Pulm Flashcards

1
Q

shaggy heart sign

A

asbestosis

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2
Q

silhouette sign

A

pneumonia

(but probably other consolidation diseases, too)

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3
Q

MC viral pneumonia in adults?

A

influenza

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4
Q

barking cough

A

croup

(+ pertussis)

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5
Q

steeple sign

A

croup

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6
Q

caseating granulomas on bx

A

TB

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7
Q

cbc shows severe leukocytosis

A

HS pneumonia

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8
Q

ground glass opacities

A

sarcoidosis

IPF

IRDS

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9
Q

meniscus on lateral decubitus CXR

A

pleural effusion

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10
Q

resp acidosis diseases

A

emphysema

end of PE

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11
Q

pink/purple well vascularized tumor

A

carcinoid tumor

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12
Q

drug s/e is hyperuricemia (gout) and hepatitis

A

pyrazinamide

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13
Q

CFTR gene

A

CF

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14
Q

MC cause of acute bronchitis?

A

adenovirus

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15
Q

pneumo culture - foul

A

anaerobes

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16
Q

drug s/e involving eyes

A

etambutol

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17
Q

white-out on CXR except for costophrenic angles

A

ARDS

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18
Q

tram track markings on CT

A

bronchiectasis

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19
Q

companion lines or visceral lines

A

pneumothorax

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20
Q

v/q mismatch

high profusion

A

shunt

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21
Q

MC cause of hosp acquired pneumo

A

pseudomonas (in ICU)

s aureus and klebsiella also common

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22
Q

dx by nasal swab?

A

bronchiolitis

pertussis

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23
Q

increased ACE

A

sarcoidosis (secreted by granulomas)

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24
Q

pleuritic chest pain

A

pleural effusion

TB

pneumonia

PE

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25
BMPR2 gene
idiopathic (primary) pulm htn
26
pleural plaques
asbestosis
27
nodules in upper lungs with hyperinflation of lower lungs
CWP
28
MC cause of bronchiolitis?
RSV
29
sweat chloride test \>60mmol
CF
30
multiorgan failure
ARDS (if non-acute consider sarcoidosis or CF)
31
MC bacteria in bronchiectasis?
H inf
32
respiratory alkylosis
asthma emphysema beginning of PE
33
CA that occurs in those under 60y
carcinoid tumor
34
drug s/e is orange secretions
rifampin
35
nighttime cough
asthma pertussis
36
eggshell calcifications
silicosis
37
MC cause of epiglottitis?
H inf B
38
constitutional sx with N/V/D
atypical pneumonia
39
MC causes of ARDS
sepsis\* trauma FB aspiration
40
clubbing
IPF emphysema bronchiectasis CF
41
frothy, blood-tinged sputum
ARDS
42
acid fast bacilli smear or + PPD
TB
43
v/q mismatch high ventilation
dead space
44
CA that you can't excise
small cell
45
"crackles at bases"
bronchiectasis IPF
46
enlarged R heart border
chronic bronchitis pulmonary HTN cor pulmonale
47
ascites periph edema inc JVP
cor pulmonale pulm HTN
48
Why would you order a pulmonary capillary wedge pressure test?
to differentiate pulmonary HTN from ARDS ( \< 18 is ARDS and \> 18 is pulm HTN )
49
Hampton's hump or Westermark's sign
PE (wedges on CXR) Hampton's - white Westermarks - black
50
altered mental status
cor pulmonale elderly w/ pneumonia or other infection
51
pneumo culture - blood tinged
S pneumo
52
hypoxemia does not respond to 100% O2
ARDS
53
pneumo culture - green
H inf pseudomonas
54
rigors
typical pneumonia
55
pneumo culture - currant jelly
klebsiella
56
silent chest
filled with air! severe asthma emphysema
57
dome diaphragm
IRDS
58
bx shows unorganized NCGs
acute HS pneumonitis
59
MC cause of croup?
PIV
60
flattened diaphragm bullae blebs
emphysema
61
**massive** hemoptysis
bronchiectasis
62
MC cause of atypical pneumo
mycoplasma
63
MC cause of typical pnuemonia
s pneumo
64
CA in non smoking females
adenocarcinoma
65
MC cause of pneumonia in kids \< 1y
RSV
66
merconeum ileum (inability to pass 1st stool)
CF
67
tx is cool, humified air
croup bronchiolitis
68
CA that mets early
large cell small cell
69
foul sputum
bronchiectasis
70
MC cause of FB aspiration
vomit
71
drug s/e is peripheral neuropathy, hepatitis
INH
72
located centrally
squamous - large bronchioles small cell (large cell - can be either central or periph)
73
bilat hilar lymphadenopathy
sarcoidosis berylliosis
74
rapid growing CA
large cell small cell
75
honeycombing
IPF\* asbestosis
76
positive Homan's test
PE
77
admit if O2 is \< 96%
bronchiolitis
78
lupus pernio, erythema nodosa, maculopap rash + other pulm and extrapulmonary sx
sarcoidosis
79
bx shows organized NCGs
subactue/chronic HS pneumonitis sarcoidosis