Chronic Cough and Hemoptysis

Question 1

Unprovoked PE causes

Answer 1

Factor V Leiden

elevated Factor VII

occult malignancy (pancreatic, prostate)

Question 2

ABG in PE

Answer 2

decreased pO₂, pCO₂, resp alkalosis

Question 3

How to Dx cough-variant asthma

Answer 3

trial 1 wk of β₂-agonists

Question 4

Hemoptysis

blood orgin

Answer 4

bronchial arteries

supply airways, hilar nodes, visceral pleura

at systemic, not pulmonary pressure

Question 5

Kartagener’s syndrome

Answer 5

cilia problem

chronic cough

situs inversus

Question 6

Other big causes of chronic cough

Answer 6

URIs

ACEI

smoking

Question 7

How long to treat GI reflux before expecting cough to go away

Answer 7

6-12 mo

Question 8

Bronchoscopy vs CT

Answer 8

bronchoscopy first

sees smaller lesions

CT sees more lesions

Question 9

D-dimer as a test

Answer 9

very sensitive

not very specific

Question 10

Chronic cough definition

Answer 10

lasting 3+ weeks

Question 11

Big 3 causing chronic cough

Answer 11

post-nasal drip

asthma

GI reflux

Question 12

Cough-variant asthma

Answer 12

wheezing not present

only sign of asthma is cough

Question 13

ACE inhibitor cough

Answer 13

ACE normally breaks down kinins

kinins cause angioedema

cough

Question 14

Heart exam in PE

Answer 14

loud P2

pulmonary HTN

Question 15

Uncommon causes of hemoptysis

Answer 15

lung cancer

bronchietasis

Kartagener’s syndrome

eosinophilic bronchitis

Question 16

PE presentation

Answer 16

may cause hemoptysis