Pulmonology

Question 1

Wheezing, reversible airway d/o
Samter’s Triad: Asthma, ASA allergy, nasal polyp
Reduced FEV1 to FVC ratio

Answer 1

Asthma

Question 2

Viral, cough, negative CXR

Answer 2

Acute bronchitis

Question 3

RSV

Answer 3

Bronchiolitis

Question 4

HIB, Hot potato voice, flower sniffing position, drooling, XR: Thumb sign

Answer 4

Epiglottitis

Question 5

Barking cough, XR: Steeple sign

Answer 5

Croup

Question 6

Inspiratory whoop

Answer 6

Pertussis

Question 7

Productive cough, pleuritic chest pain, fever
Lobar consolidation = bacteria
Bilateral interstitial infiltrates = viral/pneumocystis

Answer 7

Pneumonia

Question 8

Fever, night sweats, hemoptysis, AFB/culture x 3 days, RIPE therapy, Screen with TNF inhibitors, immigration

Answer 8

Tuberculosis

Question 9

Diarrhea, Flushing, Bronchospasm

Answer 9

Carcinoid Syndrome (never heard of before!)

Question 10

Cystic Fibrosis, tram lines, obstructive pattern

Answer 10

Bronchiectasis

Question 11

Smoking, alpha 1 antitrypsin deficiency, barrel chest, decreased DLCO (Diffusing capacity of the lungs for carbon monoxide) and FEV1

Answer 11

Emphysema

Question 12

Smoking, decreased FEV1

Answer 12

Chronic Bronchitis

Question 13

Autosomal recessive, infertility, sweat chloride test

Answer 13

Cystic Fibrosis

Question 14

Virchow’s triad, sinus tachycardia, pleuritic chest pain, S1Q3T3, Westermark Sign, Hamptom Hump

Answer 14

Pulmonary Embolism

Question 15

Insulation, ship building

Answer 15

Asbestosis

Question 16

Sandblasting, mines, egg shell calcification

Answer 16

Silicosis

Question 17

Coal

Answer 17

Coal workers pneumoconiosis

Question 18

Aerospace, electrical plants

Answer 18

Beryllium

Question 19

Non caseating granulomas, erythema nodosum, bilateral hilar adenopathy, elevated ACE (angiotensin converting enzyme)

Answer 19

Sarcoidosis

Question 20

Smoking, FHx, malls tall/skinny, pleuritic chest pain

Answer 20

Pneumothorax