2-uWorld

Question 1

what is another way to describe lung abscess

Answer 1

necrosis of lung tissue

Question 2

how does acute hypersensitivity pneumonitis present

Answer 2

hours after exposure to allergen—>dyspnea, cough

resolves after CESSATION/REMOVAL of allergen

(allergen ie animal, plant protein, chemical, etc)

Question 3

when you see lung abscess, why do you need CT?

Answer 3

to tell if presence of malignancy

to differentiate empyema vs lung parenchymal abscess

Question 4

patient is considered a bird fancier and has lung disease, think ___ diagnosis

Answer 4

Hypersensitivity pneumonitis

Question 5

differential diagnosis for MEDIASTINAL HILAR ADENOPATHY

Answer 5

sarcoidosis
hodgekin’s lymphoma

vasculiits

pneumonconiosis

pulm infection

Question 6

how to establish diagnosis of sarcoid

Answer 6

histological sampling for Non-caseating granuloma

Diagnostic site should be obtained from accessibel sites like lymph nodes or skin lesions(with the exception of erythema nodosum)
ie:
EBUS for mediastinal lymph node sampling

Question 7

after how many days for MV should you consider Trach?

Answer 7

nearing 14 days on vent

Question 8

tx of fat emboli

Answer 8

supportive care

(most recover fully)

Question 9

loud P2, think___

Answer 9

pulmHTN

Question 10

symptoms of fat embolie

Answer 10

hypoxia
rash on chest/trunk
Altered mental status

Question 11

how to prevent fat emboli from happening

Answer 11

early mobilization (i guess after the pelvic/long bone fracture?)

Question 12

precordial heave, think____

Answer 12

pulmHTN

Question 13

ground glass opacities in mid-upper lungs…think this Diagnosis**

Answer 13

Hypersensitivity pneumonitis

Question 14

NEW asthma guideline

Answer 14

instead of SABA as rescue inhaler—> LABA/ICS is now Prn rescue inhaler

Question 15

when found DVT outpatient, when should patient be sent to hospital?

Answer 15

depending on high clot burden (iliofemoral)

risk factor like malignancy