Adult Pulm Med 2015

Question 1

– change is clinically impt change between 6M walk distances

Answer 1

30 m

Question 2

Methacholine challenge useful for diagnosis/exclusion of asthma

Answer 2

exclusion - b/c it is a sensative test

Question 3

5 causes of increased dlco

Answer 3

pulm hemorrhage, asthma (lung perfusion several cm higher than nl in upright psn), obesity, left to right shunt, polycythemia

Question 4

4 causes of bronchiolitis obliterans

Answer 4

infection, post-transplant (late), rheumatic disease, toxins

Question 5

pulmonary diseases associated w/ Marfans and Ehlers-Danlos

Answer 5

pneumothorax, upper lobe emphysema

Question 6

basic serology when eval ild

Answer 6

rf, ana, anti-Scl70 (scleroderma), anti-synthetase and anti-Jo1 (myositis), anti-RNP (MCTD), anti-CCP (RA), anti-Ro (many CT’s)

Question 7

smoking related ILD - 3 dx’s;

—– helps all 3

Answer 7

resp bronchiolitis, dip, langerhans cell histiocytosis - smoking
cessation helps all three