Dyspnea, D Kinder, DSA

Question 1

What is a postinfectious cough

Answer 1

nonproductive and lasts for 3-8 weeks following upper respiratory infection

Question 2

What test should be ordered fro chronic cough

Answer 2

CXR

Question 3

What is a wheeze

Answer 3

continuous medical sound that lasts longer than 80-100 msec

Question 4

what can cause extrathoracic obstructive lung pathology

Answer 4

vocal cord lesions

Question 5

What are life threatening conditions of dyspnea

Answer 5

pulm edema, pulm embolism, acute airway obstruction, pneumo, pneumonia

Question 6

what are causes of chronic dyspnea

Answer 6

COPD asthma, interstitial lung disease, HF, cardiomyopathy, GERD and other respiratory diseases or hyperventialation syndrome

Question 7

What labs should you order for patieint with unexplained dyspnea

Answer 7

CXR, EKG, PFTs and exercise test with EKG, pulse Ox

Question 8

What lab should you order if you suspect GERD for cause of dyspnea

Answer 8

modified barium eosphagogram or 24 esophageal pH monitoring

Question 9

What is hemoptysis

Answer 9

expectoration of blood from lung parenchyma or airways

Question 10

What is definition massive hemoptysis

Answer 10

expectoration of at least 600mL of blood in 24-48 hrs

Question 11

What is pseudohemoptysis

Answer 11

blood from source other than lower respiratory tract

Question 12

what can cause sputum to be red but not blood

Answer 12

Serratia marcescens- red pigment producing aerobiv gram - rod

Question 13

What is frequent cause of massive hemoptysis

Answer 13

infections, bronchiectasis and lung abscess, cancer

Question 14

iatrogenic causes of hemoptysis

Answer 14

rupture of a pulmonary artery after ballloon-guided flotation catheterization and tracheal artery fistula from tracheostomy

Question 15

What is common cause nonmassie hemoptysis

Answer 15

bronchitis

Question 16

population affected with idiopathic or central hemoptysis

Answer 16

age 30-50 male

Question 17

What test do you use to rule out sinusitis

Answer 17

sinus radiograph

Question 18

barium esophagography is used to Dx what

Answer 18

GERD and esophageal stricture

Question 19

bronchoscopy is used for Dx of what

Answer 19

endobronchial mass/lesion

Question 20

what upper airway diseases can ahve wheezing

Answer 20

postnasal drip syndrome
epiglottis
vocal cord dysfunction syndrome
retropharyngeal abscess
laryngotracheal injury
neoplasms, anaphylaxis

Question 21

What lower airway diseases can cause wheezing

Answer 21

COPD, pulmonary edema, aspiration, pulmonary embolism, bronchiolitis, CF, carcinoid syndrome, bronchiectasis, lymphangitis carcinomatosis, parasitic infections

Question 22

What is a common infection to cause massive hemoptysis

Answer 22

aspergilloma

Question 23

What is level 1 testing for suspected chronic dyspnea

Answer 23

CBC, CMP, CXR, EKG, spirometry, Pulse Ox

Question 24

What is level 2 testing for suspected chronic dyspnea

Answer 24

echo, BNP, PFT, ABG, high res CT, cardiopulm exercise testing

Question 25

what is level 3 testing for suspected crhonic dyspnea

Answer 25

``` ventilation perfusion V/Q scan bronchoscopy esophageal pH probe testing lung biopsy holter monitor cardiac cath ```

Question 26

describe pattern of hemoptysis with bronchogenic carcinoma

Answer 26

small amounts occuring every day for weeks

Question 27

hemoptysis occuring over a period of months to years suggest what

Answer 27

bronchial adenoma or bronchiectasis

Question 28

Patient has upper airway disease, lower airway disease and renal disease suspect what?

Answer 28

wegeners granulmoatosis

Question 29

pulsations transmitted to tracheostomy cannula heightens suspiciion for what

Answer 29

tracheal artery fistula

Question 30

best time to perfrom bronchoscopy with patient with hemoptysis

Answer 30

within 24 hr of bleeding

Question 31

typical findings with diffuse pulmonary hemorrhage after lavage

Answer 31

bright red or blood tinged lavage fluid from multiple loves in both lungs or substantial # hemosiderrin laden macrophages

Question 32

What are tests to order for suspected tracheobronchial disorders for hemoptysis

Answer 32

expectorated sputum for TB, parasites, fungi and cytology bronchoscopy broncography High res CT

Question 33

what are tests for suspected localized parenchymal diseases for hemoptysis

Answer 33

expectorated sputumr for TB, parasites, fungi and cytology Chest CT lung biopsy

Question 34

What are tests for suspected diffuse parenchymal diseases for hemoptysis

Answer 34

expectorated sputum for cytology blood for BUN, creatinine, ANA, RF,, C', cryoglobulines, ANCA and anti-GBM Ab lung or kidney biopsy with sepcial stains

Question 35

what are tests for suspected CV disorders of hemoptysis

Answer 35

echo, ABG, VQ scans, pulm arteriogram | aortogram with contrast CT

Question 36

what are tests for suspected heme causes of hemoptysis

Answer 36

coagulation studies | bone marrow