Patho Jeopardy Game Jeopardy Template

Flail Chest	Pnuemothorax	Pleural Effusion	Interstitial Lung Disease	Definitions
100 With a flail chest, what is the main thing you see on physical exam? Paradoxical movement of chestwall	100 Name the main symptoms a patient will experience with a pneumothorax sharp one sided chest pain and S.O.B.	100 Name the 2 types of pleural effusions Transudates and exudates	100 Name 2 other names for IDL Diffuse IDL, fibrotic IDL, pulmonary fibrosis or pnuemoconiosis	100 What is characrterized by acute, subacute or chronic infammatory infiltration of alveolar walls by cells, fluid and connective tissue IDL
200 Name 3 anatomic alterations of the lungs with a flail chest Double fracture of numerous ribs, rib instability, lung restriction, atelecstasis, lung collapse, lung contusion,secondary pneumonia	200 Name 2 anatomic alterations lung collapse, atelectasis, inhibition chest wall expansion, compression of great veins and decreased cardiac venous return	200 Name 2 types of pathologic fluid that separates the parietal and visceral pleura Hemothorax, Chylothorax, Empyema	200 When left untreated, what is the result? Irreversible pulmonary fibrosis	200 The cause of instability of the chest wall and paradoxical motion of the thorax Flail Chest
300 What is the cause of a PAo2=40? Hypoventilated alveolus affected by flail chest	300 Name the 3 classifications of pnuemothorax closed, open and tension	300 What direction will the trachea go? Towards the air, away from the consolidation	300 Name 4 anatomic alterations Destruction of alveoli, fibrotic thickening of bronchioles, granulomas, honeycombing, fibrotic pleural plaques, bronchospasm and excessive bronchial secretions	300 Abnormal collection of air in pleural space between the lung and chest wall Pneumothorax
400 Where will you hear diminished breath sounds? Both the affected and unaffected side	400 On percussion of chest what do you hear? What will breath sounds be over the pneumothorax? Hyperresonant Diminished	400 The presence of blood in pleural fluid suggests what? Malignant disease	400 Name 4 connective tissue disorders Sarcoidosis,Sjogrens syndrome, polymyositis , scleroderma and rheumatoid arthritis	400 Cytological exam reveals malignancy Exudatative fluid from plerual effusion
500 Name 5 things you will see on physical exam of flail chest Increased BP, RR, decreased lung compliance/increased Ventilatory relationship,activation of deflation,irritant and J receptors, pain anxiety	500 name the ACUTE vital sign changes Tachypnea,tachycardia, stimulation of peripheral chemoreceptors, pendulum shift and deceased lung volume/unequal chest rise	500 What will the general management be for pleural effusion? Direct the treatment towards the cause	500 What is the name of the idiopathic interstitial pneumonia that causes both obstructive and restrictive disease BOOP Bronchiolitis Obliterans Organizing Pneumonia	500 Disease that affects mainly men >50yrs, hemoptysis maybe present, usually fatal Wegener's granulomatosis

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