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PANCE PREP > PANCE Pulm round 2 8/13 > Flashcards

PANCE Pulm round 2 8/13 Flashcards

1
Q

when do you hear rales Inspiration or expiration

A

inspiration

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2
Q

when do you hear stridor Inspiration or expiration

A

inspiration or expiration

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3
Q

asthma triad

A
  • dyspnea
  • wheezing
  • cough
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4
Q

what pulse ox with asthma is respiratory distress

A

< 90

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5
Q

what is the rescue medication for asthma

A

SABA (albuterol)

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6
Q

what cardiac medication may be given to severe asthmatics

A

IV mAG

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7
Q

when do you step down asthma medication

A

when it’s controlled for 3 months

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8
Q

what is pulses paradoxis associated with

A

pneumothortax

tanpanode

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9
Q

BP decreases with inspiration

A

pulses paradoxis

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10
Q

diarrhea due to increased serotonin

what is the cause

A

bronchial carcinoid tumor

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11
Q

what is the difference in size between a pulm nodule and mass

A

mass > 3 cm

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12
Q

location of squamous cell brochiogenic tumor

A

central

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13
Q

what is the cause of pancost syndrome

A

squmous cell bronchiogenic carcinoma

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14
Q

MCC HAP

A

psudomonas

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15
Q

2 MCC CAP

A

H influenza

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16
Q 
CAP OP 2
CAP IP 
CAP ICU 2
HAP
aspiration
A
  • azithro OR Doxcy
  • Levo
  • Ceftriaxone + Levo
  • Zozyn + Levo
  • Clinda
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17
Q

what are three indications of severe asthma

A
  • AMS
  • Pulses paradoxis
  • silent chest
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18
Q

salmeterol what class

A

salmeterol

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19
Q

ipratroprium what class

A

anticholinergic

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20
Q

who get O2 COPD 3

A
  • cor pulmonale
  • O2 < 88
  • PAO2 < 55
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21
Q

what is the one medication proven to increase mortality with COPD

A
  • O 2
22
Q

what meds COPD FEV1

  • > 80%
  • 50 -80 %
  • 30- 50%
  • < 30%
A
  • Saba + anticholinergic
  • ” + LABA
  • ” +” + steroid
  • O2
23
Q

what are the 2 MCC of bronchiectasis

A
  • CF (psudomonas)

- H influenza

24
Q

bronchiectasis DX

A

high resolution CT

25
Q

“tram track” what pathology

A

bronchiectasis

26
Q

what ion does CR affect

A

chloride

27
Q

what is classic for sarcoid on CXR

A

bilateral hailar lymphadenopahy

28
Q

Is sarcoid obstructive or restrictive

A

restricitive

29
Q

Is CF obstructive or restrictive

A

obstetive

30
Q

diminished skin sensitivity “cutaneous anergy” what pathology

A

sarcoid

31
Q

what pathology kinda looks like roseasa but is associated with sarcoid

A

lupus perino

32
Q

tender nodules that develop on the shin

A
  • erythema nodosum
33
Q

what is the CXR finding for IPF

A
  • honeycombing
34
Q

“shaggy heart sign”

A

asbestosis

35
Q

what lobe for asbestosis

A

lower lobe

36
Q

what lobe for coal workers lung

A

upper

37
Q

mesothelioma tx

A

plurectomy

38
Q

what causes transudative PE

A
  • increased hydrostatic pressure

- decreased oncotic pressure

39
Q

what is the tactile fremmtous with plural effution

A

decreased

40
Q

what will you see on CXR for plural effuion

A
  • blunting of the costophrenic angle

- “menisci sign”

41
Q

associated with enterochromaffin cells

A

bronchial carcinoid tumor

42
Q

where does brochogenic carcinoma met to 4

A

Brain
Bone
liver
lymph

43
Q

what are two main types and 4 sub types of brochogenic carcinoma

A

non small cell (resection)

  • andocarcimoma (peripherial) MC
  • squamous cell (central)
  • large (anaplastic)
  • Small cell (oat cell) Chemo
44
Q

what is cancoast syndrome

A
  • shoulder pain
  • horners syndrome
  • antrophy of hand

due to SCC brochogenic carcinoma

45
Q

when is the PERC useful (age)

A

< 50

46
Q

what are the 4 grades of pulmonary 2 HTN

A
  • idiopathic
  • LHD
  • COPD
  • PE
47
Q

2 MCC of CAP

A

H flu

48
Q

what causes croup

A

para influenza virus

49
Q

barking cough

A

croup

50
Q

what lobe is the lingual lobe

A

LLL

PANCE PREP (27 decks)

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