Additional Resp Info

Question 1

what laboratory test do you do for beryllium exposure?

Answer 1

Lymphocyte transformation test

Question 2

what will you have on the histologic findings for coal worker’s pneumoconiosis?

Answer 2

anthracotic pigment

Question 3

what histological findings will you have with silica induced ILD

Answer 3

inflammation, bi-regingent cystals, alveolar proteinosis

Question 4

what histological finding will you have with asbestos

Answer 4

Mesothelioma

Question 5

what conditions cause pneumoconiosis?

Answer 5

Coal worker’s pneumoconiosis
asbestosis
silica-induced ILD
beryllium exposure

Question 6

Presents with oblierative bronciolitis without granulomas. will have waxing and waning of reticulonodular infiltrates and fever, cough and crackles.

Answer 6

hypersensitivity pneumonitis

Question 7

what ILD has serum precipitins to specific proteins

Answer 7

Hypersensitivity pneumonitis

Question 8

ILD that has normal to end stage honeycombing

Answer 8

Idiopathic pulmonary fibrosis (IPF)

Question 9

has restrictive PFTs, abnormalities on an xray that are usually diffuse and can be normal on exam or have crackles and clubbing.

Answer 9

Desquamative interstitial pneumonia

and/ or respiratory bronchiolitis

Question 10

what will have histological findings that are patchy, fibrosis, fibroblasts?

Answer 10

Usual interstitial lung disease (UIP)

Question 11

what has a histological findings that are uniforms fibroblasts, no fibroisis

Answer 11

acute interstitial pneumonia

Question 12

will present with crackles and pleural rub. can have pleural effusion, diffuse or nodular infiltrates and occasional cavities. will have vasculitis, bronchiolar obstruction, fibrosis

Answer 12

collagen vascular ILD

Question 13

In amiodarone drug induced ILD what histological finding will there be?

Answer 13

alveolar macrophages with lamellar bodies

Question 14

Will present with fever, weight loss, erythema nodosum, salivary and lacrimal gland enlargements, eye problems. Medialstinal adenopathy on x-ray. Lab dinginds will show T4>T8 subsets, lymphocytic bronchoalveolar lavage. Histological findgins of noncaseating granuloma with giants cells and fibrosis.

Answer 14

Sarcoidosis

Question 15

will have focal interstitial infiltrates and fibrosis on x-ray with crackles and fever. No laboratory findings. acute will have endothelial and alveolar lining damage on histology. chronic will have fibrosis.

Answer 15

radiation exposure

Question 16

will have normal lung volumes with decreases diffusion capacity. Spontaneous pneumo and middle and upper lobe predominance on x-ray. Will see OKT-6 and S100-positive immunostaining and macrophages fill lumen of bronchioles and intraluminal fiboriss.

Answer 16

Pulmonary langerhans cell histiocytosis

Question 17

Will have hempotysis, ascities, decrased breath sounds. Spontaneous pneumo and chylus pleural effusions. HMB-45 positive immunotaining. Staypical smooth muscle cell proliferation around bonrchovascular bundles.

Answer 17

Lymphangioleiomyomastosis

Question 18

presents with malaise, fever chills. Peripheral patching infiltrates. Restrictive and occasionally obstructive PFTs in smokers. Will have foamy macrophages in alveolar spaces and intraluminal buds of granulation tissue

Answer 18

Cryptogenic organizing pneumonia

Question 19

what causes Rhinitis medicamentosa

Answer 19

overuse of nasal vasoconstrictors

Question 20

common causes of lobar pneumonia?

Answer 20

gram-negative, staphylococcus, aspergillus

Question 21

what cauess cavitary dz?

Answer 21

aspergillus
nocardia
gram - gords

Question 22

what can cause diffuse interstitial pneumonia

Answer 22

PCP, CMV

Question 23

atypical pneumos presents with what type infiltrates?

Answer 23

diffuse

Question 24

Buboes in groin, exposure to animals what do you suspect?

Answer 24

PLAGUE

Question 25

Begins as flu-like illness, respiratory symptoms, hemoconcentration and thrombocytopenia, typical blood smear
Very rapid decompensation possible

Answer 25

hantavirus

Question 26

Labs you will see with hantavirus?

Answer 26

atypical lymphocytes
low albumin
elevated LDH
elevated AST and ALT 
elevated HCT

Question 27

what test can you use for legionella?

Answer 27

DFA (direct fluorescent antibody)

Question 28

chest x-ray in the upper right lobe (posterior apical) lobe?

Answer 28

TB

Question 29

chest x-ray in the upper right lobe (posterior apical) lobe?

Answer 29

TB