3-uWorld

Question 1

Tx for patient with scoliosis and resultant respiratory failure

Answer 1

pulm rehab and nightly NIPPV

Question 2

___ should be tested in new onset Obstructive pulm disease esp with inset of diagnosis age ___

Answer 2

Alpha 1 antitrypsin

age <45

Question 3

smoking induced emphysema with affect this area _____ on imaging

Answer 3

basilar emphysema

Question 4

pathophys of Alpha 1 ATD

Answer 4

alpha 1 antitrypsin missing->neutrophil elastase EATS up and destroys lung

Question 5

sleep paralysis, think ____

Answer 5

narcolepsy

Question 6

triad sx invasive aspergillosis

Answer 6

couph pleurisy hemoptysis

Question 7

lung imaging invasive aspergillosis

Answer 7

halo sign nodule surrounded by ground glass

Question 8

test for invasive aspergillosis

Answer 8

galactomannan

Question 9

early admin of ___ and ___ good in mortality for ards

Answer 9

prone
nm block

Question 10

first time provoked DVT give ac for ____ time unless ____

Answer 10

3mo

unless risk factors still persist like continued immobility/cancer in which case give for 6mo-12mo

Question 11

daily production of volumous, thick tinged sputum, sometimes even has blood in it, think ____ diagnosis

Answer 11

Bronchitectasis

Question 12

what are ALL the causes of bronchitectasis

Answer 12

obstruction 2/2 :
- PHYSICAL: cancer, foreign body
- MUCOSTASIS: Cystic Fibrosis, ABPA

Immunodeficiency
-Low IgG/A/M, some immunodeficiency

Past Infections
-TB/other mycobacterium

Question 13

Diagnostic test for Bronchiectasis to confirm diagnosis

Answer 13

High res CT

Question 14

how are fluids managed in ARDS

Answer 14

in hemodynamically stable patient, give diuretics and restrict fluid

(if hemodynamically unstable then have to give fluid bolus)

Question 15

does pulmonary rehab change overall mortality in COPD?****

Answer 15

no, it improves quality of life

-improves exercise tolerance
-decr number of days in hospital
-decr number of hospitalizations

Question 16

what is the difference in quantity of sleep between a patient with and without narcolepsy

Answer 16

both get same sleep quantity

therefore sleep deprivation is not a problem in narcolepsy and sleeping more is not a treatment

Question 17

first line tx for daytime somnolence

Answer 17

modafinil

Question 18

patients with narcolepsy have short sleep _____ and go into REM at _____ speed

Answer 18

latency

fast

Question 19

narcolepsy is associated with low levels of ___ in CSF

Answer 19

hypocretin aka orexin