Aaron: Pulmonary

Question 1

A bad COPD exacerbation is seen, what is the #1 cause of poor prognosis?

Answer 1

FEV1 below 40%

Question 2

Extubated and immediately has stridor breathing, what is the cause and treatment?

Answer 2

Laryngeal Swelling and Extubation

Question 3

What is the number one cause of poor PE outcomes?

Answer 3

Hypotension

Question 4

How does oxygen supplementation help a COPD episode?

Answer 4

oxygen helps ventilate poorly ventilated lung areas affected by COPD, as a result, the V/Q ratio improves

Question 5

Assuming you have a PE and no bleeding risk, what is the next best step?

Answer 5

Thrombolytics

Question 6

What is weakness of trachea walls that leads to coughing and SOB, stridor on PE?

Answer 6

Tracheomalacia

Question 7

Post PE, can a patient have a fever, that is related to the PE?

Answer 7

Yes

Question 8

A ventilated individual can open his eyes, but cannot protect his airway, what is good therapy to help get him off the vent and out of the ICU?

Answer 8

Physical Therapy

Question 9

If a V/Q scan has a low PE risk, can the patient still have a PE?

Answer 9

YES!!!!!!!!!!!!!!!!!!!

Question 10

Pneumonia and Empyema should both have what two clinical signs?

Answer 10

Cough and Fever

Question 11

From 50-80 years old, smokers can have what test done annual to confirm or deny lung cancer?

Answer 11

CT of Chest, not Chest Xray

Question 12

After leaving the ICU and having slow recovery, how long can it take for memory and concentration return?

Answer 12

years, some people are chronically disabled
Post-intensive care syndrome

Question 13

When TPN is given, what electrolyte should be monitored?

Answer 13

Phosphate

Question 14

If an acute asthma exacerbation takes place, patient is stable, and they do not need to be admitted, what medications should be given?

Answer 14

Prednisone 40-60 mg for 5-10 days

Question 15

Pulmonary Nodules over what size should get surgical excision?

Answer 15

0.8 cm

Question 16

Air fluid levels on CT, in a patient with vascular dementia, is code for what?

Answer 16

Aspiration

Question 17

If I have had asthma, long term, and I have no issues until 6 months ago, then I have two hospitalizations, what is one possible disease pathology?

Answer 17

Hyper IgG and IgE response

Allergic Bronchopulmonary Aspergillosis

Question 18

Allergic Bronchopulmonary Aspergillosis can have what unique lung pathology?

Answer 18

Central Bronchiectasis

Question 19

If someone presents with most likely aspiration pneumonia, what is the next best step?

Answer 19

Do a swallow study or video swallow study, do not do a CT scan reflexively?

Question 20

A lung nodule greater than what size will require the nodule to be surgically evaluated?

Answer 20

Greater than 0.8cm

Question 21

Pre-eclampsia over 34 weeks, magnesium is started, what should happen to the mom?

Answer 21

Stabilize mom and deliver the baby, do not need to do an emergency C-section if the vitals and mom are doing ok