Pulmonology Flashcards

(62 cards)

1
Q

normal A-a gradient? What causes a high A-a gradient? What is the equation

A

5-15

PE, pulmonary edema, R-L shunt

atm air pressure x FiO2 - PaCO2/0.8 - PaO2

713X0.21

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2
Q

feared complication of strep pharyngitis

A

acute rheumatic fever

post strep GN

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3
Q

signs of peritonsillar abscess

A

muffled voice, uvula deviation, severe sore throat, fever, drooling

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4
Q

most commonly used empiric treatments for community acquired pneumonia in adults?

A

levofloxacin, moxifloxacin, gemifloxacin

beta lactam + macrolide or doxy

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5
Q

most common cause of atypical pneumonia in young adults

A

mycoplasma

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6
Q

most common cause of pneumonia in adults

A

strep pneumo

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7
Q

most common cause of pneumonia in younger children

A

RSV

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8
Q

most common cause of penumonia in neonates

A

GBS

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9
Q

Cystic fibrosis patients are at increased risk of acquiring pneumonia from which organism

A

pseudomonas

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10
Q

common cause of pneumonia in immunocompromised patients

A

PCP

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11
Q

pneumonia associated with currant jelly sputum

A

klebsiella

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12
Q

interstitial pneumonia in bird handlers

A

c psiiaci

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13
Q

pneumonia in patient with exposure to bats and bat dropping

A

histo

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14
Q

cause of pneumonia in patient who has visited cali, new mexico, west texas

A

coccidio

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15
Q

pneumonia acquired from air conditioners

A

legionella

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16
Q

pneumonia cause in children 1 year or younger

A

RSV

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17
Q

pneumonia in neonate

A

GBS

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18
Q

penumonia in young adults

A

mycoplasma

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19
Q

cause of woolsorters disease

A

bacillus anthracis

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20
Q

hallmark pulmonary function test in COPD

A

FEV1:FVC

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21
Q

48 y/o FEV1 of 55% of predicted and has SOB when walking, what medications would be appropriate for this patient?

A

short acting beta2, inhaled ach, smoking cessation, flu vaccine, pneumococcal vaccine

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22
Q

lung cancer associated with paraneoplastic syndrome: elevated ACTH, cushing syndrome

A

small cell lung Ca

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23
Q

lung cancer associated with paraneoplastic syndrome: elevated PTH related peptide, hypercalcemia

A

squamous cell lung Ca

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24
Q

lung cancer associated with paraneoplastic syndrome: elevated ADH, SIADH, hyponatremia

A

small cell lung Ca

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25
lung cancer associated with paraneoplastic syndrome: antibodies to presynaptic Ca channels, lambert eaton syndrome
small cell lung Ca
26
classic findings in idiopathic pulmonary fibrosis
ground glass appearance, honeycomb lung
27
tx of idiopathic pulmonary fibrosis
pirfenidone, nintedanib
28
pneumoconiosis with progressive fibrosis
coal worker's, silicosis
29
pneumoconiosis with increased risk of TB
silicosis
30
pneumoconiosis with working with electronics, causes increased Ca risk
berylliosus
31
pneumoconiosis with malignant mesothelioma and bronchogenic carcinoma
asbestos
32
classic sign of PE on CXR
hampton's hump, wedge shaped infarct
33
CXR findings suggestive of pulmonary edema
kerley B lines, diffuse interstit fluid, cephalization of vessels
34
drugs used to treat pulmonary HTN
vasodilators - prostanoids - endothelin receptor antag - cGMP PDE - CCB
35
study to help differentiate pleural effusion loculated or free flowing in thorax
CXR upright and then lateral decubitus
36
cause of transudative pleural effusion
CHF, nephrotic syndrome, cirrhosis
37
size pneumothorax requiring a chest tube placement
> 15%
38
medication used prior to intubation in head injury patients
lidocaine
39
substances avoided in obstructive sleep apnea
alcohol, sedatives
40
tx of epiglottitis
intubate, abx covering staph/strep, steroids
41
tx of croup
supportive, racemic epi/O2
42
tx of RSV bronchiolitis
supportive care
43
CXR appearance of newborn RDS
ground glass and air bronchogram low lung volumes
44
after birth, child has stridor, wheezing, SOB despite medical therapies, what is the likely cause?
vascular ring
45
tx of pulmonary components of CF
beta2 agonist DNAse hypertonic saline physiotherapy azithromycine/fluoroquinolones
46
causes of exudative pleural effusion
malignancy, TB, bacterial infection, pulmonary embolus, pancreatitis
47
treatment of wegener's
steroids | cyclophosphamide/MTX/rituximab
48
patient with hypoxemia and pulmonary edema has normal pulmonary capillary wedge pressure. Diagnosis?
acute respiratory distress syndrome
49
diagnosis of patient with dyspnea, hilar LAD on CXR, with hypercalcemia
sarcoidosis
50
patient with chronic COPD qualifies for home O2 when...
O2 sat
51
patient with lung disease is found to have anti-glomerular basement membrane antibodies. Dx and tx?
goodpasture disease tx: plasmapheresis, steroids, immunosuppression
52
40 year old black woman is found to have hypercalcemia and noncaseating granulomas of the lung. Dx?
sarcoidosis
53
four clinical features of strep pharyngitis
fever, tender ant cervical LAD tonsillar exudates absence of cough
54
Patient is found to have honeycomb pattern on CT scan of the chest. What is the diagnosis and treatment?
pulmonary interstitial fibrosis treatment: steroids, azathioprine, NAC, lung transplant
55
empiric treatment for a 2 month old with pneumonia
erythromycin, cefotaxime
56
empiric treatment for a 2 day old with pneumonia
amox/amp
57
rare, classic EKG finding in pulmonary embolism
S1Q3T3
58
most common EKG finding in pulmonary embolism
sinus tachy
59
lung cancer associated with elevated ACTH and cushing syndrome
small cell
60
lung cancer associated with elevated PTH related peptide and hypercalcemia
squamous cell
61
lung cancer associated with elevated ADH, SIADH, hyponatremia
small cell
62
lung cancer associated with antibodies to presynaptic Ca channels, lambert eaton syndrome
small cell