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DiffDIIIIIII > CHEST > Flashcards

CHEST Flashcards

1
Q

What is described as a gripping, squeezing or pressure type pain, substernal or precordial in location and my be exertionally related?

A

Angina

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2
Q

How long does angina last for ?

A

10-30 min

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3
Q

What helps relive angina?

A

Nitroglycerin

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4
Q

What is a pain described as crushing and may radiate into the medial left arm or jaw?

A

MI

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5
Q

Cardiac pain is essentially______pain?

A

Ischemic

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6
Q

What test should be done if someone has an esophageal problem ?

A

Barium

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7
Q

Angina typically follows what?

A

Exertion

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8
Q

If angina occurs at rest without provocation what is it called/

A

Unstable angina

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9
Q

What does diaphoresis mean?

A

Sweating

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10
Q

How long does a MI last for?

A

Longer than 30 min dog

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11
Q

Does nitro help Mi’s ?

A

No no no

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12
Q

What is the 2 main causes for MI?

A

Coronary thrombus or vasospasm

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13
Q

What are the causes of angina?

A

Atherosclerosis and possibly vasospasm

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14
Q

Who is Tietzes syndrome common in?

A

Females over 50

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15
Q

What part on their body is messsed up in tietze syndrome?

A

Second and third costochondral junctions

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16
Q

What causes tietze syndrome?

A

Inflammatory reaction, overexertion and prolonged coughing.

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17
Q

Is tietze syndrome dangerous?

A

No, self resolving (benign)

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18
Q

What age group is gerd common in?

A

30-60

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19
Q

Meniscus sign is seen in what?

A

Pleurisy

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20
Q

Ventilation and perfusion scans are valuable in the diagnosis of what?

A

Pulmonary embolism

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21
Q

What hilum should be lower ?

A

Right, (left should never ever be lower than the right

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22
Q

On the right side of the hilum the arteries are visable how much of the time?

A

94 (left side is only 62)

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23
Q

What sign tells you of a collapse of the right upper lobe with superior margination of the horizontal fissure?

A

S sign of golden

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24
Q

Loss of the anatomic boarder of the heart is called what?

A

Positive silhouette sign

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25
Q

Are lung abnormalities more commonly increased densities or decreased?

A

Increased (called opacities)

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26
Q

Parenchymal disease has what patterns?

A

Airspace and interstitial

27
Q

What is the most common consolidation lung pathology ?

A

Pneumonia

28
Q

What are the 4 interstitial lung patterns?

A

Linear, reticular, modular, reticulonodular

29
Q

What is the most common cause of interlobular septal thickening that produces Kerley A and B lines?

A

Pulmonary edema

30
Q

Resorptive atelectasis =

A

Obstruction

31
Q

Passive atelectasis =

A

Adjacent mass or pneuomorthorax

32
Q

Adhesive =?

A

Surfactant inactivation

33
Q

Cicatrization =

A

Scar tissue

34
Q

A solitary pulmonary module is defined as an intraparenchymal lesion less than______?

A

3 cm

35
Q

Is a SPN associated with atelectasis or lymphadenopathy ?

A

Nope

36
Q

Best way to determine importance of finding a SPN?

A

Old films. (2 years or older means is probs benign)

37
Q

If a SPN is more than w cm it is prob______

A

Malignant

38
Q

SPN less than _____ are probs benign

A

1cm

39
Q

What is a non infections granuloma associated with?

A

Sarcoidosis

40
Q

What are granulomas most offten a rust from?

A

Infection

41
Q

What are some things that form granulomas?

A

TB. Histoplasmosis, coccidioidomycosis

42
Q

Where in the lung is cancer most commonly found?

A

Right upper lobe

43
Q

What is the most common cause of pneumonia?

A

Step pneumoniae ( bacterial)

44
Q

Pneumonia that has abdominal pain, diarrhea or confusion is probs what?

A

Legionella

45
Q

Pneumonia caused by step pneumoniae is associated with wha?

A

Rusty colored sputum

46
Q

Pneumonia caused by _______may have bloody sputum often described as currant jelly.

A

Klebsiella

47
Q

Viral pneumonia presents more commonly with whaT?

A

Wheezing

48
Q

Bacterial pneumonia causes a shift to the…..?

A

Left

49
Q

What are the most common spots in the lungs Tb occurs?

A

Post upper lobes. Superior, lower lobes

50
Q

Is primary TB asymptomatic or symptomatic?

A

Asymptomatic

51
Q

What are the most common S and S of TB?

A

Fatigue, fever, weight loss, coughing, hemoptysis, night sweats

52
Q

TB iOS common in patients with what ?

A

AIDS

53
Q

Ranke complex is healed TB that consists of what two parts?

A

Goon lesion (calcified parenchymal tuberculoma, ipsilateral calcified hilar node

54
Q

What is the most common carcinoma to cavitate?

A

Squamous sell

55
Q

What are the 3 Non small cell lung cancers?

A

Squamous celll, adenocarcinomas, large cell carcinoma.

56
Q

What non small cell lung cancer is more common in non smokers and woman?

A

Adenocarcinoma

57
Q

What is the most common primary lung malignacy to cause paraneoplastic syndromes and svc obstruction?

A

Small cell carcinoma (oat cell)

58
Q

Blue bloaters = ?

A

Chronic bronchitis

59
Q

Pink puffers =?

A

Emphysema

60
Q

Saber sheath trachea refers to what ?

A

Emphysema

61
Q

What is the most serious type of pneumothorax?

A

Tension

62
Q

A pancoast tumor can include what’s?

A

Horners syndrome

63
Q

What is Horners syndrome?

A

MIOSIS, facial anhidrosis, ptosis, enopthalmos (

Sucken eyes)

64
Q

A pancoast tumor can compress what to give someone a horse voice?

A

Resurrect laryngeal nerve

DiffDIIIIIII (9 decks)

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