Deck 3

Question 1

Fungus endemic to eastern/central part of US

Answer 1

Blastomyces dermatitidis

Question 2

ARDS is associated with what physiologic change?

Answer 2

decreased pulmonary compliance

Question 3

1st step in management of flail chest in the setting of respiratory failure

Answer 3

assist with positive pressure ventilation (PPV)

Question 4

MCC of CAP in HIV infection with normal CD4 count

Answer 4

Strep pneumo

Question 5

Signs of massive hemothorax

Answer 5

• flat neck veins
• decreased breath sounds
• tachypnea
• tracheal deviation to opposite side of trauma

Question 6

In full thickness burns pt is at risk for:

Answer 6

thermal inhalation injury (causes upper airway obstruction)

Question 7

PFT in bronchial asthma (how is FEV, FVC, DLco, TLC)

Answer 7

• FEV1 decreased
• FVC normal
• DLco increased
• TLC increased

Question 8

underlying cause of PAH

Answer 8

hyperplasia of pulmonary vascular walls

Question 9

Juvenile nasopharyngeal angiofibroma (JNA) signs

Answer 9

• pink nasal mass, recurrent epistaxis
• benign tumor exclusively in adolescent boys

Question 10

What test to dx juvenile nasopharyngeal angiofibroma?

Answer 10

CT of head with contrast

Question 11

Management of large hemothorax

Answer 11

Chest tube insertion in the 4th-5th intercostal space at the midaxillary line for drainage

Question 12

Cardiac physio changes seen in pt with massive PE

Answer 12

• RV dilation due to increased pulmonary vasc. resistance

Question 13

Ppx recommendations for family members of pt with Bordetella pertussis

Answer 13

• Oral azithromycin therapy for all contacts
• Tdap vaccine in members with unknown vaccine status

Question 14

Theophylline toxicity s/s

Answer 14

• resting tremor
• headaches
• dizziness
• insomnia
• GI sx (nausea, vomiting, abd pain)

Question 15

Bordetella pertussis increases risk for:

Answer 15

Pneumothorax

Question 16

Erythema multiforme is mostly caused by which viruses

Answer 16

• HSV
• M. pneumoniae

Question 17

Lung cancer positive to chromogranin A

Answer 17

bronchial carcinoid tumor

Question 18

Alternative tx for OSA when refuses CPAP therapy

Answer 18

Oral appliances and positional therapy

Question 19

Bronchial rupture signs:

Answer 19

• crunching sound synchronous with heartbeat
• crepitation on palpation (subcut. emphysema)
• decreased breath sounds

Question 20

PFT of chronic bronchitis

Answer 20

• FEV1 decreased
• FEV/FVC ratio decreased
• DLco normal
• RV increased

Question 21

Tx of apnea of prematurity

Answer 21

caffeine therapy

Question 22

paraneoplastic syndrome assoc with lung adenocarcinoma

Answer 22

-Horner syndrome (miosis, ptosis and anhydrosis)

Question 23

marker for Beta-D glucan is elevated in which lung infection?

Answer 23

P. jiroveccii

Question 24

How to improve mortality in PCP infection with severe resp. distress (PaO2 < 70)?

Answer 24

normal tx of PCP (TMP/SMX) + prednisone

Question 25

Long term complication of ARDS

Answer 25

Interstitial Lung Disease

Question 26

correlation between procalcitonin levels and pneumonia

Answer 26

• low PCT levels = viral pneumonia
• high PCT levels = bacterial pneumonia

Question 27

To confirm active TB which 3 tests are needed:

Answer 27

1. acid-fast bacilli smear microscopy
2. culture
3. NAAT

Answer 28

Findings in CXR of pleural effusion

Question 29

blunting of costophrenic angle

Question 30

Risk factors for laryngeal squamous cell CA

Answer 30

• smoking
• alcohol consumption

Question 31

latent TB therapy

Answer 31

isoniazid + rifapentine for 3 mo.