ACCP SEEK 23 SET 4

Question 1

LYMPHOMA

Answer 1

CHOP IS TREATMENT FOR PLEURAL LYMPHOMA

Question 2

HORNER SYNDROME

Answer 2

MIOSIS, CONSTRICTION OF PUPIL
ANHIDROSIS
PTOSIS
APICAL LUNG LESION: ADENOCA
PANCOAST TUMOR, SUPERIOR SULCUS TUMOR

Question 3

OBESITY HYPOVENTILATION SYNDROME

Answer 3

BMI > 30 WITH PCO2 >45
HIGHER PREVALENCE OF
PULMONARY HTN, COR PULMONALE, AND HOSPITALIZATION
CAN BE TREATED WITH CPAP ALONE
MAJORITY HAVE OSA ALSO BUT ALSO REM ASSOCIATED HYPOVENTILATION
CPAP DECREASES MORTALITY

Question 4

HOW TO DECREASE AIR TRAPPING

Answer 4

DECREASE RR OR TV
DECREASE INSPIRATORY TIME
HELIOX

Question 5

ZITHROMAX AND COPD

Answer 5

IMPROVES DYSPNEA SCORES
INCREASES HEARING LOSS RISK
NO CHANGE IN HOSPITALIZATION

Question 6

BULLECTOMY IN COPD

Answer 6

USEFUL IN AGE < 50
CONTRAINDICATED IN DLCO< 40%
MAJOR COMPLICATION IS AIR LEAK

Question 7

PULMONARY SEQUESTRATION QUESTION 59

Answer 7

CONGENITAL, RECEIVES BLOOD SUPPLY FROM SYSTEMIC CIRCULATION
TREATMENT FOR SYMPTOMATIC AND ASYMPTOMATIC PATIENTS REQUIRES LOBECTOMY
RISK IS RECURRENT INFECTIONS IF NO TX

Question 8

PULMONARY ABSCESS TREATMENT

Answer 8

ABX FOR 4-6 WEEKS

Question 9

COMPLICATED EMPYEMA TREATMENT

Answer 9

VATS WITH WITH DECORTICATION

Question 10

BLASTOMYCOSIS

Answer 10

ENVIRONMENTS OF MOIST SOIL AND WOOD
FATIGUE CHEST PAIN, BROWNISH SPUTUM
DX: SPUTUM OR TISSUE BX

Question 11

PARAGONIMIASIS

Answer 11

TX PRAZIQUANTEL

LUNG FLUKE INFECGTS LUNGS WHO INGEST INFECTED RAW CRAB OR CRAYFISH

Question 12

TB PLEURAL EFFUSION

Answer 12

DX: PLEURAL BIOPSY

ADA IS SENSITIVE BUT NOT DEFINITIVE

Question 13

CPAP COMPLIANCE

Answer 13

COGNITIVE BEHAVIORAL THERAPY IS BEST

NASAL PILLLOWS DO NOT IMPROVE COMPLIANCE