Pulm and iCU

Question 1

Lung nodule less than 6mm require no follow up
Lung nodule more than 3cm is presumed malignant

Question 2

Roflumilast can decrease symptoms in copd who have chronic bronchitis or frequent exacerbations

Question 3

Following smoke inhalation, do brpchoscopy to facilitate continue airway clearance

Question 4

Cta is less sensitive than pulmonary angiogram or vq scan in detecting cteph

Question 5

Azithromycin long term reduce the frequency of exacerbation in copd

Question 6

Malignant pleural effusion with expandable lung treat with either indwelling pulmonary catheter or chemical pleurodesis with talc
With nonexpanding lung treat with indwelling pulmonary catheter

Question 7

In neutropenic fever, discontinue abx when afebrile and anc more than 500

Question 8

Treat idiopathic pulmonary fibrosis by pirfenidone, an antifibriolytic agent can cause photosensitivity and nintedanib a tyrosine kinase inhibitor can cause diarrhea

Question 9

Chylothorax when triglyceride in pleural fluid more than 110

Question 10

Choleaterol effusion when cholesterol level in fluid more than 200, usually in tuberculosis, rheumatoid arthritis effusion and chronic pleural effusion

Question 11

Dexamethasone can be used in high altitude cerebral edema but not for high altitude pulmonary edema

Question 12

Acetazolamide is a prophylaxis for High altitude pulmonary edema, not for treatment

Question 13

Systemic sclerosis develop pulmonary hypertension

Question 14

BiPAP is use on neuromuscular disease and severe COPD

Question 15

Treat excercise induce bronchospasm by daily steroid plus saba before exercise or low dose steroid and formoterol before exercise

Question 16

Alkalosis can cause decrease ventilation so acetazolamide can be used in OHS to stimulate respiratory

Question 17

OHS can be treated with BiPAP or volume targeted pressure support

Question 18

Nocturnal noninvasive ventilation uses in osa or chronic hypercapnic respiratory failure Pco2 more than 52

Question 19

In copd, use oxygen when po2 less than 55, sp02 less than 88%
Copd and cor pulmonale, heart failure, erythrocytosis Po2 less than 59 or spo2 less than 89

Question 20

Montelukast can cause depression

Question 21

Parenteral nutrition should start 7-10 days in the icu

Question 22

Modafinil uses in narcolepsy or residual sleepiness associated with osa

Question 23

10% of patient with osa using cpap can have treatment emergent csa

Question 24

Antenatal glucocorticoid to promote fetal lungs maturity should be administer before 34 weeks of gestation

Question 25

Blood pressure meds in pregnancy are labetalol nifedipine and hydralazine

Question 26

Active internal warming for temp less than 28 or fail with external warming Active external warming for temp 28 to 35

Question 27

Fraction of nitric oxide in an exhaled breath sample use to quantify eosinophilic airway inflammation and is a complementary tool in the diagnosis and management of asthma

Question 28

Copd with spo2 more than 95 ok to fly 92-95 high altitude simulation testing Leas than 92 need oxygen when flying

Question 29

Copd more than 4 litter o2 should not fly

Question 30

Initial evaluation of bronchiectasis is measuring immunoglobulin level and connective tissue disorder

Question 31

Methanol and ethylene glycol cause increase AG and osmolar gap. Could treat with fomepizole and hemodialysis Isopropyl alcohol and ethanol does not cause increase AG, just increase osmolar gap. Not treat by fomepizole nor hemodialysis

Question 32

Desquamative interstitial pneumonia has restrictive pattern on spirometry

Question 33

Only medication for cteph is riociguat

Question 34

Inhaled dornase alfa use only for cystic fibrosis