3: Interstitial Lung Disease

Question 1

What is interstitial lung disease

Answer 1

Inflammation interstitial and alveoli

Question 2

What is the most common cause of interstitial lung disease

Answer 2

Idiopathic pulmonary fibrosis (IPF)

Question 3

What are 3 occupation causes of interstitial lung disease

Answer 3

• Berryliosis (Radiation pneumoconiosis)
• Asbestosis
• Silicosis

Question 4

What are 4 medications that cause pulmonary fibrosis

Answer 4

• Amiodarone
• Phenytoin
• Nitrofurantoin
• Bleomycin

Question 5

What systemic disorders may cause pulmonary fibrosis

Answer 5

RA
Sjogrens
SLE
Sarcoidosis

Question 6

What is a risk factor for idiopathic pulmonary fibrosis

Answer 6

Smoking

Question 7

What are symptoms of interstitial lung disease

Answer 7

• Exertional dyspnoea, progress to dyspneoa at rest
• Persistent non-productive cough
• Fatigue

Question 8

What is a sign interstitial lung disease

Answer 8

Clubbing

Question 9

What is auscultated in interstitial lung disease

Answer 9

Bi-basal fine end-inspiratory crackles (Rales)

Question 10

What is the problem with idiopathic pulmonary fibrosis

Answer 10

70% will not respond to treatment and will progress to respiratory failure

Question 11

what will be seen on spirometry in interstitial lung disease

Answer 11

restrictive defect:

FEV1/FVC > 0.7

Question 12

what will be seen on CXR in interstitial lung disease

Answer 12

• Fibrosis

- Honeycombing (Late-sign)

Question 13

what test may be performed in interstitial lung disease

Answer 13

diffusion capacity lungs for carbon monoxide

Question 14

how is idiopathic pulmonary fibrosis managed

Answer 14

• Oxygen

- Pulmonary rehabilitation