Deck 2

Question 1

Pleural fluid findings of parapneumonic effusion

Answer 1

Exudative features:
* decreased glucose levels
* more protein, more LDH
* pH < 7.2

Question 2

ABG in opioid overdose

Answer 2

Respiratory acidosis
* pH < 7.35
* Increased CO2
* normal bicarb

Question 3

Next test to do for recurrent pneumonia in the same location?

Answer 3

CT scan of the chest (suspect mass or malignancy)

Question 4

Predisposing factors of post-op pneumonia

Answer 4

• 3-5 days post-surgery
• thoracic/abdominal surgery
• smoking or lung dz hx
  *

Question 5

ob/gyn malignancy that spreads to lungs

Answer 5

Choriocarcinoma (will have high levels of b-hCG)

Question 6

How to improve tissue oxygen delivery in ARDS

Answer 6

Increase PEEP- distends the alveoli and improves O2 diffusion

Question 7

MC type of cancers in non-smokers

Answer 7

Adenocarcinoma of the lung

Question 8

Management of Small cell lung CA

Answer 8

Cisplatin-etoposide therapy + radiotherapy

Question 9

What does CHARGE syndrome stands for?

Answer 9

1. Coloboma
2. Heart defects
3. Atresia of the nasal choanae (can’t pass catheter through nasal cavity)
4. Retardation of growth
5. Genital abnormalities
6. Ear abnormalities

Question 10

Complications after nasal fracture

Answer 10

• whistling sound during respiration
• septal hematoma

Question 11

How to prevent complications post-nasal fracture

Answer 11

Draining of nasal septal hematoma

Question 12

Management of penetrating neck trauma with stable vital signs

Answer 12

do CT angiograpy to evaluate for possible injuries

Question 13

Tx for cyanide toxicity

Answer 13

hydroxocobalamin + sodium thiosulfate

Question 14

What contributes to labored breathing in COPD?

Answer 14

diaphragmatic flattening

Question 15

Management of small asymptomatic pneumothorax

Answer 15

observe and f/u with x-ray

Question 16

What is mild croup?

Answer 16

• stridor that resolves at rest
• normal O2 sats
• no subcostal retractions

Question 17

Severe croup

Answer 17

• stridor at rest
• subcostal retractions
• decreased O2 sats

Question 18

Tx for:
a) mild croup
b) severe croup

Answer 18

a) oral dexamethasone
b) inhaled racemic epinephrine

Question 19

Next step in management for stable penetrating chest trauma

Answer 19

emergency surgical exploration to remove foreign object

Question 20

Initial step in management for possible oropharyngeal cancer

Answer 20

Panendoscopy- lets you see entire upper airway

Question 21

AERD symptoms

Answer 21

After receiving NSAIDs:
* wheezing
* watery nasal secretions
* conjunctival injection

Question 22

What type of rx is aspirin-exacerbated resp. disease (AERD)?

Answer 22

Pseudoallergic rxn

Question 23

Dx test for massive hemoptysis

Answer 23

bronchoscopy- to visualize source of bleeding

Question 24

Emergency procedure for when you can’t entubate

Answer 24

Cricothyrotomy

Question 25

Features of CO poisoning

Answer 25

• cherry red skin
• elevated carboxyhemoglobin levels

Question 26

Management of massive PE with hemo instability

Answer 26

give tPA (alteplase)

Question 27

How to prevent getting Hib?

Answer 27

Hib vaccination

Question 28

Findings in sarcoidosis

Answer 28

• Respiratory sx: cough, sob
• IBS sx: constipation
• Anterior uveitis sx: injected conjunctivae
• elevated CD4 t-cell count
• elevated ACE

Question 29

Breathing that improves when she is lying on her back

Answer 29

laryngomalacia

Question 30

management of vasomotor rhinitis

Answer 30

• intranasal antihistamine (azelastine)

Question 31

How to prevent spreading of retropharyngeal abscess

Answer 31

IV ampicillin-sulbactam therapy

Question 32

ABG of OSA

Answer 32

Resp. acidosis
* ph < 7.35
* increased CO2
* decreased O2
* normal bicarb
* normal chloride