Flashcards in Pulmonology Deck (39):
1
Mild intermittent asthma? Tx?
-
2
Mild persistent asthma? Tx?
->2 day sx/week but less than daily
-3-4 night sx/month
-SABA + ICS
3
Moderate persistent? Tx?
-Daily day symptoms and > 4 night sx per month
-SABA + ICS + LABA
4
Severe persistent asthma? Tx?
-Continual daytime sx or frequent nighttime sx (>4/month)
-SABA + ICS + LABA + PO steroid
5
Severe persistent asthma?
Continual daytime sx or frequent nighttime sx (>4/month)
6
Mild persistent asthma?
>2 day sx/week but less than daily
3-4 night sx/month
7
Moderate persistent?
Daily day symptoms and > 4 night sx per month
8
Severe persistent asthma?
Continual daytime sx or frequent nighttime sx (>4/month)
9
Most common lung cancer which often affects non-smokers?
Adenocarcinoma
10
When do patients with COPD qualify for home O2?
-O2 sat
11
Paraneoplastic syndromes associated with squamous cell lung cancer?
-PTHrp
12
Paraneoplastic syndromes associated with small cell lung cancer?
-ACTH --> bushings
-ADH --> SIADH
-Lambert-Eaton Syndrome
13
Most common lung cancer which often affects non-smokers?
Adenocarcinoma
14
Which 2 lung cancers are more likely found in the periphery?
Adenocarcinoma and large cell carcinoma
15
What is the primary treatment for small cell lung cancer?
Chemotherapy
16
"eggshell" calcifications of mylar lymph nodes? Increases the risk for what?
-Silicosis
-Increases risk for TB and lung cancer
17
Symptoms of sarcoidosis?
"A GRUELING Disease"
-increased ACE
-Gammaglobinemia
-RA association
-Uveitis
-Erythema Nodosum
-LAD (bilateral hilar)
-Idiopathic
-Noncaseating Granulomas
-increased vitamin D by activated macrophages in granulomas
18
Medications for Idiopathic pulmonary fibrosis?
-Pirefenidone
-Nintedanib
19
Noncaseating granulomas and associated with aerospace manufacturing?
Berylliosis
20
ILD associated with sandblasting?
Silicosis
21
ILD causes chronic bronchitis but no increased risk of lung cancer?
Coal Workers pneumoconiosis
22
What kind of defect will a PE have on a V/Q scan?
Perfusion defect!
23
What size pneumothorax requires chest tube placement?
>15%
24
Tx of influenza?
Osetamivir or zanamivir within the first 48 hours of symptoms
25
Midline throat cyst that moves with swallowing and often contains ectopic thyroid tissue?
Thyroglossal duct cyst
26
Hot potato voice and trismus (lockjaw)?
Peritonsillar abscess
27
+ heterophil antibodies?
Mononucleosis (EBV)
-risk of splenic rupture
28
Tx of influenza?
Osetamivir or zanamivir
29
Tx of CAP in a healthy individual who has not received ABX in the past 3 months?
Azithromycin or doxycycline
30
CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?
PCP
-Tx: Bactrim
31
Tx of latent TB?
-Isoniazid x 9 months
OR
-Rifapantine + INH x 3 months
32
PNA in a patient who recently to Arizona?
Coccidiodes immitis
33
PNA sx + skin lesions?
Blastomyces dermatitidis
-Amphotericin B or Itraconazole
34
CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?
PCP
35
Tx of latent TB?
-Isoniazid x 9 months
OR
-Rifapantine + INH x 3 months
36
PNA in a patient who recently travelled to Arizona?
Coccidiodes immitis
37
What medication is given prior to intubation in head injury patients?
Lidocaine
38
In a patient with pulmonary edema, how can you tell ARDS from cariogenic edema?
ARDS (or non-cardiogenic) PCWP
39