Factor V Leiden disorder
    3. Cancer
    4. Immobility
    5. Pregnancy
    1. Abruptio placentae
    2. Hyperemesis gravidum
    3. HELLP syndrome
    4. Ectopic pregnancy
    5. Gestational diabetes
    1. Pallor
    2. All are part of the classic presentation.
    3. Petechial rash
    4. Neurologic abnormalities
    5. Hypoxemia
    1. Warfarin
    2. Unfractioned heparin
    3. Ambulation
    4. Compression stockings
    5. Low molecular weight heparin
    1. Palpable cord on the lower extremity
    2. Pallor
    3. Bronchial breath sounds
    4. Tactile fremitus
    5. Breathing through pursed lips
    1. Sudden onset of shortness of breath
    2. Pleuritic chest pain
    3. History of surgery 2 years ago
    4. Recent injection of depoprovera for contraception
    5. Association with exercise
    1. Refractory hypoxemia
    2. Widened A-aO2 gradient.
    3. Pulse oximetry <90%
    4. Elevated D-dimer
    5. Rapid onset of hypotension.
    1. S1Q3T3
    2. S3Q1T1
    3. Widened QRS
    4. New onset delta wave
    5. Polymorphic p waves
    1. V/Q ratio > 0.8
    2. V/Q ratio = 0.8
    3. V/Q ratio = 0.5
    4. V/Q ratio < 0.5
    5. V/Q ratio < 0.7
    1. Spiral CT allows for identification of other lung pathologies.
    2. Spiral CT has higher resolution for lung pathology.
    3. Pulmonary angiography is cheaper than spiral CT.
    4. Pulmonary angiography requires less radiation exposure.
    5. Pulmonary angiography is less invasive.
    1. CT pulmonary angiography
    2. CXR
    3. VQ Scan
    4. Spiral CT without contrast
    5. Spiral CT with contrast
    1. Heparin, followed by warfarin
    2. Surgical embolectomy
    3. Warfarin only
    4. Thrombolysis
    5. IVC filter placement
    1. Hypotension and contraindications to thrombolytic therapy.
    2. Contraindications to thrombolytic therapy and presence of IVC filter.
    3. Age of patient and hypotension
    4. Contraindications to thrombolytic therapy and palpable cord
    5. Hypotension and palpable cord.

    Author of lecture Pulmonary Embolism

     Carlo Raj, MD

    Carlo Raj, MD


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