(hans) pulmonology p152-159

Question 1

what are the 5 GI symptoms of CF?

Answer 1

1. meconium ileus
2. pancreatic insufficiency
3. recurrent pancreatitis
4. distal intestinal obstruction
5. biliary cirrhosis

Question 2

what drug increases activity of CFTR?

Answer 2

ivacaftor

Question 3

in order to dx bronchiectasis what must be done?

Answer 3

imaging study of the lungs such as CT scan

Question 4

what 2 groups of pt does exclusively suffer from allergic bronchopulmonary aspergillosis?

Answer 4

asthma and pts with hx of atopic disorder

Question 5

dx?

asthmatic pt with recurrent episodes of brown-flecked sputum and transient infiltrates on chest x-ray with symptoms of cough, wheezing, hemoptysis

Answer 5

allergic bronchopulmonary aspergillosis (ABPA)

Question 6

is inhaled steroids effective for ABPA?

Answer 6

no (need oral steroid)

Question 7

what is bronchiectasis?

Answer 7

disease from chronic dilation of the lung bronchi which is a permanent anatomic abnormality

Question 8

what is the most common cause of bronchiectasis?

Answer 8

cycstic fibrosis

Question 9

what is the best initial diagnostic test for bronchiectasis?

Answer 9

chest x-ray, shows dilated, thickened bronchi, with tram tracks, which is the thickening of the bronchi

Question 10

what is the most accurate test for bronchiectasis?

Answer 10

high resolution CT scan

Question 11

3 treatment options for acute exacerbation of chronic bronchitis?

Answer 11

bronchodilators, corticosteroid, antibiotics

Question 12

for exacerbation of chronic bronchitis, infection of what microbacteria should be covered? (three of them)

Answer 12

Strep pneumoniae, H. influenza, Moraxella catarrhalis

Question 13

name the 2 criteria for oxygen use in COPD

Answer 13

1. pO2 below 55 mmHg or oxygen below 88%

2. if there are signs of Rt. sided heart dz or elevated hematocrit, pO2 less than 60 mmHg or oxygen sat below 90%