pulm

Question 1

in cases of acute bronchitis, when are antibiotics indicated?

Answer 1

• elderly patients
• acute exacerpations of chronic bronchitis
• immunocomprimised with cough more than 7-10 days

Question 2

what is bullous myringitis associated with?

Answer 2

mycoplasma pneumonia

Question 3

Etiology of acute bronchiolitis

Answer 3

RSV

parainfluenza, adenovirus, rhinovirus

Question 4

MCC of epiglottitis

Answer 4

H. Flu B

Question 5

what sign on x-ray indicates epiglottitis

Answer 5

thumb print sign

Question 6

tx of epiglottitis

Answer 6

1. secure airway !!!!
2. 2nd/3rd gen cephalosporin

Question 7

mcc of croup

Answer 7

parainfluenza virus

Question 8

common x ray finidng in croup

Answer 8

steeple sign

Question 9

cause of pertussis

Answer 9

Bordetella pertussis

Question 10

what are the three satages of pertussis

Answer 10

1. catarrhal (1-2 wks) prodromal - most contagious (droplet), rhinorrhea, conjunctival injection, mild cough, low grade temp
2. paroxysmal (2-4 weeks)…..

Question 11

Pertussis tx

Question 12

uncomplicated CAP tx outpt

Answer 12

amoxicillin (+/- macrolide- azythro, or doxy if allergy)

Question 13

CAP tx with comorbidities

Question 14

what are indications for pneumonia admission

Question 15

what is the mcc of atypical pneumonia

Answer 15

mycoplasma

Question 16

atypical pneumonia x-ray findings

Question 17

atypical pneumonia tx

Question 18

common causes of hospital acquired pneumonia

Question 19

abx for hospital acquired pna

Question 20

at what CD4 count is bactrim ppx indicated

Answer 20

CD4 < 200

Question 21

CXR findings for pneumocytis jirovecii

Answer 21

diffuse or perihilar infiltrates with no effusion

Question 22

what organisms is a pt with hx of splenectomy at risk for with pneumonia

Question 23

TB skin test

Question 24

when is quant gold indicated

Question 25

what are TB confirmatory tests

Question 26

TB drugs and SE!!!!

Question 27

what is carcinoid syndrome

Question 28

what is the leading cause of cancer deaths in the US? what is the biggest risk factor

Question 29

MC type of lung cancer

Answer 29

adenocarcinoma

Question 30

when is screening with low-dose CT for lung cancer screening indicated

Answer 30

* have a **20 pack-year** or more smoking hx AND * smoke now or have quit .....

Question 31

complications of lung cancer

Question 32

pulmonary nodules - risk, monitoring guidelines

Question 33

what is Samter's triad

Question 34

describe asthma sx for each severity

Question 35

general asthma PFTs

Question 36

obstructive vs restrictive pattern on PFTs

Question 37

asthma meds for quick relief

Question 38

asthma meds for long-term control

Question 39

asthma GINA guidelines

Question 40

chronic bronchitis vs emphysema

Question 41

lab abnormalities you may see in COPD

Question 42

what is the one treatment for COPD shown to have a mortality benifit?

Answer 42

supplemental O2

Question 43

when are antibiotics indicated in a COPD exacerbation?

Question 44

what is the mcc of bronchiectasis

Answer 44

cystic fibrosis other causes:

Question 45

s/sx of bronchiectasis

Question 46

dx findings of bronchiectasis

Question 47

Genetic pattern of cystic fibrosis; what gene are you looking for mutations in?

Question 48

how to determine if a pleural effusion is exudative vs transudative

Answer 48

lights criteria ....

Question 49

positioning on cxr to dx smaller pleural effusions?

Answer 49

lateral decubitis

Question 50

pleural effusion exam findings

Question 51

when/where to put needle for tension pneumo

Question 52

PE stuff

Question 53

define pulmonary HTN? how is this measured

Answer 53

Pulmonary artery pressure greater than 20 mmHg at rest (12-16 mmHg) measure with right heart cath

Question 54

how may pulm htn present, how to test for it

Question 55

CT findings for idiopathis pulmonary fibrosis

Question 56

CXR findings opf the diff pneumoconiosis

Question 57

derm finding in sarcoidosis

Answer 57

erythema nodosum

Question 58

dx findings in sarcoidosis

Question 59

mcc of pulmonary edema that is non-cardiogenic? cardiogenic?

Answer 59

non-cardiogenic - ARDS cardiogenic - CHF

Question 60

pink-frothy sputum should make you think of what?

Answer 60

pulmonary edema

Question 61

etiology of ARDS

Question 62

air bronchograms on x-ray is a finding of what

Question 63

hylanine membrane dz

Question 64

toddler playing with toys alone developes sudden onset cough, wheezing, no cold sx, what are you worried about?

Answer 64

foreign body aspiration