Day 6 - Pulm 3 Quiz

Question 1

Meds to avoid in pts w/ OSA

Answer 1

Sedatives (alcohol, benzos, antihistamines)

Question 2

Shortly after birth, Stridor, wheezing, respiratory distress despite medical therapy

Answer 2

Vascular ring (compromises upper airway & trachea) - key: despite medical therapy

Question 3

Pulmonary CF tx

Answer 3

Beta2 agonists, DNAase1, hypertonic saline, physiotherapy, azithromycin

Question 4

Sweat chloride test indicative of CF

Answer 4

> 60 mEq/L

Question 5

Tx Epiglottotis

Answer 5

Minimize anxiety, IV antibx, Intubation ASAP

Question 6

Tx Croup

Answer 6

O2, steroids, racemic epi

Question 7

Trauma pt respiratory distress CXR pleural effusion

Answer 7

Assume hemothorax - chest tube

Question 8

Causes of transudative pleural effusion

Answer 8

CHF, nephrotic syndrome, cirrhosis

Question 9

Size pneumothorax requires chest tube placement

Answer 9

> 15%

Question 10

Med used prior to intubation in head injury pts

Answer 10

Lidocaine

Question 11

CXR finding indicative of croup

Answer 11

Steeple sign

Question 12

CXR finding indicative of epiglottitis

Answer 12

Thumbprint sign

Question 13

Tx RSV bronchiolitis

Answer 13

O2, albuterol or racemic epi (use whatever works, if neither works then discontinue); NOT use of steroids or ribavirin

Question 14

Lecithin:Sphingomyelin ratio indicating fetal lung maturity

Answer 14

> 2.0 or Phosphatidyl glycerol

Question 15

PE classic EKG findings

Answer 15

S1q3t3, wide s in lead 1, large q and inverted t in lead 3

Question 16

Typical CXR NRDS

Answer 16

Low lung vol, diffuse ground glass w/ air bronchiograms