CMD: Hemoptysis

Question 1

most common etiology of hemoptysis is

Answer 1

infection of the medium-sized airways;

PTB

Question 2

examples of diffuse alveolar hemorrhage that present with hemoptysis

Answer 2

granulomatosis with polyangitis

microscopic polyangitis

Question 3

inflammatory disease manfiest as capillaritis

Answer 3

SLE

Question 4

disease with antibodies to the alveolar basement membrane that can also result to hemoptysis

Answer 4

Goodpasture’s disease

Question 5

how many days after bone marrow transplantation is diffuse alveolar hemorrhage expected?

Answer 5

first 100 days after BMT

Question 6

a dilated aberrant submucosal vessel noted to cause bleeding in the GI tract and airway

Answer 6

Dieulafoy lesion

Question 7

more significant hemoptysis result due to

Answer 7

bonchovascular bundle

Question 8

acute bronchitis is most commonly caused by

Answer 8

Acute bronchitis

Question 9

In patients with history of chronic bronchitis, bacterial superinfection with organisms such as 
\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_
can also result in hemoptysis

Answer 9

S. pneuomoniae
H. influenzae
M. catarrhalis

Question 10

The dilation of a pulmonary artery in a cavity formed by previous tuberculous infection that causes life threatening hemoptysis

Answer 10

Rasmussen’s aneurysm

Question 11

lung fluke causing fever cough and hemoptysis

Answer 11

Paragonimus westermani

Question 12

most feared cause of hemoptysis, presenting with hemoptysis in only 10% of patients

Answer 12

Bronchogenic lung cancer

Question 13

Cancers arising from the ______ airways are more likely to cause hemoptysis but any malingnancy in the chest can do so.

a. proximal
b. distal

Answer 13

A

Question 14

endobronchial lesions with friable mucosa

Answer 14

Carcinoid tumors

Question 15

Affect proximal airways and causes large volume hemoptysis. Due to erosions into the hilar vessels

Answer 15

Squamous cell and small cell cancer

Question 16

malignancies that metastasize to the lungs

Answer 16

Renal cell
breast
colon
testicular
thyroid cancers
melanoma

Question 17

monthly hemoptysis in a woman suggests

Answer 17

catamenial hemoptysis from pulmonary endometriosis

Question 18

massive hemoptysis is variable defined as hemoptysis of ____ to _____mL

Answer 18

> 200-600mL in 24 h

Question 19

These 3 findings mandate a more expedited evaluation of hemoptysis

Answer 19

Tachycardia
hypotension
decreased oxygen saturation

Question 20

patient with 300mL hemoptysis within 24 hrs, vital signs and O2 sats assessed found tachcardia hypotension and decreased o2 sat. what is the next step?

Answer 20

Standard Chest radiograph.

Question 21

patient with 300mL hemoptysis within 24 hrs, vital signs and O2 sats assessed found tachcardia hypotension and decreased o2 sat. CXR reveals bleeding. What is the next step?

Answer 21

CT of the chest

Question 22

2 ways to identify site of bleeding in large volume hemoptysis

Answer 22

chest imaging

bronchoscopy

Question 23

bronchoscopy for large volume hemoptysis by bronchoscopy is more commonly

a. rigid
b. flexible

Answer 23

A

Question 24

Patients should be placed with the bleeding lung in what position?

Answer 24

Dependent position