respiratory

Question 1

Fissures visible on chest x-ray

Answer 1

fluid overload

Question 2

Most common community-acquired pneumonia pathogen

Answer 2

Strep. pneumoniae

Question 3

Most common walking pneumonia pathogen

Answer 3

Mycoplasma pneumoniae

Question 4

Diagnostics for pneumonia

Answer 4

Curb-65 and pneumonia severity index

Question 5

Curb-65 criteria

Answer 5

Diagnostic tool for pneumonia: Confusion Urea > 7 mmol/L Resp. Rate > 30 Blood pressure SBP < 90 Age > 65

Question 6

Pathogens most likely to cause HCAP

Answer 6

Staph aureus and pseudomonas

Question 7

Single best manifestation indicative of pneumonia

Answer 7

new infiltrate on chest x-ray

Question 8

Intervention that solely decreases mortality in critical COPD patients

Answer 8

noninvasive positive pressure ventilation

Question 9

pneumonia hides normal borders and structures

Answer 9

silhouette sign

Question 10

Criteria for pneumonia

Answer 10

2 out of 3 of the following:

hypo/hyperthermia

leukocytosis/penia

purulent secretions

and new lung infiltration CXR

Question 11

Treatment regimen for active TB

Answer 11

RIPE

Rifampin

INH (isoniazide)

Pyrazinamide

Ethambutol

Question 12

Defintion of Asthma

Question 13

Ominious signs with asthma attack

Question 14

Asthma symptoms < 2 days/week

Question 15

Asthma symptoms > 2days/week but not daily

Question 16

Asthma symptoms daily

Question 17

asthma symptoms throughout the day

Question 18

nighttime awakenings due to asthma < 2x/month

Question 19

Nighttime awakenings due to asthma 3-4x/month

Question 20

Nighttime awakenings due to asthma >1x/week but not nightly

Question 21

Nighttime awakenings due to asthma often 7x/week

Question 22

Mild COPD

Question 23

Moderate COPD

Question 24

Severe COPD

Question 25

Very Severe COPD

Question 26

Key indicators for diagnosis of COPD

Question 27

Assessment findings with emphysema

Question 28

Assessment findings with chronic bronchitis

Question 29

Lab assessment findings with COPD

Answer 29

Hypokalemia, hypochloremia, increased serum bicarb These are venous findings consistent with CO2 retention

Question 30

5 mm induration of PPD is positive

Question 31

10mm induration of PPD is positive

Question 32

15mm induration of PPD is positive for

Question 33

Screening for prioir TB treatment

Question 34

hallmark diagnosis of pneumonia

Answer 34

Lung consolidation via chest xray or physical exam (auscultation, dullness to percussion, egophony, tactile fremitus)

Question 35

Treatment of pneumonia is previously healthy pt. no abx use

Question 36

Treatment of pneumonia with comorbidities or use of abx in past 3 months

Question 37

Treatment of pneumonia in ICU pt.

Question 38

Treatment of pnuemonia in ICU pt with pseudomonas risk (ventilator or immunocompromised)

Question 39

Treatment of pneumonia in ICU patient with MRSA

Question 40

Curb-65 criteria for hospitalization of pneumonia

Question 41

Clinical diagnostic criteria of ARDS

Question 42

Most common causative organism for pneumonia in HIV pts

Question 43

These drugs helps prevent nosocomial pneumonia

Answer 43

Sucralfate (Carafate) - does not change the pH of the gastric content, therefore if it is aspirated, there typically are not bugs in this content to cause a pneumonia One of the most common causes of nosocomial pneumonia is aspiration of gastric contents

Question 44

Mechanism of hypoxemia in PE

Question 45

Kerley's lines on chest x-ray

Question 46

Redistribution of flow in pulmonary vasculature on chest x-ray

Answer 46

Chronic CHF

Question 47

X-ray findings of COPD pt.

Question 48

Whittening of the terminal airspaces

Question 49

Gold standard of diagnosis for Pulmonary HTN

Question 50

highest risk factor for developement of DVT

Question 51

Lung disease characterized by reduced airflow rates

Question 52

Lung disease characterized by reduce volumes

Question 53

Lights Critera for Exudative Pleural Effusion

Answer 53

One or more of the following: Pleural fluid protein to serum protein ratio \>0.5 Pleural fluid LDH to serum LDH ratio \>0.6 Pleural fluid LDH \>2/3 (0.6) the upper limit of normal serum LDH (200-300)