PANCE Pulm round 2 8/13 Flashcards Preview

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Flashcards in PANCE Pulm round 2 8/13 Deck (50)
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1

when do you hear rales Inspiration or expiration

inspiration

2

when do you hear stridor Inspiration or expiration

inspiration or expiration

3

asthma triad

-dyspnea
- wheezing
- cough

4

what pulse ox with asthma is respiratory distress

< 90

5

what is the rescue medication for asthma

SABA (albuterol)

6

what cardiac medication may be given to severe asthmatics

IV mAG

7

when do you step down asthma medication

when it's controlled for 3 months

8

what is pulses paradoxis associated with

pneumothortax
tanpanode

9

BP decreases with inspiration

pulses paradoxis

10

diarrhea due to increased serotonin
what is the cause

bronchial carcinoid tumor

11

what is the difference in size between a pulm nodule and mass

mass > 3 cm

12

location of squamous cell brochiogenic tumor

central

13

what is the cause of pancost syndrome

squmous cell bronchiogenic carcinoma

14

MCC HAP

psudomonas

15

2 MCC CAP

H influenza

16

CAP OP 2
CAP IP
CAP ICU 2
HAP
aspiration

- azithro OR Doxcy
- Levo
- Ceftriaxone + Levo
- Zozyn + Levo
- Clinda

17

what are three indications of severe asthma

- AMS
- Pulses paradoxis
- silent chest

18

salmeterol what class

salmeterol

19

ipratroprium what class

anticholinergic

20

who get O2 COPD 3

- cor pulmonale
- O2 < 88
- PAO2 < 55

21

what is the one medication proven to increase mortality with COPD

- O 2

22

what meds COPD FEV1
- > 80%
- 50 -80 %
- 30- 50%
- < 30%

- Saba + anticholinergic
- " + LABA
- " +" + steroid
- O2

23

what are the 2 MCC of bronchiectasis

- CF (psudomonas)
- H influenza

24

bronchiectasis DX

high resolution CT

25

"tram track" what pathology

bronchiectasis

26

what ion does CR affect

chloride

27

what is classic for sarcoid on CXR

bilateral hailar lymphadenopahy

28

Is sarcoid obstructive or restrictive

restricitive

29

Is CF obstructive or restrictive

obstetive

30

diminished skin sensitivity "cutaneous anergy" what pathology

sarcoid