Pleural effusions that occur secondarily to _____ are most often ...

[pragya sharda]

Pleural effusions that occur secondarily to _____ are most often treated with pleurodesis.
 
  a. ascites
  b. congestive heart failure
  c. malignancy
  d. nephrotic syndrome

Question 2

What method of chest tube removal has been associated with the lowest level of pneumothorax recurrence?
 
  a. Clamp the chest tube for 4 hr; if chest ra-diograph is good, remove the tube.
  b. Clamp chest tube for 24 hr; if clinically stable, remove the tube.
  c. Remove the chest tube as soon as the air leak resolves.
  d. Remove the chest tube 48 hr after the air leak resolves.

[fraziera112]

Answer to Question 1

ANS: C
Although pleurodesis of benign effusions, such as those occurring with CHF, nephrotic syn-drome, and idiopathic chylothorax, have been performed successfully, the procedure is discour-aged for pleural effusions that are not malignant.

Answer to Question 2

ANS: D
The recurrence rate is near zero when chest tubes are removed 48 hr after the air leak no longer is seen in the water-seal chamber.