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Flashcards in Pulm Deck (77):
1

Type of crackles with Dilated Cardiomyopathy?

Coarse crackles

2

Barrel chest with which type of COPD?

Emphysema

3

Emphysema and breath sounds?

Distant breath sounds

4

Emphysema and cough?

Minimal cough

5

Which type of COPD has chronic, productive cough?

Chronic Bronchitis

6

Chronic Bronchitis and sputum?

Purulent sputum

7

Which COPD has hemoptysis?

Chronic Bronchitis

8

Which COPD happens in obese?

Chronic Bronchitis

9

Aspiration pneumonia which type of aerobe?

Anaerobic

10

Noninvasive positive pressure in COPD patient does what to tidal volume?

Increases tidal volume

11

MC EKG finding for pulmonary embolism?

Sinus tachycardia

12

Ethambutol (used for TB) does what to eyes?

Optic neuritis, decreased visual acuity, and possible blindness

13

Amylase levels of pleural fluid in setting of acute pancreatitis?

Elevated amylase levels

14

What appears on lymph node biopsy with sarcoidosis?

Noncaseating granuloma

15

Definition of cor pulmale?

Altered structure and function of RV

16

What can cause an unexplained isolated pleural effusion?

Pulmonary embolism

17

What is the prediction value of a D-Dimer? (hint: prediction)

Negative predictive value

18

Which vitamin to supplement with Isoniazid?

B6 pyridoxine

19

Which pneumonia organism in alcoholics or chronically debilitated patients?

Klebsiella pneumoniae

20

Hydrocarbon ingestion in kids can cause what?

ARDS

21

Hydrocarbon ingestion on CXR shows what?

Diffuse bilateral infiltrates

22

Which ABX for CAP?

Azithromycin

23

Honeycombing on CXR which dz?

Idiopathic pulmonary fibrosis

24

Which COPD has chronic cough for at least three months in at least two successive years?

Chronic bronchitis

25

Exudative effusion is associated with what?

Malignancy

26

Beta-2-agonists promost bronchodilation by increasing what?

Cyclic adenosine monophosphate

27

What will CXR show in acute bronchitis?

Thickening of bronchial walls

28

Tx for acute bronchitis?

Dextromethorphan and/or guaifensein

29

Which finding has highest odds ratio for kids with pneumonia?

Oxygen saturation <92%

30

Test of choice for cor pulmonale?

Right heart cath

31

First line tx for latent TB?

Isoniazid

32

Tx for COPD exacerbation?

Supplemental oxygen, nebulized albuterol and ipratropium, oral prednisone

33

What are nodules in skin from sarcoidosis called?

Subcutaneous nodules

34

What lung infx can develop after influenza?

Staph aureus pneumonia

35

Test of choice for carcinoid syndrome?

24 hour urine excretion of 5-hydroxyindoleacetic acid

36

Test for pulmonary embolism if kidneys bad?

Ventilation/perfusion scan (V/Q)

37

Most common EKG in acute pulmonary embolism?

Sinus tachycardia

38

Coup xray will show?

Subglottic narrowing aka steeple sign

39

Which abx class for pertissis?

macrolide

40

Strongest risk factor in OSA?

obesity

41

CAP species in kids under 5?

Mycoplasma pneumoniae

42

Bat-wing lung xray which fungus?

Pneumocystis jiroveci (PCP)

43

Sarcoidosis and ACE levels?

Elevated

44

Best test for abrupt onset of fevers, chills, malaise, coryza, and cough?

Nasopharyngeal swab for flu

45

MC cause of transudative pulmonary effusion?

CHF

46

Most common croup virus?

Parainfluenza

47

Military TB is spready through which route?

Hematogenous route

48

Stacatto cough is due to which pneumonia organism?

Chlamydia trachomatis

49

MC cause of cor pulmonale?

CPOD

50

MC location for aspired foreign bodies in kids?

Right main bronchus

51

Which pneumonia organism causes diarrhea, low sodium, and unilabor infiltrate?

Legionella

52

Tx for acute sarcoidosis?

Prednisone

53

MC cause of pleural effusion in developed countries?

heart failure

54

Several weeks of cough, fever, pleuritic chest pain, weight loss, and night sweats with xray showing dense consolidation?

Lung abscess

55

Parynchymal abnormalities consistent with obstructive or restrictive lung dz?

Restrictive

56

Oral tx for patient admitted with asthma exacerbation?

Oral Prednisone

57

Aspiration pneumonitis due to what?

Inhalation of regurgitated gastric contents causing inflammatory chemical injury of tracheobronchial tree.

58

Tx for carcinoid tumors?

Octreotide

59

Solitary pulmonary nodule <6mm and low risk?

Observation

60

Acute bronchitis cough tx?

Inpratropium

61

Nonproductive cough and gradual exertion in men over 50 most likely?

Idiopathic Pulmonary Fibrosis

62

MC type of neonatal respiratory distress?

Transient tachypnea of newborn d/t residual fluid in lungs after delivery

63

Pleural fluid:serum protein ratio above what indicates exudative effusion from infection?

>0.5

64

Positive PPD above what if pt is organ transplantee on suppressive therapy, recent active TB exposure, or HIV+?

≥5 induration

65

Annual chest xray should be done on patients who are on which long-term antiarrythmic?

Amiodarone, d/t chronic interstitial pneumonitis

66

Tx for Mycoplasma pneumoniae?

Clarithromycin

67

Tx for Psittacosis?

Doxycycline

68

Who gets Psittacosis?

Animal people

69

High-resolution CT shows what with Idiopathic Pulmonary Fibrosis?

Honeycombing

70

What type of pleural effusion does SLE cause?

Exudative

71

Glucose level of exudative effusion?

<0.6

72

B6 given with Isoniazid prevents what?

Peripheral neuropathy

73

Which pneumonia organism also causes bullous myringitis?

Strep pneumoniae

74

Does influenza require droplet precautions?

Yes

75

Calcium in Sarcoidosis?

Hypercalcemia

76

Tx for pleuritic chest pain?

Supportive

77

MC sign in pulmonary embolism?

Tachypnea