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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

ARDS diagnostic criteria?

-acute onset respiratory distress
-PaO2: FiO2