Conference #2 Flashcards

(47 cards)

1
Q

Third leading cause of death in the US

A

COPD

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2
Q

Main etiology for COPD:

A

smoking

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3
Q

Persistent cough with sputum for at least 3 months in 2 years

A

Chronic bronchitis

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4
Q

Abnormal permanent enlargement of airspaces without obvious fibrosis

A

Emphysema

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5
Q

Four things we see in chronic bronchitis:

A
  • enlargement of mucous-secreting glands
  • goblet cell hyperplasia
  • chronic inflammation
  • bronchiolar wall fibrosis.
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6
Q

Pathogenesis of chronic bronchitis:

A

Inflammation results in mucous production which results in airway narrowing

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7
Q

Difference in pathology between emphysema and chronic bronchitis?

A

Inflammation and mucous production - CB

Destruction of alveolar walls - Emphysema

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8
Q

Cough and sputum production is a sign of:

A

chronic bronchitis

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9
Q

Episodic and reversible hyperactive airways due to an allergen

A

Asthma

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10
Q

Inhalation of smoke -> inflammation, WBC recruitment -> ?

A

mucous gland hyperplasia

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11
Q

Overinflation is associated with:

A

emphysema

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12
Q

Bronchial hyper-responsiveness is associated with:

A

asthma

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13
Q

Most important risk factor for chronic bronchitis:

A

smoking (heavy)

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14
Q

Unintentional weight loss is associated with:

A

Small Cell Carcinoma

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15
Q

Most common lung cancer:

A

Metastatic lung cancer

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16
Q

Males are more associated with:

A

Small Cell Carcinoma

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17
Q

Hemoptysis (bleeding when coughing) occurs in 25% of patients with:

A

Small Cell Carcinoma

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18
Q

Types of asthma (2):

A

1) Atopic: allergen sensitization, family history

2) Non-atopic: no allergen sensitization, no family history

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19
Q

Patient has asthma attacks daily, and sometimes needs to seek medical help. He would fall under what category of asthma severity?

20
Q

What is the preferred inhaled drug for asthma?

A

B2 Adrenergic Agonists

21
Q

Main clinical presentation of CF is in:

22
Q

Genetic, systemic disease:

A

cystic fibrosis

23
Q

Multi-system involvement, primarily pulmonary

24
Q

Sarcoidosis is a ____ disease

25
Examples of restrictive lung diseases: (5)
- Hypersensitivity Pneumonitis - Idiopathic - Spinal disorders - Sarcoidosis - Pneumoconiosis
26
How much is too much bleeding?
Continues beyond 12 hours | Doesn't stop after 30m of applying pressure
27
Normal platelet count:
150,000 - 450,000
28
Prothrombin Time (PT) - extrinsic
11-13 seconds
29
Partial Prothrombin Time (PTT) - intrinsic
30-40 seconds
30
International Ratio (for PT):
1-2
31
Pinpoint, red blood spots in back of mouth
Petechiae (it's pretty common)
32
Hemophilia Type A: Factor _ | Hemophilia Type B: Factor _
8 | 9
33
Factor 8 & 10 are part of:
intrinsic pathway
34
Christmas disease: issues with factor:
9
35
Severe hemophilia:
<2%
36
Moderate hemophilia:
2-5%
37
Mild hemophilia:
6-50%
38
Liver builds all coagulation factors EXCEPT:
von Willebrand factor (vWF), which is made in the endothelium
39
To diagnose Von Willebrand Disease, we do a test called:
Ristocetin cofactor
40
Von Willebrand factor (vWF) is important for what first phase?
platelet adhesion
41
Von Willebrand factor (vWF) is important for regulating:
plasma level of factor 8
42
Most common hereditary hemophilia:
Von Willebrand Disease
43
Small, non-tender lesions on palms and soles:
Janeway Lesions
44
Small, tender nodules on fingers:
Osler's
45
Bacterial endocarditis can affect what side of the heart?
Right | *rmbr to give pt antibiotic prophylaxis for bacterial endo*
46
Vitamin K deficiency involves factors:
2, 7, 9, 10 | has BOTH elevated PTT and PT
47
Less white blood cells:
leukopenia