Day 6 - Pulm2 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 6 - Pulm2 Quiz > Flashcards

Flashcards in Day 6 - Pulm2 Quiz Deck (21):
1

Next step in w/u of solitary pulmonary nodule

Compare to prior CXR; If none, CT scan

2

Dx chronic bronchitis

Chronic productive cough for 3+ mo per yr for 2+ yrs (almost always smokers)

3

COPD indication for home O2

O2 sat

4

Lung cancer: elevated ACTH resulting in Cushing syndrome

Small cell lung CA

5

Lung cancer: PTHrP & hypercalcemia

Squamous cell lung ca

6

Lung cancer: SIADH & hyponatremia

Small cell lung CA

7

Lung cancer: Antibodies to presynaptic calcium channels & Lambert-Eaton

Small cell lung CA

8

Tx small cell lung CA

Chemotherapy

9

Initial tx for localized non-small cell lung CA

Surgical resection (may followed by adjuvant chemotherapy)

10

Findings making solitary pulmonary nodule more likely to be malignant

Smoker, age>45, new or progressive lesions, no or irregular calcifications, > 2 cm, irregular margins

11

Define & Tx asthma: Mild persistent

Episodes during day 3-6x per wk or more than 2x at night per mo; Tx: as needed albuterol plus inhaled low dose steroid (may or may not add montelukast or cromolyn)

12

Classic radiographic findings of idiopathic pulmonary fibrosis

CXR: reticular/nodular or honeycomb pattern; Serum markers, Changes in PFTs

13

Tx idiopathic pulmonary fibrosis

3-drug cocktail: steroids, azathioprine (or cyclophosphamide - beware of bladder damage/hematuria/cancer risk), & n-acetylcysteine

14

Pneumoconiosis: progressive fibrosis

Coal worker's, Silicosis

15

Pneumoconiosis: increased risk of Tb

Silicosis

16

Pneumoconiosis: Electronics, increased cancer risk

Berryliosis

17

Pneumoconiosis: Malignant mesothelioma & Bronchogenic carcinoma

Asbestosis

18

Pt chronically has FEV1 of 40%, Tx for daily mgt

Stage 3 COPD: Inhaled steroids, long term bronchodilator (beta2-agonist or anticholinergic like tiotropium), and as needed short-acting bronchodilator; Risk factor reduction & annual influenza vaccine

19

Sinusitis, hemoptysis, hematuria - Dx & Tx

Wegener's - Steroids & cyclophosphamide

20

Anti-GBM antibodies - Dx & Tx

Goodpasture - Plasmapharesis; Steroids & immunosuppresants may also be helpful

21

JVD, facial swelling, AMS - Dx & Tx

Superior vena cava syndrome - High dose steroids, endovascular stenting

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