Lungs

Question 1

Treatment of ARDS

Answer 1

Low tidal mechanical ventilation

Question 2

Distinguishes ARDSf from CHF

Answer 2

PAWP

Question 3

Type of emphysema caused by smoking

Answer 3

Centroacinar

Question 4

Emphysema that occurs in spontaneous pneumothorax

Answer 4

Paraseptal/distal acinar

Question 5

Most common type of emphysema

Answer 5

Irregular emphysema (asymptomatic)

Question 6

Emphysema d/t a-1-antitrypsin deficiency

Answer 6

Panacinar

Question 7

Fraction of lung damage when emphysema manifests

Answer 7

1/3

Question 8

Initial symptom of emphysema

Answer 8

Dyspnea

Question 9

Cough with sputum for at least 3 months in at least 2 consecutive years in the absence of any identifiable cause

Answer 9

Chronic bronchitis

Question 10

Reid index in chronic bronchitis

Answer 10

> 0.4

Question 11

Initial symptom of chronic bronchitis

Answer 11

Productive cough

Question 12

Transcription factor for interferon-Y missing and suspected cause in asthma

Answer 12

T-bet

Question 13

Putatitve mediators in acute asthma attack

Answer 13

Leukotrienes C4, D4, E4 & Acetylcholine

Question 14

Permanent dilation of bronchi and bronchioles

Answer 14

Bronchiectasis

Cystic fibrosis, TB

Question 15

CXR finding in restrictive lung disease

Answer 15

Diffuse bilateral reticonodular infiltrat s

Question 16

End result of restrictive lung disease

Answer 16

Honeycomb lung

Cor pulmonale

Question 17

Non caseating granulomas
Schaumann bodies
Asteroid bodies

Answer 17

Sarcoidosis

Question 18

CXR finding in sarcoidosis

Answer 18

Potato Nodes

Question 19

Lab findings in Sarcoidosis

Answer 19

Increasespd ACE (60%)
Hypercalcemia (5%)

Question 20

Most common sign and symptom of pulmonary embolism

Answer 20

Dyspnea

Tachypnea

Question 21

CXR finding in pulmonary embolism

Answer 21

Wedge-shaped infiltrate

Question 22

Gold standard diagnosis of Pulmonary embolism

Answer 22

Pulmonary angiography

Question 23

Preferred diagnotic test for pulmonary embolism

Answer 23

Spiral CT-Scan

Question 24

Us d to rule out pulmonary embolism

Answer 24

D-dimer

Question 25

Mean pulmonary pressure in patients with Pulmonary Hypertension

Answer 25

> 1/4 systemic levels

Question 26

Congenital or acquired heart disease that causes pulmonary hypertension

Answer 26

Mitral Stenosis (Rheumatic heart disease)

Question 27

Anti obesity drug that causes pulmonary hypertension

Answer 27

Fenfluramine and phentermine

Question 28

Most common sign and symptom of pulmonary hypertension

Answer 28

Exertional dyspnea, accentuated P2

Question 29

CXR finding in lung abscesses

Answer 29

Cavitation with air fluid level

Question 30

DOC in treating lung abscess

Answer 30

Clindamycin

Question 31

Most common cause of acute COPD exacerbation

Answer 31

H. Influenzae

Moraxella catarrhalis 2nd

Question 32

Pneumonia in alcoholics

Answer 32

Klebsiella pneumonia (currant jelly sputum)

Question 33

Lung carcinoma associated with p53 mutations (+) keratinization (squamous pearls)

Answer 33

Squamous cell carcinoma

Question 34

Lung carcinoma associate with EGFR mutation

Answer 34

Adenocarcinoma

Question 35

Lang cancer associated with p53 and RB mutation. Most aggresive of lung tumors, wide metastasis

Answer 35

Small cell lung carcinoma

Question 36

Lung cell carcinoma, probably represents squamous cell and adenocarcinomas that are so undifferentiated, highly metastatic.

Answer 36

Large cell carcinoma

Question 37

Ling ca with cannonball lesion on the periphery.

Answer 37

Metastatic tumor

Question 38

CXR: coin lesion, popcorn calcification

Answer 38

Bronchial hamartoma

Question 39

Top three causes of ARDS

Answer 39

Gram (-) sepsis
Gastric aspiration
Severe trauma