CHEST

Question 1

What is described as a gripping, squeezing or pressure type pain, substernal or precordial in location and my be exertionally related?

Answer 1

Angina

Question 2

How long does angina last for ?

Answer 2

10-30 min

Question 3

What helps relive angina?

Answer 3

Nitroglycerin

Question 4

What is a pain described as crushing and may radiate into the medial left arm or jaw?

Answer 4

MI

Question 5

Cardiac pain is essentially______pain?

Answer 5

Ischemic

Question 6

What test should be done if someone has an esophageal problem ?

Answer 6

Barium

Question 7

Angina typically follows what?

Answer 7

Exertion

Question 8

If angina occurs at rest without provocation what is it called/

Answer 8

Unstable angina

Question 9

What does diaphoresis mean?

Answer 9

Sweating

Question 10

How long does a MI last for?

Answer 10

Longer than 30 min dog

Question 11

Does nitro help Mi’s ?

Answer 11

No no no

Question 12

What is the 2 main causes for MI?

Answer 12

Coronary thrombus or vasospasm

Question 13

What are the causes of angina?

Answer 13

Atherosclerosis and possibly vasospasm

Question 14

Who is Tietzes syndrome common in?

Answer 14

Females over 50

Question 15

What part on their body is messsed up in tietze syndrome?

Answer 15

Second and third costochondral junctions

Question 16

What causes tietze syndrome?

Answer 16

Inflammatory reaction, overexertion and prolonged coughing.

Question 17

Is tietze syndrome dangerous?

Answer 17

No, self resolving (benign)

Question 18

What age group is gerd common in?

Answer 18

30-60

Question 19

Meniscus sign is seen in what?

Answer 19

Pleurisy

Question 20

Ventilation and perfusion scans are valuable in the diagnosis of what?

Answer 20

Pulmonary embolism

Question 21

What hilum should be lower ?

Answer 21

Right, (left should never ever be lower than the right

Question 22

On the right side of the hilum the arteries are visable how much of the time?

Answer 22

94 (left side is only 62)

Question 23

What sign tells you of a collapse of the right upper lobe with superior margination of the horizontal fissure?

Answer 23

S sign of golden

Question 24

Loss of the anatomic boarder of the heart is called what?

Answer 24

Positive silhouette sign

Question 25

Are lung abnormalities more commonly increased densities or decreased?

Answer 25

Increased (called opacities)

Question 26

Parenchymal disease has what patterns?

Answer 26

Airspace and interstitial

Question 27

What is the most common consolidation lung pathology ?

Answer 27

Pneumonia

Question 28

What are the 4 interstitial lung patterns?

Answer 28

Linear, reticular, modular, reticulonodular

Question 29

What is the most common cause of interlobular septal thickening that produces Kerley A and B lines?

Answer 29

Pulmonary edema

Question 30

Resorptive atelectasis =

Answer 30

Obstruction

Question 31

Passive atelectasis =

Answer 31

Adjacent mass or pneuomorthorax

Question 32

Adhesive =?

Answer 32

Surfactant inactivation

Question 33

Cicatrization =

Answer 33

Scar tissue

Question 34

A solitary pulmonary module is defined as an intraparenchymal lesion less than______?

Answer 34

3 cm

Question 35

Is a SPN associated with atelectasis or lymphadenopathy ?

Answer 35

Nope

Question 36

Best way to determine importance of finding a SPN?

Answer 36

Old films. (2 years or older means is probs benign)

Question 37

If a SPN is more than w cm it is prob______

Answer 37

Malignant

Question 38

SPN less than _____ are probs benign

Answer 38

1cm

Question 39

What is a non infections granuloma associated with?

Answer 39

Sarcoidosis

Question 40

What are granulomas most offten a rust from?

Answer 40

Infection

Question 41

What are some things that form granulomas?

Answer 41

TB. Histoplasmosis, coccidioidomycosis

Question 42

Where in the lung is cancer most commonly found?

Answer 42

Right upper lobe

Question 43

What is the most common cause of pneumonia?

Answer 43

Step pneumoniae ( bacterial)

Question 44

Pneumonia that has abdominal pain, diarrhea or confusion is probs what?

Answer 44

Legionella

Question 45

Pneumonia caused by step pneumoniae is associated with wha?

Answer 45

Rusty colored sputum

Question 46

Pneumonia caused by _______may have bloody sputum often described as currant jelly.

Answer 46

Klebsiella

Question 47

Viral pneumonia presents more commonly with whaT?

Answer 47

Wheezing

Question 48

Bacterial pneumonia causes a shift to the.....?

Answer 48

Left

Question 49

What are the most common spots in the lungs Tb occurs?

Answer 49

Post upper lobes. Superior, lower lobes

Question 50

Is primary TB asymptomatic or symptomatic?

Answer 50

Asymptomatic

Question 51

What are the most common S and S of TB?

Answer 51

Fatigue, fever, weight loss, coughing, hemoptysis, night sweats

Question 52

TB iOS common in patients with what ?

Answer 52

AIDS

Question 53

Ranke complex is healed TB that consists of what two parts?

Answer 53

Goon lesion (calcified parenchymal tuberculoma, ipsilateral calcified hilar node

Question 54

What is the most common carcinoma to cavitate?

Answer 54

Squamous sell

Question 55

What are the 3 Non small cell lung cancers?

Answer 55

Squamous celll, adenocarcinomas, large cell carcinoma.

Question 56

What non small cell lung cancer is more common in non smokers and woman?

Answer 56

Adenocarcinoma

Question 57

What is the most common primary lung malignacy to cause paraneoplastic syndromes and svc obstruction?

Answer 57

Small cell carcinoma (oat cell)

Question 58

Blue bloaters = ?

Answer 58

Chronic bronchitis

Question 59

Pink puffers =?

Answer 59

Emphysema

Question 60

Saber sheath trachea refers to what ?

Answer 60

Emphysema

Question 61

What is the most serious type of pneumothorax?

Answer 61

Tension

Question 62

A pancoast tumor can include what’s?

Answer 62

Horners syndrome

Question 63

What is Horners syndrome?

Answer 63

MIOSIS, facial anhidrosis, ptosis, enopthalmos ( | Sucken eyes)

Question 64

A pancoast tumor can compress what to give someone a horse voice?

Answer 64

Resurrect laryngeal nerve