COUGH/SOB

Question 1

Asthma DDx:

4

Answer 1

1. GERD.
2. Bronchitis.
3. Pneumonitis.
4. Foreign body.

Question 2

Asthma workup:

5

Answer 2

1. CBC.
2. CXR.
3. Peak flow measurement.
4. PFTs.
5. Methacholine challenge test.

Question 3

COPD—chronic bronchitis DDx:

3

Answer 3

1. Bronchiectasis.
2. Lung cancer.
3. TB.

Question 4

COPD—chronic bronchitis workup:

6

Answer 4

1. CBC.
2. Sputum Gram stain and culture.
3. CXR.
4. PFTs.
5. CT-chest.
6. PPD.

Question 5

Pneumonia DDx:

5

Answer 5

1. COPD exacerbation (bronchitis).
2. Lung abscess.
3. Lung cancer.
4. TB.
5. Pericarditis.

Question 6

Pneumonia workup:

6

Answer 6

1. CBC.
2. Sputum Gram stain and culture.
3. CXR.
4. CT chest.
5. ECG.
6. PPD.

Question 7

Atypical pneumonia DDx:

4

Answer 7

1. Reactive airway disease.
2. URI-associated cough (postinfectious).
3. Postnasal drip.
4. GERD.

Question 8

Atypical pneumonia workup:

5

Answer 8

1. CBC.
2. Induced sputum Gram stain and culture.
3. CXR.
4. IgM detection for Mycoplasma pneumoniae.
5. Urine Legionella antigen.

Question 9

Lung cancer DDx:

6

Answer 9

1. TB.
2. Lung abscess.
3. COPD.
4. Vasculitis (eg Wegener).
5. Interstitial lung disease.
6. CHF.

Question 10

Lung cancer workup:

8

Answer 10

1. CBC.
2. Sputum Gram stain, culture, and cytology.
3. CXR.
4. CT chest.
5. PPD.
6. ANCA.
7. Bronchoscopy.
8. Echocardio.

Question 11

COPD exacerbation (bronchitis) DDx:

4

Answer 11

1. Lung cancer.
2. Pneumonia.
3. URI.
4. CHF.

Question 12

COPD exacerbation (bronchitis) workup:

7

Answer 12

1. CBC.
2. CXR.
3. ABG.
4. PFTs.
5. Sputum Gram stain and culture.
6. CT chest.
7. Echocardiography.

Question 13

TB DDx:

7

Answer 13

1. Pneumonia.
2. Lung abscess.
3. Vasculitis.
4. Lymphoma.
5. Metastatic cancer.
6. HIV/AIDS.
7. Sarco

Question 14

TB workup:

8

Answer 14

1. CBC.
2. PPD/QuantiFERON.
3. Sputum Gram stain, acid-fast stain, and culture.
4. CXR.
5. CT chest.
6. Bronchoscopy.
7. HIV antibody.
8. LN biopsy.

Question 15

TB (2nd) DDx:

5

Answer 15

1. Pneumonia (including P.jiroveci).
2. Bronchitis.
3. Asthma.
4. Acute HIV infection.
5. CHF (cardiomyopathy).

Question 16

TB (2nd) workup:

6

Answer 16

1. CBC.
2. PPD/QuantiFERON.
3. Sputum Gram stain, acid-fast stain, silver stain, and culture.
4. CXR.
5. HIV antibody.
6. Echocardio.

Question 17

CHF DDx:

5

Answer 17

1. Cardiac valvular disease.
2. GERD.
3. Pulmonary fibrosis.
4. COPD.
5. Postnasal drip.

Question 18

CHF workup:

7

Answer 18

1. CBC.
2. CXR.
3. ECG.
4. Echocardio.
5. PFTs.
6. BNP.
7. CT-chest.

Question 19

Pulmonary edema DDx:

5

Answer 19

1. CHF.
2. MV stenosis.
3. Arrhythmia.
4. Asthma.
5. Pneumonia.

Question 20

Pulmonary edema workup:

6

Answer 20

1. ECG.
2. CXR.
3. CBC.
4. ABG.
5. PFTs.
6. BNP.