Video Review Ch. 12 Lung

Question 1

What is the MC cause of CA in males and females

Answer 1

Lung CA

Question 2

What is Atelectasis

Answer 2

Collapsed lung

Question 3

What type of atelectasis is associated with airway obstruction MCly mucous

Answer 3

Resorption atelectasis

Question 4

What type of atelectasis is associated with passive or relaxation, pleural cavity fills, pleural effusion, CHF patients

Answer 4

Compression atelectasis

Question 5

What type of atelectasis is associated with fibrotic changes in lungs, resists expansion/distension, limits/prevents alveolar opening

Answer 5

Contraction atelectasis

Question 6

Severe trauma, infection, diffuse alveolar damage, inflam prevents gas exchange, life threatening

Answer 6

Acute respiratory distress syndrome

Question 7

What do obstructive diseases dec.

Answer 7

Expiratory flow rate (wheezing)

Question 8

What do restrictive diseases dec.

Answer 8

forced vital capacity

Question 9

Permanent destro and enlargement of pulmonary parenchyma
Inflam cells acumulate
Assoc with smoking

Answer 9

Emphysema

Question 10

What is the MC form of emphysema

Answer 10

Centriacinar (smokers, apices of lungs)

Question 11

What type of emphysema is MC in lower lungs and acini are uniformly affected

Answer 11

Panacinar

Question 12

Hallmark of hypersecretion of mucus, “blue bloater”

Answer 12

Chronic bronchitis

Question 13

T/F: COPD is irreversible

Answer 13

True

Question 14

What makes up 70% of asthma

Answer 14

Atopic (extrinsic) asthma

Question 15

Group of disorders causing stiffness, MC bilat, idiopathic, “honeycomb lung”

Answer 15

Chronic interstitial lung disease

Question 16

Diffuse intersitial fibrosis, nonproductive couch, velcro like sound, males MC >60
Progressive <3 years prognosis
Only cure is total lung transplant

Answer 16

Idiopathic pulmonary fibrosis

Question 17

Inhalation of particulates, Workplace exposure MC,

Answer 17

Pneumoconiosis “coal miners”

Question 18

What is the MC occupational disease worldwide

Answer 18

Silicosis MC in upper lobes

Question 19

What does asbestos exposure MC cause

Answer 19

Fibrotic plaques

Question 20

What is a multisystem inflammatory disorder with a hallmark of nocaseating granuloma
African Americans 10x
MC in non-smokers
"angel wing"
70% recover

Answer 20

Sarcoidosis

Question 21

MC from a DVT of popliteal vein, occlusion to tissue infarction (rare 10%) in lung

Answer 21

Pulmonary embolism

Question 22

60-80% of all pulmonary embolisms are what

Answer 22

Clinically silent

Question 23

What is greater than or equal to 1/4 of systemic BP

Answer 23

Pulmonary HTN

Question 24

Pulmonary HTN is MC among

Answer 24

Young adult females, poor prognosis, lung transplant

Question 25

Group of immune-mediated diseases, Classic triad: Hemoptysis, anemia, diffuse pulmonary edema

Answer 25

Diffuse alveolar hemorrhage syndrome (DHAS)

Question 26

Classic form of DAHS, rapidly progressive, Type II hypersensitivity, hemoptysis & hematuria

Answer 26

Goodpasture syndrome

Question 27

What is a lung infection aka

Answer 27

Pneumonia

Question 28

Patchy inflammation, multiple lobes, well-developed lesions 3-4cm

Answer 28

Bronchopneumonia

Question 29

1 lobe, homogenously filled with exudate, abrupt lines of radiopacity

Answer 29

Lobar pneumonia (90% S. pneumoniae)

Question 30

What organ removes pneumococcal bacteria

Answer 30

Spleen

Question 31

When is community-aquired atypical pneumonia clinically significant

Answer 31

When localized to the alveolar septa

Question 32

Localized suppurative (pus) necrosis, MC R side

Answer 32

Lung abscess

Question 33

What type of hypersensitivity is TB

Answer 33

IV

Question 34

What test is used for TB

Answer 34

tuberculin (Mantoux) test

Question 35

Which type of TB has granuloma formation (poss cavitations) in lung apices

Answer 35

Secondary

Question 36

What is the MC form of extrapulmonary TB

Answer 36

Lymphadenitis (cervical)

Question 37

Owl eye is referring to what viruses cell

Answer 37

Cytomegalovirus

Question 38

90% of all lung CA Dx, MC cause of cancer death

Answer 38

Lung CA

Question 39

Mets is approximately what at Dx when dealing with pulmonary carcinomas

Answer 39

100%

Question 40

Pleural exudate is what

Answer 40

Pleuritis

Question 41

Pleural transudate is what

Answer 41

Hydrothorax MC

Question 42

What causes infectious mononucleosis

Answer 42

Epstein-Barr virus (EBV)

Question 43

"dirty gray" pseudomembrane

Answer 43

Diphtheria, medical emergency

Question 44

95% of throat CA is what kind

Answer 44

Squamous cell carcinoma, 1/3 fatal