TrueLearn

Question 1

Indications for tracheostomy

Answer 1

Failure to wean
long term ventilation
copious secretions
upper airway obstruction

Question 2

CTEPH

Answer 2

Chronic thromboembolic pulmonary hypertension

Question 3

Tx for CTEPH

Answer 3

surgical removal of the thrombus

Question 4

Light’s Criteria

Answer 4

Pleural fluid protein > .5 times serum protein
Pleural fluid LDH .67 times serum LDH
Pleural LDH >.6 times upper limit of normal serum LDH

This means exudative.

Question 5

chylothorax

Answer 5

pleural fluid triglycerides >110 mg/dl with chylomicrons

Question 6

NSIP

Answer 6

Nonspecific Interstitial Pneumonia is the most common interstitial lung disease secondary to connective tissue disorders.

Question 7

Treatment of NSIP

Answer 7

Stop offending agents and start systemic corticosteroids

20 mg max in scleroderma due to renal crisis.
60 mg max in other aptients

1mg/kg/day

Also cyclophosphomide.

Question 8

Contraindications to early enteral nutrition

Answer 8

Severe ileus
bowel obstruction
bowel ischemia
intractable vomiting and diarrhea
high output fistula
severe hemodynamic instability.

Question 9

Symptoms in COPD exacerbation

Answer 9

Dyspnea
increased cough
change in sputum production

Question 10

Severe COPD

Answer 10

FEV1/FVC less than 70

FEV1 30-50% normal

Question 11

RF for spontaneous pneumothorax

Answer 11

tobacco abuse
Marfan
homocystinuria
thoracic endometriosis
family history

Question 12

Treatment of mild, moderate and sever pneumothorax

Answer 12

Mild 2-3cm air obs and oxygen

Severe >3cm needle aspiration and chest tube insertion if still symptomatic.