Respi Flashcards

1
Q

What color is air on an xray?

A

Black “radiolucent”

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2
Q

What color is fluid/ solid on xray?

A

White “radiopaque”

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3
Q

What disease has a steeple sign on neck film?

A

Croup

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4
Q

What disease has a thumb sign on neck film?

A

Epiglottitis

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5
Q

What is a blue bloater?

A

Bronchitis

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6
Q

What is pink puffer?

A

Emphysema

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7
Q

What disease have pulmonary eosinophilia?

A

Aspergillosis, Strongyloides

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8
Q

What drugs cause pulmonary eosinophilia?

A

Nitrofurantoin, Sulfonamides

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9
Q

What are the risk factors for lung cancer?

A

Smoking, Radon, 2nd hand smoke, Pneumoconiosis (except anthracosis)

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10
Q

What disease have hemoptysis?

A

Bronchiectasis, bronchitis, pneumonia, TB, lung cancer

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11
Q

Where is a Bokdalek hernia?

A

Back of diaphragm

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12
Q

Where is a Morgagni hernia?

A

Middle of diaphragm

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13
Q

What disease have respiratory alkalosis?

A

Restrictive Lung Dz (anxiety, pregnancy, Gram -, sepsis, PE)

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14
Q

What disease have respiratory acidosis?

A

Obstructive Lung Dz

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15
Q

What disease have metabolic alkalosis?

A

Low Volume State (vomiting, diuretics, GI blood loss)

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16
Q

What disease have metabolic acidosis?

A

Acid production (MUDPILES, RTA II, diarrhea)

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17
Q

What does stridor tell you?

A

Extrathoracic narrowing => narrows when breathe in => neck xray

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18
Q

What does wheezing tell you?

A

Intrathoracic narrowing => narrows when breath out => chest xray

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19
Q

What does rhonchi tell you?

A

Mucus in the airway => obstructive lung disease

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20
Q

What does grunting tell you?

A

Blows collapsed alveoli open => restrictive lung disease

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21
Q

What does dull percussion tell you?

A

Something b/w airspace and chest wall absorbing sound (fluid or solid)

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22
Q

What does hyperresonance tell you?

A

Air in lungs

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23
Q

What does tracheal deviation tell you?

A

Away from pneumothorax or toward atelectasis “air phobic”

24
Q

What does fremitus, egophony and bronchophony tell you?

A

Consolidation => pathognomonic for pneumonia

25
Q

What is restrictive lung disease?

A

Small stiff lungs, trouble breathing in

26
Q

What is Obstructive lung disease?

A

Big mucus-filled lungs, trouble breathing out

27
Q

What is Epiglottitis?

A

Xray thumb sign, drooling

28
Q

What is Croup?

A

Xray steeple sign, barking cough

29
Q

What is tracheitis?

A

Look toxic, grey, pseudomembrane, leukocytosis

30
Q

What is Asthma?

A

Wheeze on expiration, IgE, eosinophils

31
Q

What is Bronchiolitis?

A

Asthma in kids < 2 y/o

32
Q

What is Sinusitis?

A

Teeth pain worse with bending forward

33
Q

What is Bronchiectasis?

A

Bad breath, purulent sputum, hemoptysis

34
Q

What is Bronchitis?

A

Lots of sputum, “blue boater”

35
Q

What is Emphysema?

A

Restrictive to obstructive pattern, “pink puffer”

36
Q

What is Laryngomalacia?

A

Epiglottis roll in from side to side

37
Q

What is Pneumonia?

A

Consolidation of airway

38
Q

What is Pneumothorax?

A

Decreased breath sound on one side

39
Q

How do you detect a Pulmonary Embolus?

A

Tachypnea, increased V/Q scan, EKG: S1 Q3 T3

40
Q

What is tamponade?

A

Decreased breath sounds / BP; increased JVD

41
Q

What is tracheomalacia?

A

Soft cartilage, stridor since birth

42
Q

What is Cystic Fibrosis?

A

Meconium ileus, steatorrhea, bronchiectasis

43
Q

What is Aspergillosis?

A

Allergy to mold, dead plants, compost piles

44
Q

What is Asbestosis?

A

Shipyard workers, pipe fitters, brake mechanics, insulation install

45
Q

What is Silicosis?

A

Sandblasters, glassblowers

46
Q

What is Byssinosis?

A

Cotton workers, chest tightness

47
Q

What is Beryliosis?

A

Radio, TV welders

48
Q

What is Anthracosis?

A

Coal workers, massive fibrosis

49
Q

What is Sarcoidosis?

A

Non caseating granulomas, eggshell calcification of lymph nodes

50
Q

What is carcinoid syndrome?

A

Flushing, wheezing, diarrhea

51
Q

what is small cell CA?

A

At carina, malignant, Cushing’s, SIADH, SVC syndrome

52
Q

What is Large cell CA?

A

Large stuff

53
Q

What is squamous cell CA?

A

Smoker, high PTH, high Ca+2

54
Q

What is Bronchoalveolar CA? Looks like pneumonia due to pneumoconiosis?

A

Looks like pneumonia; due to pneumoconiosis

55
Q

What is the difference between a carotid body and a carotid sinus?

A

Carotid body: chemoreceptor

Carotid sinus: baroreceptor