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Family Med > Respiratory > Flashcards

Respiratory Flashcards

1
Q

best test to Dx COPD

A

spirometry

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2
Q

drug induced pleural dz

A 
amiodarone
bleomycin
bromocriptine
cyclophosphamide
MTX
minoxidil
mitomycin
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3
Q

drug induced lupus pleuritis

A

hydralazine
procainamide
quinidine

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4
Q

nursing home pt in hospital w/ pneumonia, cover for… and tx with..

A

MRSA: vanc or linezolid

pseudomonas: need 2!
1) cephalosporin (cefepime, ceftazidime) OR carbapenem (imipenem, meropenem) OR pip/tazo
2) fluoroquinolone (levofloxacin, cipro) OR aminoglycoside (gent, trobra, amikacin)

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5
Q

nursing home pt w/ pneumonia but tx as outpatient

A

ceftriaxone and azithromycin

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6
Q

PFT shows flattening of inspiratory loop

A

vocal cord dysfunction

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7
Q

differential for rhonchi

A

heart failure
ILD
infxn

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8
Q

pneumothorax, cutoff for chest tube vs repeat CXR in 1-2 days

A

20% collapse

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9
Q

acute bronchitis usually caused by

A

viruses

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10
Q

AECOPD tx

A

oxygen
ATBs
bronchodilators
systemic corticosteroids

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11
Q

solitary nodule on CXR, next step?

A

CT

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12
Q

pt w/ CAP, check urine for what bugs?

A

Legionella and Strep pneumo

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13
Q

PFT of asthma

A

decr FEV1, NL FVC

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14
Q

features of malignant pulmonary nodules

A

> 10 mm, irreg border, ground glass appearance, no calcs or eccentric calks, doubling time of 1 month-1yr

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15
Q

total # of days corticosteroids for COPD exacerbation

A

5 days

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16
Q

ADR of inhaled corticosteroids

A

incr risk of pneumonia

17
Q

best tx for allergic rhinitis

A

intranasal glucocorticoids

18
Q

tx of asthma exacerbation if albuterol doesn’t work

A

oral corticosteroids

19
Q

management of small pneumothorax

A

analgesics and FU within 72 hours

20
Q

management of pneumothorax > 15%

A

chest tube

21
Q

smokers and pneumonia vaccine

A

all smokers between age 19 and 64 should get PCV23

revaccinate after 5 years if chronic renal failure, asplenia, or immunocompromised

22
Q

tx of CAP as outpatient

A

azithromycin (covers mycoplasma)

23
Q

tx of pleurisy

A

NSAID

24
Q

preferred site for emergency airway

A

cricothyroid membrane

25
Q

asthma categories and specifics

A

mild intermittent: day 2 / wk, night > 2 nights / month PEF or FEV1 80+
mod persistent: daily, night > 1 night/wk, PEF or FEV1 60-80
severe persistent: continuous daytime, frequent nighttime, PEF or FEV1 60 or less

26
Q

what med to add if asthmatic can’t do inhaled corticosteorid

A

leukotriene receptor antagonist

27
Q

only tx to improve the natural history of COPD

A

supplemental oxygen

28
Q

obstructive lung dz, bronchial wall thickening, luminal dilation

A

bronchiectasis

29
Q

length of steroid tx for AECOPD

A

5 days

30
Q

what improves outcomes in pts with ARDS

A

low tidal volumes

Family Med (45 decks)

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