Pulmonology

Question 1

Causes recurrent pneumonia and is associated with eye issues, ataxia and telengiectasia

Answer 1

Ataxia telengiectasia

Question 2

What is elevated in ataxia telengiectasia

Answer 2

AFP

Question 3

condition were b cells dont work well, seen in males and is associated with encapsulated organism infection ( s pnuemo, h flu and pseudommonas) tiny tonsils are seen and recurrent PNA

Answer 3

brutons x link agammaglobulinemia

Question 4

defiecny of t cells and b cells, AOM in kids 3-6 months and recurrent viral infections ( HSV/VZV) causes recurrent PNA

Answer 4

SCID

Question 5

sundrome where IgM will not change to IgG, neutropenia and lymphocytosis is seen

Answer 5

Hyper IgM

Question 6

syndome where patient has recurrent Pna and abscess ( s aureus - boils) as well as pneumonia. pneumatocele can be seen on xray

Answer 6

Hyper IgE

Question 7

shedding of primary teeth can be seen in what condition that causes recurrent PNA and abscesses

Answer 7

Hyper IgE ( Job syndrome)

Question 8

hypercapnia can be cuased by what kind of overdose

Answer 8

opioid

Question 9

pulmonary vascular congestion can be seen in what CHD condition

Answer 9

• transposition
• truncus
• TAPVR and left outflow obstruction -

Question 10

patchy areas of diffuse atelectasis noted on neonatal CXR should make you think

Answer 10

meconium aspiration

Question 11

meconium asporation syndrome is not going to happen before what GA

Answer 11

34 weeks because meconium is rarely passed at that time.

Question 12

should you intubate meconium aspiration sydrome

Answer 12

only if there is severe RDS, usually suctioning is all that is needed

Question 13

fluid in the horizontal fissure noted in a newborn with tachypnea should make you think of

Answer 13

TTN

Question 14

what is the most common complication of meconium aspiration sydrome

Answer 14

pulmonary HTN

Question 15

how does GBS PNA look on newborn XRAY

Answer 15

air bronchogram and ground glass findings similar to RDS but the ratio of bands to neutrophils is >0.2

Question 16

how does bronchopulmonary dysplasia occure

Answer 16

barotrauma ( too much O2)

Question 17

what does bronchopulmonary dysplasia look like in XRAY

Answer 17

cystic area with diffuse opacities on NB XRAY

Question 18

what is the most common sxs to present in children with alpha 1 - antitrypsin def

Answer 18

hepatic manifestation ( pulmonary issues are more likely to occur in later decades)

Question 19

what states are associated with histoplasmosis

Answer 19

Mississippi and HitOHIO

Question 20

how do you get histo

Answer 20

spleunking and being around bat droppings in ohio or mississippi

Question 21

physical exam that presents with stridor heard best at the anterior neck is due to

Answer 21

vocal cord dysfunction

Question 22

explain why vocal cord paralysis can happen during difficult delivery

Answer 22

during stretching of the neck there can be damage to recurrent laryngeal nerve

Question 23

blastomycosis is commonly associted with what kind of areas

Answer 23

wooded sites in central USA

Question 23

what is seen on sputum culture of blastomycosis

Answer 23

broad based budding yeast

Question 24

lymphocytic interstittial pneumonitis is commonly seen in kids with what kinf od condition

Answer 24

HIV

Question 25

SMA places children at risk of what pul condition

Answer 25

aspiration PNA

Question 26

patient with prlonged wet cough and no other symptoms usually has a dx of what

Answer 26

protracted bacterial bronchitis ( tx: 2-4 wks of augmentin)

Question 27

what are the 2 common viral causes of steven Johnson syndrome?

Answer 27

mycoplasma and CMV

Question 28

what is the most common cause of walking PNA

Answer 28

mycoplasma

Question 29

why use fomoterol over salmoterol

Answer 29

faster onset of action potential

Question 30

what are bronchogenic cyst caused by

Answer 30

abnormal budding of tracheal diverticulum 16 weeks in utero

Question 31

what can broncogenic cyst cause

Answer 31

recurrent pNA, spontaneous pneumo and can become malignant