Respiratory Medicine Flashcards

1
Q

surfactant chemically

A

Dipalmitoyl phas phaticdyl
Choline

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2
Q

surfactant production starts at

A

2o wks
peak 35 wKs

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3
Q

Rx Neonatal RDS

A

02+ CPAP
endotracheal intubation
sur factant

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4
Q

2° pulmonary alVeolar proteinosis

A

acute silicosis

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5
Q

milky white PAS +ve BAL

A

P ulm alveolar Protei nosis

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6
Q

crazy paving pattern

A

pulm alveolar protee osis

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7
Q

Rx pulmonary alveolar proteinsis

A

Whole
lung lavage

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8
Q

We bel’s
lungg model

A

23 gen

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9
Q

Acinus

A

resp bronchioles
+ alveoli

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10
Q

aspiration commrom in
which lobe

A

sitting/standing RLL post
overall, sup ine → RLL sup> RUL post

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11
Q

BXIs more common in

A

left
lower lobes

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12
Q

Radio lucent
FB

A

plastic
wood
food

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13
Q

Best investigation
for FB

A

Bronchoscopy

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14
Q

mcc hemoptysis

A

B.A.
T.B

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15
Q

massive
hemoptysis

A

100-15O me/episode
400-600ml/day

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16
Q

mcc massive
hemoptys is

A

BX IS

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17
Q

mcc death
in massive
heroptysis

A

blood clot asphyxiation

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18
Q

cardiac)
vascular causes of
hemoplysis

A

HF ms p E
pulm AU malformation

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19
Q

systemic
causes of
hemoptysis

A

coagulopathy
Good pasturesyndrome
CTD lung diseases
small vessel vasculitis

20
Q

Basic evaluation of he moplysis

A

CBC
CXR
sputum

CT chest
T-OB

… …

21
Q

massive unstable hemoptys is

A

stabilise
rigid bronchoscopy

22
Q

low risk
non massive hemoptys is
CXR N oomal

A

CT chest, FOB
only if reccarant
reassure#
antibiotic

23
Q

Rx persistant
hemoptysis

A

Bronchial A
embolisation
Resection of
affected lobe

24
Q

apex base IPP

A

_10
_2-5

25
Q

more negative ipp

A

deep inspiration
collapse
fibrosis

26
Q

l”ng
volumes in emphysema

A

RV”
FRC”
TLC”
airway
radius,,
resistance “

27
Q

Rx COPD, emphysema

A

Low flow 02
2-3 L/min
88-92 %. Sp Or

28
Q

xray findings COPD

A

BL hyper inflated
bmgs
flat diaphragm
tubular heart

29
Q

mc mech of
pulm hypoxaemia

A

v-P mismatch

30
Q

mecks of
hypoxaemia

A

Vp mismatch
shunt
diffusion defect
hypo ventilation

31
Q

Inleapulmonary
shunt caused by

A

server pneumonia
atelectas is
ARDS

32
Q

Ro intea pulmonary shunt

A

invasive mv

33
Q

DICO normal

A

90%

34
Q

DLCO” conditions

A

alveolar hmge
polycythaemia
Exercise
Asthma

35
Q

FENO

A

Test for
asthma

36
Q

RV measured by

A

Nitrogen wash out helium dilution body plethysmography

37
Q

how FEV1/F vc

A

Obstructive
Asthma
COPD
Chroni c bronchitis
emphysema
Bx IS

38
Q

Restrictive lung
descases

A

Filecosis
IuD
Occupational

kyphoscoliosis
Nemomuscular
AIs
Myas thenia gravis

39
Q

Breath sound in
pneumonia cavity

A

tubular
cavernous
amphoric

40
Q

Bronchophony

A

“vocal resonance

41
Q

low pitched
wheeze

A

Rhonchi

42
Q

Velcro Crepts

A

1 LD

43
Q

Fine crepts

A

pneumonia
palm edema
fibrosis

44
Q

Respiratory failure characterized by

A

PaOz<60mmtg
Pa (Oz>45milty

45
Q

Respiratory failure
types

A

hypo
mypoor
perioperative
shock) hypo perfusion