Diffuse Parenchymal Lung Diseases Flashcards Preview

ABIM Pulmonary > Diffuse Parenchymal Lung Diseases > Flashcards

Flashcards in Diffuse Parenchymal Lung Diseases Deck (14)
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1
Q

BAL alone can diagnose which parenchymal lung diseases?

A
  • Malignancy
  • Infection
  • PAP
  • PLCH
  • Exogenous lipoid pneumonia
2
Q

Normal BAL cell counts:

  • Lymphocytic?
  • Eosinophilic?
  • Neutrophilic?
A
  • Lymphocytic >15%
  • Eosinophilic >1%
  • Neutrophilic >3%
3
Q

Survival for IPF?

A

Median 3 year survival

4
Q

Genetic predisposition for IPF?

A

MUC5B, TERT, TOLLIP

5
Q

Which Interstitial Interstitial Pneumonia’s benefit from immunosupressants?

A

NSIP & COP

6
Q

PFTs in RBILD & DIP?

A

Mixed obstructive and restrictive

7
Q

Name 5 smoking-associated ILDs.

A
  • RBILD
  • DIP
  • PLCH
  • AEP
  • CPFE
8
Q

Most common ILD due to connective tissue disease?

A

NSIP

-Except Sjogren’s Dz, which causes LIP.

9
Q

Treatment of ILDs due to connective tissue diseases?

A

Steroids for 3-6 months.

-Except scleroderma, which you treat with MMF and possibly antifibrotics

10
Q

Screening tests after diagnosis of sarcoid is made?

A

EKG or TTE

11
Q

Lofgren Syndrome components?

A
  • Bilateral hilar LAD
  • E. Nodosum
  • fever
  • arthralgias
12
Q

Mortality from sarcoid due to?

A

Aspergilloma bleed
cardiac
pulmonary fibrosis

13
Q

Indications for treatment of sarcoidosis?

A
  • Stage II-III w/ moderate-severe PFT changes
  • hypercalcemia
  • end-organ (cardiac, neurologic, occular)
14
Q

Treatment of sarcoidosis?

A

Prednisone 20-40mg, taper over 6-12 months.

-Alternative immunosuppressant is MTX