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Flashcards in resp 615 - 621 Deck (27):
1

name 4 types of pneumothorax

primary spontaneous
secondary spontaneous
traumatic
tension

2

clinical symptoms of pneumothorax?

unilateral chest pain
dyspnea
unilateral chest expansion
dec tactile fremitus
hyperresonancy
diminished breath sounds

3

what type of pneumothorax is due to rupture of apical blebs or cysts?

primary spontaneous

4

what type of pleural effusion is also known as chylothorax?

lymphatic pleural effusion

5

2 causes of lymphatic (chylothorax) effusions?

duct injury from trauma, malignancy

6

what content is high in chylothorax?

TG

7

what type of familial dyslipidemias also have inc TG?

type 1 (high chylomicrons), type 4 (high VLDL)

8

what resp drug is M3 agonist?

methacholine

9

what is an antitussive that antagonizes NMDA glutamate receptor?

dextromethorphan

10

what is a synthetic codeine analog?

dextromethorphan

11

name 4 2nd generation H1 blockers?

loratadine, fexofenadine, desloratadine, cetirizine

12

name 3 1st generation H1 blockers

diphenhydramine, dimenhydrinate, chlorpheniramine

13

name 3 anaerobes that can cause lung abscess

bacteriodes, fusobacterium, peptostreptococcus

14

3 severe consequences of sup. vena cava syndrome

headaches
dizziness
inc risk of aneurysm/rupture of intracranial arteries

15

name 3 bugs that cause lobar pneumonia

S. pneumoniae (95%)
Legionella
Klebsiella

16

what is bronochopneumonia?

acute inflammatory infiltrates from bronchioles into adjacent alveoli, patchy distribution involving more than 1 lobe

17

4 bugs that cause bronchopneumonia?

S. pneumoniae
S. aureus
H. influenza
Klebsiella

18

name 7 agents that cause interstitial (atypical) pneumonia

Viruses

influenza, CMV, RSV, adenoviruses

Mycoplasma, Legionella, Chlamydia

19

treatment for lung abscess?

clindamycin

20

what lung path can cause sensorimotor deficit and hoarsness?

pancoast tumor (superior sulcus tumor)

21

5 risk factors for lung cancer

smoking, second hand smoking, radon, asbestos, family hx

22

name 5 complications of lung cancer

superior vena cava syndrome
pancoast tumor
horner syndrome
endocrine (paraneoplastic)
recurrent laryngeal nerve compression (hoarseness)
effusions (pleural or pericardia)

23

what lung cancer is associated with kulchitsky cells (small dark blue cells)?

small cell carcinoma

24

what lung cancers are + chromogranin A?

small cell

bronchial carcinoid tumor

25

what lung cancer is associated with myc oncogene amplification?

small cell

26

small cell carcinoma of the lung can produce 2 types of antibodies, what are they?

1. Ab against presynaptic Ca2+

2. Ab against neuron that can lead to paraneoplastic myelitis/encephalitis

27

cancer dx?

pleomorphic giant cells
inc B-hCG

adenocarinoma