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Pulm Flashcards

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1
Q

Type of crackles with Dilated Cardiomyopathy?

A

Coarse crackles

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2
Q

Barrel chest with which type of COPD?

A

Emphysema (Pink Puffer)

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3
Q

Emphysema and breath sounds?

A

Distant breath sounds

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4
Q

Emphysema and cough?

A

Minimal cough

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5
Q

Which type of COPD has chronic, productive cough?

A

Chronic Bronchitis

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6
Q

Chronic Bronchitis and sputum?

A

Purulent sputum

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7
Q

Which COPD has hemoptysis?

A

Chronic Bronchitis

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8
Q

Which COPD happens in obese?

A

Chronic Bronchitis

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9
Q

Aspiration pneumonia which type of aerobe?

A

Anaerobic

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10
Q

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

A

Increases tidal volume

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11
Q

MC EKG finding for pulmonary embolism?

A

Sinus tachycardia

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12
Q

Ethambutol (used for TB) does what to eyes?

A

Optic neuritis, decreased visual acuity, and possible blindness

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13
Q

Amylase levels of pleural fluid in setting of acute pancreatitis?

A

Elevated amylase levels

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14
Q

What appears on lymph node biopsy with sarcoidosis?

A

Noncaseating granuloma

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15
Q

Definition of cor pulmale?

A

Altered structure and function of RV

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16
Q

What can cause an unexplained isolated pleural effusion?

A

Pulmonary embolism

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17
Q

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

A

Negative predictive value

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18
Q

Which vitamin to supplement with Isoniazid?

A

B6 pyridoxine

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19
Q

Which pneumonia organism in alcoholics or chronically debilitated patients?

A

Klebsiella pneumoniae

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20
Q

Hydrocarbon ingestion in kids can cause what?

A

ARDS

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21
Q

Hydrocarbon ingestion on CXR shows what?

A

Diffuse bilateral infiltrates

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22
Q

Which ABX for CAP?

A

Azithromycin

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23
Q

Honeycombing on CXR which dz?

A

Idiopathic pulmonary fibrosis

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24
Q

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

A

Chronic bronchitis

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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
78
Aspiration pneumonia is aerobic or anaerobic?
Anaerobic
79
2 tx for acute asthma exacerbation?
1. Oxygen | 2. Nebulized albuterol (can also add Ipitropium aka DuoNeb)
80
Initial test for COPD?
Pulmonary Function Test
81
Tx for cough in acute bronchitis?
Albuterol
82
Gram and morphology of Staph Aureus?
Gram positive, cocci in clusters

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