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Flashcards in Respi, Nelson + Misc Deck (43):
1

* acute onset * bilateral pulmonary edema * no left arterial pressure elevation * pao2 to fio2 ratio of 201 to 300

Acute lung injury

2

ARDS has pao2 to fio2 ratio of ___

Less than or equal to 200

3

the most common cause of pneumothorax is ___

overinflation

4

what happens when there is an accumulation of air within the pleural space that is sufficient to elevated intra pleural pressure above the atmospheric lever

tension pneumothorax

5

patient with noted sudden onset dyspnea and cyanosis with hyper resonance and diminished breath sound on the affected side. the heart is displaced toward the unaffected side and the diaphragm is displaced downward. what is the diagnosis

pneumothorax

6

__ is signified by hyperlucency around the heart border and between the sternum

pneumomediastinum

7

Increase risk of asthma later in life

RSV infection

8

Reversible airway disease involving both small and large airways

Bronchial asthma

9

3 components of asthma attack

Bronchospasm, mucus production, airway edema

10

PFT is not routinely done in children ___ years old

Less than 5

11

This is the outcome of chronic inflammation in asthma

Airway remodelling

12

Most common chronic disease of childhood in industrialized cointries

Asthma

13

Prevalence of asthma among sexes

Pre-puberty - boys:girls = 3:1
Adolescence - boys=girls
Adult-onset - F>M

14

NSAID that can specifically aggravate asthma

Aspirin

15

Phase of respiration prolonged in an acute asthma exacerbation

Expiratory phase

16

This causes absence of classic wheezing in acute episodes of asthma

Poor air movement from airway obstruction

17

A PE finding in asthma whereby there is a decrease in BP of > 15 mmHg with inspiration

Pulsus paradoxus

18

Uses of spirometry

1) Monitor response to treatment 2) Assess degree of reversibility with therapy 3) Measure severity of exacerbation

19

Age at which children can perform spirometry procedures

5 y/o

20

7-year-old girl is well when she leaves for school, but arrives home afterwards with a sore throat and runny nose. Causative agent?

Rhinovirus

21

17-year-old sexually active adolescent has acute onset of fever, cough, conjunctivitis, and pharyngitis.

Adenovirus

22

MCC of common cold

Rhinovirus

23

Most frequent illness of childhood

Common cold

24

Most common medical reason to miss school

Common cold

25

Vest treatment for the common cold

Increase OFI

26

Most common chronic lung disease in children

Asthma

27

Most common cause of cough in school-age children

Asthma

28

Most important risk factor for development of asthma

Combination of RSV-related bronchiolitis and a genetic predisposition for atopic disease

29

Type of asthma: Immunologically mediated Develop in childhood

Extrinsic

30

Type of asthma: No identifiable cause , Late onset, Worsen with age

Intrinsic

31

Levels of asthma control, under 5

IMG

32

Asthma exacerbation, under 5

IMG

33

Asthma indications for referral to hospital

IMG

34

Asthma severity classification

IMG

35

Most important study in asthma

Spirometry

36

O2 is indicated for all asthmatics to keep O2 saturation > ___

95%

37

___ should not be used for acute asthma exacerbation.

Long-acting β2 agonist (salmeterol)

38

Condition in which a progressively worsening asthma attack is unresponsive to usual therapy

Status asthmaticus (Life-threatening form of asthma)

39

Pulsus paradoxus >20mmHg; Hypotension, tachycardia; Cyanosis; One- to two-word dyspnea; Lethargy; Agitation; Retractions; Silent chest (no wheezes—poor air exchange)

Status asthmaticus

40

Chest x-ray with fine, diffuse reticulogranular or “ground glass” pattern and air bronchograms

RDS

41

Complications of TREATMENT of RDS

1) Retrolental fibroplasia, which is retinal vessel proliferation 2) Bronchopulmonary dysplasia (supplemental oxygen requirements beyond 28 days of life)

42

Risk factors for RDS

1) Poorly controlled maternal DM 2) Perinatal asphyxia 3) Antepartum hemorrhage 4) Multiple pregnancies 5) Male gender

43

Majority of childhood asthma develops ___ years old

Less than 3