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Flashcards in Pulmonology Deck (84):
1

Exudative pleural effusion makes you think of what dx?

TB, lung cancer

2

Transudative pleural effusion makes you think what dx?

CHF

3

Paradoxical pulses are ____ & found in what disorder?

Large decrease in systolic BP during inspiration

Found in asthma

4

Most common patient complaint w/ emphysema

SOB

5

Age to begin vaccinations for pneumococcal pneumonia

65

6

Prolonged expiration (low FEV1) suggests what dx

Asthma or COPD

7

Hampton's hump on CXR=

PE

8

Pt s spleen is more susceptible to what kinds of organisms?

Encapsulated organisms, most commonly strep pneumoniae and H. Flu

9

Most common cause of pneumonia in children lass than 1

RSV

10

Tx for pneumocystis jiroveci pneumonia

Bactrim

11

Occupations assoc c berylliosis

Aerospace & nuclear plant workers

12

CXR finding assoc c berylliosis

Diffuse infiltrates c hilar adenopathy

13

Gold standard for dx of pleural effusion

Thoracocentesis

14

To decompress a tension pneumothorax, where do you put the needle?

2nd intercostal space at midclavicular line

15

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

1 yr

16

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

7 yrs

17

HIV pt with ground glass appearance on CXR makes you think what dx

Pneumocystis jiroveci pneumonia (PJP, used to be CP)

18

Noncaseating granuloma should make you think of what dx

Sarcoidosis

19

Pearl formation on CXR should make you think of what dx

Squamous cell lung cancer

20

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

TB

21

A westermark sign on CXR should make you think of what dx

PE

22

Mesothelioma is most commonly found in what location

Pleural lining

23

What CXR finding would make you think of mesothelioma

Pleural thickening--b/c most are found in pleural lining

24

Hyperinflation on CXR & eosinophilia on CBC should make you think of what dx

Asthma

25

Organism that is most common cause of pneumonia in a patient with cystic fibrosis

Pseudomonas

26

College student presents with pneumonia. What 2 organisms should you be thinking of?

Chlamydia & mycoplasma

27

You suspect pneumothorax. What instructions go along c order for CXR?

End expiratory view IOT look for visceral pleural air

28

3 most commonly used txs for COPD

Oxygen
Ipratropium
Albuterol

29

4 meds which may cause asthma

Beta blockers
NSAIDS
ACEI
ASA

30

Nodular opacities in upper lung fields makes you think of what dx

Silicosis

31

Initial tx for active TB

INH
RIF
PZA
EMB
for several months followed by
INF
RIF
Once sensitivities come back

32

Caseating granulomas should make you think of what dx

TB

33

Blue bloater refers to

Chronic bronchitis

34

Contralateral mediastinal shift should make you think of what dx

Tension pneumothorax

35

Best test to dx bronchiectasis

CT

36

Main side effects of isoniazid INH

Hepatitis and peripheral neuropathy

37

Ethambutol has 2 major side effects

Optic neuritis
Red green vision loss

38

Question that has anything to do with rats and pt has pneumonia, should be thinking of

yersinia pestis

39

Most common organism causing pneumonia in COPD pts

Haemophilus influenze

40

Where is a pancoast tumor found on CXR

At the apex of either the right or the left lung

41

Will evidence of TB be found in the upper or lower lobes on CXR

Upper

42

A pt has pneumonia with rust colored sputum. What is the organism?

Strep pneumoniae

43

Coal miners lung often show nodular opacities in what lung fields

Upper lung fields

44

When you step up the dx from intermittent asthma to mild persistent asthma, what medication should you add?

An inhaled steroid like fluticasone

45

Any question about rabbits and pneumonia should make you think

tularemia

46

Dullness to percussion should make you think of what dx

Lobar pneumonia

47

A young child presents to ED and you see him sitting in tripod position. What is the most likely dx?

Epiglottitis

48

6 extra pulmonary complications of lung cancer

SPHERE
SVC syndrome
Pancoast tumor
Horner's syndrome
Endocrine problems
Recurrent laryngeal symptoms
Effusions (exudative)

49

Currant jelly sputum should make you think of what dx

Klebsiella pneumoniae

50

What happens to total lung capacity in sarcoidosis?

It goes down.

51

What will the likely findings be on a CXR of a pt c asbestosis?

Linear opacities at the bases with pleural plaques

52

Tympany to percussion should make you think of what dx

Large pneumothorax

53

3 most common cancers to metastasize to the lungs

Breast, liver, colon

54

Barrel chest = what dx

Emphysema

55

Are the lungs noisy or quiet in COPD

Quiet

56

4 indications for flu vaccine

Child 6-59 months
Pregnant female
Healthcare worker
age greater than 50

57

Posttussive rales should make you think of what dx

TB

58

Bullae & blebs on CXR should make you think of what dx

Emphysema

59

Rhochi or wheezes that clear after coughing suggest what dx

Bronchitis or atelectasis

60

Does FEV1 go up or down with asthma?

It goes down

61

A very sick pt with diffuse infiltrates that spare the costophrenic angles should make you think of what dx

ARDS

62

Most common cause of bronchiectasis

Cystic fibrosis

63

Gold standard for dx of cystic fibrosis

Sweat chloride test

64

Exudative pleural effusion should make you think of what dx

TB, lung cancer

65

First line abx for epiglottis

3rd gen ceph
Ceftriaxone

66

Transudative pleural effusions should make you think of what dx

CHF

67

What 2 lung cancers are typically found centrally on CXR

Small cell and squamous

68

Pertussis is most commonly treated with what abx

Erythromycin

69

4 most common places lung cancer will metastasize to

Bone
Brain
Adrenals
Liver

70

If you come across a question where pt has erythema nodosum and an enlarged parotid gland, what is the most likely dx

Sarcoidosis

71

A thin looking heart and flattened diaphragm on CXR should make you think of what dx

Emphysema

72

An alcoholic who has been dx'ed w/ pneumonia most likely has what organism

Klebsiella pneumonia

73

Honeycombing and tram tracks on the CXR should make you think of what dx

Bronchiectasis and idiopathic pulmonary fibrosis

74

Paradoxical pulses may be found in what pulmonary disorder

Asthma

75

An older pt presents with pneumonia and diarrhea. What is the most likely dx?

Legionella pneumonia

76

Eggshell opacities on CXR should make you think of what dx

Silicosis

77

3 causes of decreased tactile fremitus

COPD
Asthma
Pleural effusion
Pneumothorax

78

Hyper resonance to percussion should make you think of what dx

Emphysema
Pneumothorax
Asthma

79

If you hear crackles in the lung fields list 3 differentials

Pneumonia
Fibrosis
CHF
Bronchitis

80

Does total lung capacity go up or down in COPD

It goes up

81

List 3 differentials if you hear wheezes on exam

Asthma
COPD
Bronchitis

82

What is it called when a pt says "we" but on auscultation you here "ay"?

Egophony

83

PE finding of egophony should make you think of what dx

Lobar pneumonia

84

CXR shows vascular redistribution and blurred vascular outlines. What is the most likely dx

CHF