FA Resp

Question 1

Samters triad

Answer 1

Asthma, rhino sinusitis with nasal polyps, and intolerance to aspirin and NSAIDS

Question 2

Asthma attack drugs

Answer 2

Systemic steroids, inhaled SABA, ipratroprium

Question 3

Most accurate test for bronchiectasis

Answer 3

High res CT

Question 4

Treat ABPA

Answer 4

Steroids and anti fungal (vorinacazole)

Question 5

Basilar predominant COPD

Answer 5

Think a1antitrypsin

Question 6

Asthma vs COPD

Answer 6

Bronchodilator reversibility in asthma

Question 7

Lofgren

Answer 7

Sarcoid with EN, bilateral hilar lymph, migratory polyarthralgia, and fever

Question 8

Treat Lofgren

Answer 8

Supportive and NSAID

Question 9

Hypersensitivity pneumonitis chronic CXR feature

Answer 9

Upper lobe fibrosis

Question 10

Who gets hypersensitivity pneumonitis?

Answer 10

Farmers, bird owners

Question 11

Linear opacities in lungs, calcified pleural plaques, fibrosis

Answer 11

Asbestosis

Question 12

A-a is normal when

Answer 12

Problem is hypoventilation or low inspired o2

Question 13

Increase oxygenation

Answer 13

Fi02, PEEP

Question 14

Increase ventilation

Answer 14

RR VT

Question 15

Flail chest treat first

Answer 15

PEEP

Question 16

PEEP in heart failure

Answer 16

Improves in left because decreases preload and after load by increasing intrathoracic pressure
Worsen in right because increased intrathoracic pressure increases pulmonary vascular pressure

Question 17

How to minimize alectrauma

Answer 17

PEEP

Question 18

Wave form
- Increased PIP, normal plateau
- Increase in both

Answer 18

Airway! Increased airway resistance but normal lung compliance
Lung! Normal airway resistance but reduced lung compliance

Question 19

Correct decreased PO2 on ABG

Answer 19

Increase PEEP or Fi02

Question 20

Correct decreased PCO2 on ABG

Answer 20

Decrease respiratory rate or TV

Question 21

Diagnostic test pulmonary hypertension

Answer 21

Pressure >20

Question 22

Lung cancer clubbing HPOA

Answer 22

Adenocarcinoma

Question 23

PTH lung cancer

Answer 23

Squamous

Question 24

Carcinoid syndrome

Answer 24

Flushing, diarrhoea, wheezing

Question 25

Gynaecomastia lung cancer

Answer 25

Large cell

Question 26

Migratory thrombophlebitis lung cancer

Answer 26

Adenocarcinoma

Question 27

Septic shock secondary to pneumonia treat

Answer 27

Vasopressors and ICU admission

Question 28

Antigenic drift

Answer 28

Small, gradual changes in surface proteins through mutations in viruses

Question 29

Antigenic shift

Answer 29

Acute, major change in the influenza A subtype circulating in humans, leads to pandemics

Question 30

Why can people get infected with influenza multiple times?

Answer 30

Antigenic drift

Question 31

Who gets histoplasmosis Where?

Answer 31

HIV, AIDS, bats or birds, Ohio and Mississippi valley

Question 32

South west US fungal infection

Answer 32

Coccidiodomycosis

Question 33

Fungal infection southeastern US, Mississippi and Ohio

Answer 33

Blastomycosis

Question 34

Fungal resp illness US treat

Answer 34

Mild: Itraconazole or fluconazole Severe: IV amphotericin B

Question 35

Anthrax

Answer 35

Caused by bacillus anthraces From farmers, vets, handle animal wool or hail

Question 36

GI presentation anthrax

Answer 36

Poorly cooked meat, bloody diarrhoea

Question 37

Skin anthrax

Answer 37

Black ulcer

Question 38

Treat anthrax

Answer 38

Cipro or doxy

Question 39

What is Ludwig angina

Answer 39

Progressive cellulitis of submandibular space that cause airway comparomise airway from rapidly expanding oedema IV antibiotics

Question 40

Life threatening fungal cellulitis

Answer 40

Mucor Rhizopus

Question 41

Complicated parapneumonic effusions require

Answer 41

Chest drainage

Question 42

What is parapneumonic effusion?

Answer 42

Effusion arriving from pneumonia, lung abscess, bronchiectasis

Question 43

Primary spontaneous pneumothorax is from

Answer 43

Bleb!

Question 44

Small pneumothorax <2cm treat

Answer 44

Observation with O2

Question 45

Large or symptomatic pneumothorax

Answer 45

Needle aspiration or chest tube

Question 46

Unstable or recurrent pneumothorax

Answer 46

Chest drain

Question 47

OHS + OSA treat

Answer 47

CPAP

Question 48

OHS + hypoventiallation

Answer 48

BiPAP

Question 49

Treat nasal polyps

Answer 49

Oral corticosteroids

Question 50

Vasomotor rhinitis

Answer 50

Increased blood flow to nasal mucosa, temperature changes or dry air, odors

Question 51

Gustatory rhinitis

Answer 51

Clear after food (spicy)

Question 52

Senile (atopic) rhinorrhea

Answer 52

Nasal glands that produce moisture fail to function adequately