Pulm 1

Question 1

indication for corticosteroid use

Answer 1

PaO2 less than 70

A-a gradient greater than 35

Question 2

see solitary pulmonary nodule, but have no previous CXR for comparison. next step?

Answer 2

CT scan

Question 3

diagnosis of fat embolism

Answer 3

fat droplets in urine

intra arterial fat globules on fundoscopy

Question 4

hear louder expiratory sounds

Answer 4

consolidation of lung

Question 5

physical exam with consolidation

Answer 5

dullness to percussion (b/c only air makes hyper resonant)
bronchial breath sounds
egophony

Question 6

MCCs of hemothorax

Answer 6

traumatic laceration of lung parenchyma

damage to intercostal or internal mammary artery

Question 7

pneumonia with multiple thin walled cavities / abscesses

Answer 7

staph

Question 8

max tidal volume

Answer 8

6 ml/kg

Question 9

max PEEP

Answer 9

about 15 in ARDS

Question 10

indications for long term oxygen therapy

Answer 10

PaO2 less than or equal to 55 mmHg or SaO2 less than or equal to 88% RA
or 59 and 89 in people with cor pulmonale, right heart failure, or Hct greater than 55

Question 11

workup of recurrent pneumonias in same location

Answer 11

chest CT

Question 12

management of new solitary pulmonary nodule

Answer 12

get CT first

Question 13

cough and mucopurulent sputum

• dx
• next step

Answer 13

bronchiectasis

CT

Question 14

what prolongs survival in COPD patients

Answer 14

smoking cessation
supplemental oxygen
lung reduction surgery

Question 15

high likelihood of PE and no CI to anticoag

Answer 15

start heparin

Question 16

risk assessment for pneumonia

Answer 16

CURB-65
Confusion
Uremia BUN greater than 20
Respirations greater than 30
BP less than 90/60
Age greater than 65

2 = inpatient
4+ = ICU

Question 17

hospital ATBs for pneumonia

Answer 17

fluoroquinolone

OR beta lactam plus macrolide

Question 18

outpaitnet tx for pneumonia

Answer 18

doxycycline or macrolide

Question 19

FiO2 in vent setting should be below

Answer 19

60%

Question 20

ARDS PaO2/FiO2 is

Answer 20

less than 300

Question 21

complication of bronchiectasis

Answer 21

hemoptysis

Question 22

management of empyema

Answer 22

prolonged ATBs 2-4 weeks

drainage with chest tube

Question 23

cavity with air fluid levels

Answer 23

lung abscess