ACCP SEEK ONLINE 51-60 Flashcards
BRONCHOPULMONARY SEQUESTRATION QUESTION 51
SURGICAL RESECTION
BRONCHIAL THERMOPLASTY
FEWER EXACERBATIONS, ED VISITS IN TX GROUP
CHOICE PT: ORAL STEROIDS TWICE IN A YEAR
EXCLUDE FEV1 < 60%
C DIFFICILE TREATMENT
ORAL VANCO
WBC>15, CREATININE>1.5
BALOXAVIR
NEW INFLUENZA TREATMENT
REDUCES VIRAL LOAD BY 1 DAY COMPARED TO OSELTAMIVIR
EFFICACY ABOUT THE SAME.
THYMOMA
MOST COMMON ANTERIOR MEDIASTINAL METS
CAN HAVE ‘DROP’ PLEURAL METS
TREATMENT OF METASTATIC AND INVASIVE THYMOMA: RESECTION, RT AND CHEMO
ABDOMENAL COMPARTMENT SYNDROME QUESTION 56
LOW LUNG VOLUMES.
SEVERE : PRESSURES > 25MMHG
SOLITARY PULMONARY NODULES
QUESTION 57
NAVIGATIONAL BRONCH : FOR < 2CM NODULES, YIELD IS 50% ONLY
PET SCAN: 89% SENS BUT 75% SPECIFIC
CALCULATION OF MALIGNANCY VARIES 2 FOLD DEPENDING UPON WHICH RISK CALCULATOR USED.
GOLD CRITERIA FOR ANTIBIOTICS IN COPD QUESTION 58
VENTILATED PATIENTS: ROUTINE ABX
ALSO ROUTINE ABX
IF SPUTUM PURULENCE AND
EITHER INCREASED SOB OR INCREASED SPUTUM
PULMONARY LANGERHANS CELL HISTIOCYTOSIS
QUESTION 57 27TH EDITION
CT: MULTIPLE ILL DEFINED NODULES, CAVITIES AND CYSTS
TX: SMOKING CESSATION
PATH: STELLATE NODULES
STAIN POSITIVE: S100 AND CD1A
LYMPHANGIOLEIOMATOSIS LAM 27TH EDITION QUESTION 57
AFFECTS WOMEN CHILD BEARING AGE CT: DIFFUSE THIN WALLED CYSTS INTERVENING LUNG IS LARGELY NORMAL PATH: HMB 45 POSITIVE TX: SIROLIMUS
LIP
ASSOCIATED WITH WOMEN, SJOGRENS
PATH: POLYCLONAL LYMPHOCYTES IN ALVEOLI
BIRT HOGG DUBE
AUTO DOMINANT CYSTIC DISEASE
ASSOCIATED WITH KIDNEY DISEASE
FOLLICULAR DISEASE OF SKIN
PATH: FOLLICULIN POSITIVE FLLN
US OF PNEUMONIA LUNGS 27TH EDITION 56
QUESTION 56
CHEST PHYSIOTHERAPY QUESTION 59
IN CF AND NON-`CF PATIENTS
CHEST PHYSIOTHERAPY INCREASES CLEARANCE
IMPACT ON PFT, QOL, EXACERBATIONS AND HOSPITALIZATIONS ARE UNPROVEN
LUNG CANCER SCREENING QUESTION 60
LOW DOSE CT : 10 X RADIATION OF CXR
WHICH IS 1/5 OF NORMAL CT
INCREASING RATE OF SMOKING CESSATION INCREASES COST-EFFECTIVENESS OF LUNG CANCER SCREENING
