Day 6 - Pulm1 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 6 - Pulm1 Quiz > Flashcards

Flashcards in Day 6 - Pulm1 Quiz Deck (24):
1

Pulmonary edema relevance of PCWP

Distinguish ARDS (v. left heart failure) - PCWP

2

Dx characteristic of ARDs

PCWP

3

Common cause of PNA: immunocompromised pts

PCP

4

Common cause of PNA: walking PNA

Mycoplasma pneumoniae

5

Common cause of PNA: alcoholics

Klebsiella

6

Common cause of PNA: bats & bat droppings

Histoplasma

7

Common cause of PNA: Joaquin valley

Coccidiodes imitis

8

Common cause of PNA: currant jelly sputum

Klebsiella

9

Common cause of PNA: air conditioners

Legionella pneumophila

10

Common cause of PNA: 1 yo or younger

RSV

11

Common cause of PNA: Birth to 28 days

GBS or E. coli

12

Common cause of PNA: young adults

Mycoplasma

13

Common cause of PNA: health problems

Klebsiella

14

Common cause of PNA: viral PNA

RSV, then Influenza

15

Common cause of PNA: COPD exacerbation

H. influenza

16

Common cause of PNA: ventilator pts w/ CF

Pseudomonas aeruginosa

17

DDx ground glass infiltrates

Interstitial pna, PCP pna, Pulmonary edema (including ARDs or cardiogenic edema), Hypersensitivity pneumonitis (e.g., methotrexate causes this), Pulmonary hemorrhage (think drug use, e.g., cocaine)

18

Positive PPD if immunosuppressed pt

> 5 mm induration

19

Normal A-a gradient

5-15 mmHg

20

Causes of high A-a gradient

Difficulty getting oxygen from alveoli to arteries: PE, Pulmonary edema (incl. ARDs), Right-to-Left vascular shunt (bypassing pulmonary circulation), High inspired oxygen count

21

Signs of peritonsilar abscess

Uvula deviation away from abscess; Difficulty opening mouth, Muffled hot potato voice

22

Empiric tx for PNA: 2 mo. old

Macrolides (azithromycin or erythromycin)

23

Empiric tx for PNA: 2 yr old

Amoxicillin (oral) or Ampicillin (IV)

24

Tx atypical PNA

Macrolides (azithromycin or erythromycin)

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