Flashcards in Pulm Deck (82):
Type of crackles with Dilated Cardiomyopathy?
Barrel chest with which type of COPD?
Emphysema (Pink Puffer)
Emphysema and breath sounds?
Distant breath sounds
Emphysema and cough?
Which type of COPD has chronic, productive cough?
Chronic Bronchitis and sputum?
Which COPD has hemoptysis?
Which COPD happens in obese?
Aspiration pneumonia which type of aerobe?
Noninvasive positive pressure in COPD patient does what to tidal volume?
Increases tidal volume
MC EKG finding for pulmonary embolism?
Ethambutol (used for TB) does what to eyes?
Optic neuritis, decreased visual acuity, and possible blindness
Amylase levels of pleural fluid in setting of acute pancreatitis?
Elevated amylase levels
What appears on lymph node biopsy with sarcoidosis?
Definition of cor pulmale?
Altered structure and function of RV
What can cause an unexplained isolated pleural effusion?
What is the prediction value of a D-Dimer? (hint: prediction)
Negative predictive value
Which vitamin to supplement with Isoniazid?
Which pneumonia organism in alcoholics or chronically debilitated patients?
Hydrocarbon ingestion in kids can cause what?
Hydrocarbon ingestion on CXR shows what?
Diffuse bilateral infiltrates
Which ABX for CAP?
Honeycombing on CXR which dz?
Idiopathic pulmonary fibrosis
Which COPD has chronic cough for at least three months in at least two successive years?
Exudative effusion is associated with what?
Beta-2-agonists promost bronchodilation by increasing what?
Cyclic adenosine monophosphate
What will CXR show in acute bronchitis?
Thickening of bronchial walls
Tx for acute bronchitis?
Dextromethorphan and/or guaifensein
Which finding has highest odds ratio for kids with pneumonia?
Oxygen saturation <92%
Test of choice for cor pulmonale?
Right heart cath
First line tx for latent TB?
Tx for COPD exacerbation?
Supplemental oxygen, nebulized albuterol and ipratropium, oral prednisone
What are nodules in skin from sarcoidosis called?
What lung infx can develop after influenza?
Staph aureus pneumonia
Test of choice for carcinoid syndrome?
24 hour urine excretion of 5-hydroxyindoleacetic acid
Test for pulmonary embolism if kidneys bad?
Ventilation/perfusion scan (V/Q)
Most common EKG in acute pulmonary embolism?
Coup xray will show?
Subglottic narrowing aka steeple sign
Which abx class for pertissis?
Strongest risk factor in OSA?
CAP species in kids under 5?
Bat-wing lung xray which fungus?
Pneumocystis jiroveci (PCP)
Sarcoidosis and ACE levels?
Best test for abrupt onset of fevers, chills, malaise, coryza, and cough?
Nasopharyngeal swab for flu
MC cause of transudative pulmonary effusion?
Most common croup virus?
Military TB is spready through which route?
Stacatto cough is due to which pneumonia organism?
MC cause of cor pulmonale?
MC location for aspired foreign bodies in kids?
Right main bronchus
Which pneumonia organism causes diarrhea, low sodium, and unilabor infiltrate?
Tx for acute sarcoidosis?
MC cause of pleural effusion in developed countries?
Several weeks of cough, fever, pleuritic chest pain, weight loss, and night sweats with xray showing dense consolidation?
Parynchymal abnormalities consistent with obstructive or restrictive lung dz?
Oral tx for patient admitted with asthma exacerbation?
Aspiration pneumonitis due to what?
Inhalation of regurgitated gastric contents causing inflammatory chemical injury of tracheobronchial tree.
Tx for carcinoid tumors?
Solitary pulmonary nodule <6mm and low risk?
Acute bronchitis cough tx?
Nonproductive cough and gradual exertion in men over 50 most likely?
Idiopathic Pulmonary Fibrosis
MC type of neonatal respiratory distress?
Transient tachypnea of newborn d/t residual fluid in lungs after delivery
Pleural fluid:serum protein ratio above what indicates exudative effusion from infection?
Positive PPD above what if pt is organ transplantee on suppressive therapy, recent active TB exposure, or HIV+?
Annual chest xray should be done on patients who are on which long-term antiarrythmic?
Amiodarone, d/t chronic interstitial pneumonitis
Tx for Mycoplasma pneumoniae?
Tx for Psittacosis?
Who gets Psittacosis?
High-resolution CT shows what with Idiopathic Pulmonary Fibrosis?
What type of pleural effusion does SLE cause?
Glucose level of exudative effusion?
B6 given with Isoniazid prevents what?
Which pneumonia organism also causes bullous myringitis?
Does influenza require droplet precautions?
Calcium in Sarcoidosis?
Tx for pleuritic chest pain?
MC sign in pulmonary embolism?
Aspiration pneumonia is aerobic or anaerobic?
2 tx for acute asthma exacerbation?
2. Nebulized albuterol (can also add Ipitropium aka DuoNeb)
Initial test for COPD?
Pulmonary Function Test
Tx for cough in acute bronchitis?