Advanced Lung Step 1

1. How does abduction and external rotation of arm optimize the pleural space examination?*
- A. Increased space between ribs
- B. Allows mobilization of pleural fluid
- C. Given that most pleural effusions are lateral, it facilitates access to that area
- D. A and C
2. What is the typical ‘lung profile’ seen in a patient with respiratory distress who likely is having COPD exacerbation?*
- A. Bilateral A lines
- B. Bilateral B lines
- C. Bilateral A lines without lung sliding
- D. A/B profile
3. If a ‘lung profile’ suggests COPD/Asthma in an acutely respiratory failure patient (non-invasive ventilation or endotracheally intubated), what should be your next step?*
- A. No steps, the particular lung profile corresponds to COPD/Asthma at all times
- B. Adjust ventilator settings and re-examine lung ultrasound
- C .Check posterior lung fields for consolidation
- D. Examine the lower extremity deep vessels in search of pulmonary embolism
4.What finding in COPD may be mistaken for pneumothorax due to absent lung sliding*
- A. Pneumonia
- B. Blebs
- C. Pulmonary embolism
- D. A and B
5. What is the typical ‘lung profile’ seen in patients having an asthma exacerbation?*
- A Bilateral A lines
- B. Bilateral B lines
- C. A/B profile
- D. No particular profilesd Choice

Step 1 (1 hour): Self Learning Pre-Tests