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General Surgery > PANCE Pulmonary > Flashcards

PANCE Pulmonary Flashcards

1
Q

how do you tx bronchectasis

A

antibiotics

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2
Q

how do you dx bronchectasis

A

high resolution CT

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3
Q

what are three organisms that can cause bronchectasis

A
  • psudomonas
  • MAC
  • aspergillious (thick brown)
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4
Q

what FEV1 elvel is sever asthma

A

< 60%

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5
Q

ipratropium is what class of medication

A

anticholenergic

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6
Q

Montalucast is what type of medication

A

LTRA

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7
Q

cromolyn is what type of medication

A

mast cell stabilizer

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8
Q

what are the main 3 medications for COPD

A
  • O2
  • anticholenergics
  • B2 agonists
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9
Q

exaggerated T cell response with granuloma formation

A

sarcoidsosis

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10
Q

black lady with a cough and visual defects

A

sarcoidosis

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11
Q

sarcoidosis tx 3

A
  • observation
  • steroids
  • hydroxycloraquin
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12
Q

idiopathic pulmonary fibrosis is MC in what age group

A

men 40-50

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13
Q

idiopathic pulmonary fibrosis tx

A

lung transplant

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14
Q

abnormal fluid in the plural space

A

plural effusion

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15
Q

plural effusion transudative comes from where

A

too much fluid

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16
Q

what are the three components of lights criteria

A

Protein > .5
LDH > .6
LDH > 2/3 of normal

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17
Q

primary pneumothroax is what type

A

idopathic thin yonge dudes

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18
Q

pleurtic and unilateral chest pain what dx

A

pneumothroax

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19
Q

what are the three tx for a pneumothorax

A
  • observation
  • chest tube
  • needle
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20
Q

pumonary nodule is what size

A

< 3 cm

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21
Q

polmonary mass is what size

A

> 3 cm

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22
Q

tx for pulmonary nodule

A
  • observation of cancer is low likelyhood

- surgery if they think it’s cancer

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23
Q

Bronchial carcinoid tumors are what type of tumors

A

rare neuroendoecrine

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24
Q

Pink to purple well vascularized central tumor

A

bronchial carcinoid

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25
Q

bronchial carcinoid tx

A

octreotide

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26
Q

what are the 4 types of bronchogenic carcinoma tumors

A
  • adeno (MC)
  • squamous
  • Large
  • Small
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27
Q

adeno bronchogenic carcinoma is located where

A

peripherally

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28
Q

what breath sound clears with cough

A

ronchi

29
Q

what are is the asthma triad

A
  • airway hyper actiivity
  • broncho constriction
  • inflammation
30
Q

what is the percussion with asthma

A

hyper resonant

31
Q

1 st line tx for astham emergency

A

albuterol

32
Q

mild asthma tx

A

SABA + ICS

33
Q

Mod astham

A

SABA + LABA (med ICS)

34
Q

Severe astham

A

SABA + LABA (high ICS)

35
Q

COPD in a yong person tink what

A

alpha one antitrisan difference

36
Q

what is the best 3 combo for COPD

A

SABA + antocolinenergic (ipratropium) + O2

37
Q

what is the best medication for COP

A

O 2

38
Q

what skin condition is associated with sarcoidosis 2

A

errthema nodosium

* Lupus pernio

39
Q

non caseat8ing granuloma

A

sarcoidosis

40
Q

dry cough in a 35 year old black female

A

sarcoidosis

41
Q

how do you treat sarcoid (3)

A

observation
steroid
hydroxychloroquin

42
Q

RLD associated with “electronic or tool and dye manufacturing”

A

Berylliosis

43
Q

what causes mesothelioma

A

asbestos

44
Q

what pathology is over the ribs with swelling

A

tietze syndome

45
Q

what are the three MC causes of transudative plural effution

A
  • CHF
  • nephrotic
  • cirrhosis
46
Q

what type of plural effution has infection

A

excudative

47
Q

what position for X rays for plural effusion

A

lateral decurbitius

48
Q

what are the three lights criteria

A
  • Protein > .5
  • LDH > .6
  • LDH > 2/3
49
Q

tx for plural effusion

A

thoracocentesis

50
Q

where is the placement for needle aspiration

A

2nd ICS MCL

51
Q

what hormones do carcinoid tumors secerete

A

seritonin This gives them diarrhea

52
Q

“pink puruple well vascularized tumor”

A

carcinoid tumor

53
Q

what cancer is the most deadly

A

lung

54
Q

what is the MC type of lung cancer

A

non small cell85%:

-adenocarcinoma 35%

55
Q

what is the worst type of cancer Lung

A

small cell (oat cell)

56
Q

what is the triad for a PE

A
  • dyspnea
  • pleuritic chest pain
  • hemoptosis
57
Q

what is the Gold starand for PE

A

pulmonary angiography

58
Q

how do you treat pulmonary HTN

A

CCB

59
Q

HAP tx

A

zosyn + Levo

60
Q

how do you tx wooping cough

A

erythromycin

61
Q

how do you tx epiglottitis

A

ceftriaxone

62
Q

laryngotracheitis AKA

A

croup

63
Q

barking cough

A

croup

64
Q

steeple sign

A

croup

65
Q

how do you tx croup

A

epi

66
Q

how do you dx foreign body aspiration

A

bronscopy

67
Q

MCC croup

A

parainfluenza

68
Q

what kind of breathing pattern for metabolic acidosis

A

kussmauls respiration

General Surgery (30 decks)

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