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Flashcards in Pulmonary Review Deck (88)
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1

What is the most common patient complaint with emphysema?

Shortness of breath

2

At what age should vaccinations for pneumococcal pneumonia begin?

65 years old

3

Prolonged expiration (low FEV1) should make you think of what diagnosis?

Asthma or COPD

4

Hampton's hump on CXR should make you think of what diagnosis?

Pulmonary embolism

5

How long after administering a PPD should it be read?

48-72 hours

6

A patient without a functioning spleen is more susceptible to what type of organisms?

Encapsulated organisms most commonly Strep pneumoniae and H. Flu.

7

What is the most common cause of pneumonia in children less than 1 year old?

Respiratory syncytial virus (RSV)

8

What is the treatment for pneumocystis jiroveci pneumonia?

Bactrim

9

What occupations are associated with berylliosis?

Aerospace and nuclear plant workers.

10

What CXR finding might make you think of berylliosis?

Diffuse infiltrates with hilar adenopathy.

11

What is the gold standard for diagnosis of a pleural effusion?

Thoracocentesis

12

When performing a decompression for a tension pneumothorax where do you put the needle?

2nd intercostal space at the midclavicular line.

13

Oseltamivir (Tamiflu) may be given to children above what age?

1 year old

14

Zanamivir (Relenza) may be give to children above what age?

7 years old

15

An HIV patient with ground glass appearance on CXR should make you think of what diagnosis?

Pneumocystis jiroveci pneumonia (PJP used tp be know as PCP).

16

A noncaseating granuloma should make you think of what diagnosis?

Sarcoidosis

17

A pearl formation on CXR should make you think of what diagnosis?

Squamous cell lung cancer

18

Ghon or Ranke complexes on CXR should make you think of what diagnosis?

TB

19

A Westermark sign on CXR should make you think of what diagnosis?

Pulmonary embolism

20

Mesothelioma is most commonly found in what lung location?

80% are found in the pleural lining

21

What CXR finding might make you think of mesothelioma?

Pleural thickening, remember 80% are found in the pleura lining.

22

Hyperinflation on a CXR as well as eosinophilia on CBC should make you think of what diagnosis?

Asthma

23

What organism is the most common cause of pneumonia in a patient with cystic fibrosis?

Pseudomonas

24

A college student presents with pneumonia. What two organisms should you be thinking of?

Chlamydia and Mycoplasma

25

At what size induration would a PPD be positive for an HIV patient?

5mm

26

You suspect a pneumothorax. What instructions should go along with the order for a chest x-ray?

It should be an end expiratory view in order to look for visceral pleural air.

27

List the three most commonly used medical treatments for COPD?

Oxygen, ipratropium and albuterol

28

List 4 medications which may cause asthma.

Beta blockers, NSAIDS, ACEI, ASA

29

Nodular opacities in the upper lung fields should make you think of what diagnosis?

Silicosis

30

What is the initial treatment for active TB?

INH+RIF+PZA+EMB x several months typically followed by INH+RIF once sensativities come back.