Pulm

Question 1

If you find a solitary lung nodule on CXR you need to f/u with?

Answer 1

chest CT

Question 2

Next step for chronic daytime cough s/ NL CXR

Answer 2

PFT’s

Question 3

Why do ACEI promote cough?

Answer 3

Impaired metabolism of kinins and substance P

Question 4

What should be considered in a patient with recurrent PNA?

Answer 4

Lungmalignancy
Can appear as a single consolidation on CXR
Consider CT

Question 5

What do you do if your suspicion for PE is high?

Answer 5

Start IV heparin

Then do confirmator tests

Question 6

Vague chest discomfort after a URI. CXR large mediatinum. CT - mass in middle mediastinum
Cx?

Answer 6

Bronchogenic cyst
Always middle mediastinum
benign

Question 7

What imaging do you need to dx bronchiectasis?

Answer 7

CT

Occurs d/t recurrent lung infections

Question 8

Why do pts with ankylosing spondylitis develop restrictive lung dz?

Answer 8

Diminished chest wall and spinal mobility

Question 9

Pt with Raynaud’s develops SOB. Why?

Answer 9

Pulmonary HTN d/t systemic sclerosis

Question 10

Pathophys of pulm HTN d/t systemic sclerosis

Answer 10

Intimal hyperplasia of the pulmonary a.

Question 11

Lung cancer associated with smoking?

Answer 11

Squamous cell carcinoma

Question 12

Why do IPF pts have decreased DLCO

Answer 12

Increased A-a gradient

d/t increased scarring

Question 13

Pathophy of transudative effusions

Answer 13

Decreased intrpleural or plasma oncotic pressure OR

Elevated hydrostatic pressure

Question 14

Pathophys of exudative effusion

Answer 14

Increased capillar or pleural membrane permeability OR

disruption in lymphatic outflow

Question 15

histopath of sarcoid

Answer 15

Noncaseating granulomas on tissue bx

Question 16

Common cause of productive blood tinged sputum w/o other RF’s

Answer 16

Bronchitis

Question 17

Cave exploreer with pulm syx

Bx - granulomas w/ yeast forms

Answer 17

Histoplasmosis
From bat or bird droppings
symptomatic if immunocompromised or has high innoculation