9/25- Pulmonary Review Flashcards
Post-op patient with gastric ulcer who has DVT. How to treat?
- Consult vascular surgery for insertion of an IVC filter
- Contraindicated for anti-coagulates BECAUSE OF ULCER (not surgery)
- If no ulcer, could give LMW or unfractionated heparin
T/F: someone with cancer is hypercoagulable?
True
T/F: give someone with pulmonary HTN pulmonary vasodilators?
False-ish (not always)
- ONLY give if type 1 (PAH) (and CT disorder causes?)
- DO NOT give if other causes; e.g. if due to obstructive lung disease, dilation will increase blood flow to underventilated areas too
Possible mechanisms that would increase the rate of pleural fluid accumulation include:
A. Increased permeability of pleural capillaries
B. Decreased hydrostatic P in the pleural caps
C. High colloid oncotic pressure in the pleural capillaries
D. All of the above
E. None of the above
Possible mechanisms that would increase the rate of pleural fluid accumulation include:
A. Increased permeability of pleural capillaries
B. Decreased hydrostatic P in the pleural caps
C. High colloid oncotic pressure in the pleural capillaries
D. All of the above
E. None of the above
Which of the following statements about lung cancer is true?
A. The MCC cell type in no-smokers who develop lung cancer is small cell
B. Lung cancer mainly presents with pulmonary symptoms such as cough and hemoptysis
C. Smoking is protective against the carcinogenic effects of asbestosis
D. Surgery is routinely employed in the treatment of all stages of lung cancer
E. Smalll cell lung cancer is more chemo-sensitive but has a poorer prognosis that non-small cell cancer
Which of the following statements about lung cancer is true?
A. The MCC cell type in no-smokers who develop lung cancer is small cell
B. Lung cancer mainly presents with pulmonary symptoms such as cough and hemoptysis
C. Smoking is protective against the carcinogenic effects of asbestosis
D. Surgery is routinely employed in the treatment of all stages of lung cancer
E. Smalll cell lung cancer is more chemo-sensitive but has a poorer prognosis that non-small cell cancer
- MCC in non-smokers = adenocarcinoma (most common type of lung cancer across the board as well)
- Lung cancer may be asymptomatic or have other symptoms
- Smoking is multiplicative with asbestosis in risk of lung cancer development
- Surgery only in stage 1, 2 of non-small cell lung cancer
ILD - 17%
Obstructive disease - 17%
Lung cancer - 12%
Infection - 8%
Pulmonary vasculature - 7%
PFTs - 6%
OSA, HSP, Chest imaging, Embryology, Injury Path - 4%
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