PP Pulmonary Flashcards

(89 cards)

0
Q

What color is air on an x-Ray?

A

Black “radiolucent”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

What is the difference between a carotid body and a carotid sinus?

A

Body: chemoreceptors
Sinus: baroreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What color is fluid/solid on x-Ray?

A

White “radiopaque”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What disease has a steeple sign on neck film?

A

Croup

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What disease has a thumb sign on neck film?

A

Epiglottitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a “blue bloater”?

A

Bronchitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a “pink puffer”?

A

Emphysema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What disease have pulmonary eosinophilia?

A

Aspergillosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What drugs cause pulmonary eosinophilia?

A

Nitrofurantoin

Sulfonamide a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the risk factors for lung cancer?

A

Smoking
Radon
2nd hand smoker
Pneumoconiosis (except anthracosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What disease have hemoptysis?

A
Bronchiectasis 
Bronchitis
Pneumonia
TB
Lung cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is a Bokdalek hernia?

A

Back of diafragma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where is a Morgagni hernia?

A

Middle of diafragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What disease have respiratory alkalosis?

A

Restrictive lung Dz ( anxiety, pregnancy, Gram - sepsis, PE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What disease have respiratory acidosis?

A

Obstructive lung Dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What disease have metabolic alkalosis?

A

Low volume state ( vomiting, diuretics, GI blood loss)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What disease have metabolic acidosis?

A

Acid production ( MUDPULES, RTA II, Diarrhea)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does stridor tell you?

A

Extrathoracic narrowing => narrows when breath in => neck x-Ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does wheezing tell you?

A

Intrathoracic narrowing => narrows when breath out => chest x-Ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does rhonchi tell you?

A

Mucus in airway => OLD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does grunting tell you?

A

Blows collapsed alveoli open => RLD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What does dull percussion tell you?

A

Something b/w airspace and chest wall absorbing sound ( fluid or solid)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does hyperresonance tell you?

A

Air in lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does tracheal deviation tell you?

A

Away from pneumothorax OR toward atelectasis “ air phobic”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
What does fremitus, egophony and bronchophony tell you?
Consolidation "pathognomonic for pneumonia"
25
What is RLD?
Small stiff lungs | Trouble breathing in
26
What is OLD?
Big mucus-filled lungs | Trouble breathing out
27
What is Epiglotitis?
X-Ray thumb sign | Drooling
28
What is Croup?
X-Ray steeple sign | Barking cough
29
What is tracheitis?
Look toxic Grey pseudomembrane Leukocytosis
30
What is Asthma?
Wheeze on expiration IgE Eosinophils
31
What is bronchiolitis?
Asthma in kids < 2y/o
32
What is Sinusitis?
Teeth pain worse with bending forward
33
What is Bronchiectasis?
Bad breath Purulent sputum Hemoptysis
34
What is Bronchitis?
Lots of sputum "Blue bloater" Cough for >3 month per year for >2 years
35
What is Emphysema?
Restrictive to Obstructive pattern "Pink puffer" barrel-shaped chest Decrease recoil
36
What is Laryngomalacia?
Epiglottis roll in from side to side The bulky arytenoid cartilage prolapse anteromedially on inspiration resulting in stridor ( 6 pharyngeal arch is responsible for the formation of these structure)
37
What is Pneumonia?
Consolidation of airway
38
What in Pneumothorax?
Decreased breath sound on one side
39
How do you detect a Pulmonary Embolus?
Tachypnea Increased V/Q scan EKG: S1Q3T3
40
What is Tamponade?
Decreased breath sound/ BP | Increased JVD
41
What is Tracheomalacia?
Soft cartilage | Stridor since birth
42
What is Cystic Fibrosis?
Meconium ileus Steatorrhea Bronchiectasis
43
What is Aspergillosis?
Allergy to: mold, dead plants, compost piles
44
What is Silicosis?
Sandblasters Glassblowers Icrease susceptibility to TB
45
What is Byssinosis?
Cotton workers | Chest tightness
46
What is berylliosis?
Radio | TV welders
47
What is Anthracosis?
Coal workers Massive fibrosis Black lung
48
What is Sarcoidosis?
Non-caseating granulomas | Eggshell calcification of lymph node
49
What is Carcinoid syndrome?
Flushing Wheezing Diarrhea
50
What is Small cell CA?
``` At carina Malignant Cushing's SIADH SVC syndrome ```
51
What is Large cell CA?
Periferal Large stuff Poor prognosis
52
What is Squamous cell CA?
``` Central Smoker High PTH High Ca Cavitation Kerating pearls ```
53
What is Broncheoalveolar CA?
Looks like pneumonia; due to pneumoconiosis
54
Embryologic structure that form the diafragm
Septum transversum Pleuroperitoneal mm Dorsal mesentery of the esophagus Abdominal wall
55
Who innervates the diaphragm?
The phrenic nerve by C3,C4 and C5
56
What structures perforated the Diaphragm?
T8 - IVC T10 - esophagus and vagus nerve T12 - aorta, thoracic duct and azygos vein
57
Muscles of respiration in Quiet breathing?
Inspiration: Diaphragm Expiration: passive
58
Muscles of respiration in Exercise?
Inspiration: external intercostals, scalene, sternocleidomastoids Expiration: rectus abdominis, internal and external obliques, transversus abdominis, internal intercostals
59
Hypoxemia?
Decrease PaO2 - normal A-a gradient { high altitude, hypoventilation} - increase A-a gradient { V/Q mismatch, diffusion limitation, R to L shunt, pulmonary fibrosis}
60
Hypoxia?
Decrease O2 delivery to tissue - Decrease CO - Hypoxemia - Anemia - CO poisoning
61
Ischemia?
Los of blood flow - impeded arterial flow - reduce venous drainage
62
How the body compensate hypoxia at high altitude?
Increase of - ventilation - ematopoyesis - renal excretion of HCO3 - mitochondrial tissue - 2,3-DPG
63
What enzyme converts CO2 in to HCO3?
Carbonic anhydrase
64
Virchow's triad?
Stasis Hypercoagulability Endothelial damage
65
Which are the OLD?
Chronic bronchitis Emphysema Asthma Bronchiectasis
66
Two type of emphysema?
Centriacinar - smoking | Panacinar - alfa1-anti trypsin defi
67
Asbestosis?
Pluming "Ivory white" calcified pleura Associated with Carcinoma y Mesothelioma Iron containing nodules in alveoli
68
Adenocarcinoma?
Periferal MC lung cancer K-Ras mutation
69
Mesothelioma?
Malignancy of the pleura associated with Asbestosis | Histology: Psammoma bodies
70
Pancoast tumor?
Carcinoma that occur in the apex of the lung | Affect cervical sympathetic plexus, causing Horner's syndrome ( Ptosis, miosis, anhidrosis)
71
Which are the 1st generation H1blocker?
Diphenhydramine Dimenhydrinate Chlorpheniramine *LIPOPHILIC SEDATION
72
Which are the 2nd generation H1blocker?
``` Loratadine Fexofenadine Desloratadine Cetrizine *LIPOPHOBIC LESS SEDATING ```
73
Which are the Asthma drugs Beta-agonists?
``` Short acting agonist : - albuterol - methaproterenol - terbutaline Long acting agonist : - salmterol ( combined with corticosteroids as prophylactic) - formoterol ```
74
Function of the Asthma drugs Theophylline ?
Bronchodilator by inhibit PDE to increase cAMP | Blocking Adenosine receptors
75
Which are the Asthma drugs Muscarinic antagonists?
Ipratropium
76
Ipratropium?
Preventing bronchoconstriction For COPD Long acting Muscarinic antagonist
77
Corticosteroids for Asthma?
Beclomethasone Fluticasone * 1st line therapy for Chronic Asthma
78
Mechanism of corticosteroids?
Inhibits synthesis of cytokines - by inhibiting phospholipase A2 - inactivation of transcription factor NF-kB -> decrease TNF gama
79
Antileukotrienes?
Montelikast, Zafirlukast - block leukotriene (LTD4) receptor Zileuton - inhibidor of 5-lipoxygenase pathway( blocks the convention of arachidonic acid to leukotriene)
80
Omalizumab?
Monoclonal anti-IgE antibody
81
Which are the expectorant?
Guaifenesin ( expectorant- thins respiratory secretions, do NOT suppress cough reflex) N-acetylcysteine ( mucolytic)
82
Bosentan?
Treat Pulmonary Artery Hypertension ( antagonizes endothelin-1 receptor)
83
Dextromethorphan?
Antitussive | Synthetic codeine analog
84
Which are the nasal decongestant?
Pseudoephedrine | Phenylephrine
85
Which are the types of pneumonia?
Lobar Bronchopneumonia Interstitial
86
Organism causing Lobar pneumonia?
S. pneumoniae | Klebsiella
87
Organism causing Bronchopneumonia?
S. pneumoniae S. Aureus H. Influenza Klebsiella
88
Organism causing Interstitial pneumonia?
Virus ( influenza, RSV, adenovirus) Mycoplasma Legionella Chlamydia