Question 1

Which are causes of pleural effusions? (Select all that apply.)&#10;A) Allergies&#10;B) Breast cancer&#10;C) Bronchiectasis&#10;D) Congestive heart failure (CHF)&#10;E) Dehydration

Accepted Answer

Pleural effusions can be caused by breast cancer, bronchiectasis, and congestive heart failure. Allergies and dehydration are not typically associated with pleural effusions.

Question 2

A patient reports shortness of breath when in a recumbent position as well as coughing and pain associated with inspiration. The provider notes distended neck veins during the exam. What is the likely cause of these findings?

A) Congestive heart failure (CHF)
B) Hepatic disease
C) Pulmonary embolus
D) Pulmonary infection

A

Accepted Answer

The symptoms of shortness of breath, coughing, and pain with inspiration along with distended neck veins are all common in congestive heart failure. This is due to the increased pressure in the heart causing fluid to back up into the lungs and other parts of the body. Hepatic disease may present with other symptoms such as jaundice and abdominal pain. Pulmonary embolus may present with shortness of breath, but typically not with distended neck veins. Pulmonary infection may present with coughing and pain with inspiration, but typically not with distended neck veins.

Deck 92: Pleural Effusions and Pleurisy