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General Surgery > ER EOR Pulm > Flashcards

ER EOR Pulm Flashcards

1
Q

what causes broncholitis in kids

A

RSV

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2
Q

what is given prophylavctaly for RSV

A

palivzumab

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3
Q

Barking cough with stridor what pathology

A

croup

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4
Q

what is the cause of croup

A

parainfluenza

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5
Q

what is the tx for croup

A

Dexamethazone + epi

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6
Q

what is she steeple sign associated with

A

croup

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7
Q

what is the thumb sign associated with

A

epiglottitis

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8
Q

what is the pathogen with epiglottitis

A

HIb

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9
Q

what is the tx for epiglotitis

A

ceftriaxone

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10
Q

what pathology has the 3D’s

A

epiglotitis

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11
Q

post cough emesis

A

wooping cough

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12
Q

how do you dx pertussis

A

PCP / nasal swab

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13
Q

what is the tx for pertusiis

A

eythromycin

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14
Q

what stage during pertusis are they most contagious

A

catarrhal

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15
Q

what stage during wooping cough is the woop

A

paraoxmysial

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16
Q

what will you see on CXR for foreign body aspiration

A

regional hyperinflation

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17
Q

what is the best dx for foreign body aspiration

A

bronchospy

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18
Q

describe ARDS

A

sepsis then you develop pulmonary edema

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19
Q

what is the CXR with with ARDS

A

white out pattern

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20
Q

what is the tx for ards

A

PEEP

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21
Q

what is the MC medication for flu (generic)

A

om

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22
Q

at what age can you not get the live virus

A

> 50

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23
Q

Caseating granuloma

A

TB

24
Q

are peopel with reactivated TB contagious

A

yes

25
Q

Lymph nodes scrofula what pathology

A

TB

26
Q

how long after TB meds are they no longer contagious

A

2 weeks

27
Q

what TB med causes thrombocytopenia

A

rifampin

28
Q

what is th main LABA

A

salmeterol

29
Q

what asthma quaifications is per month

A

night time awakenings

30
Q

what are the top three causes of transudative pleural effusion

A

CHF
nephrotic syndrome
cirrhosis

31
Q

what are the three lights criteria

A

protein > .5
LDH >.6
Pleural fluid LDH > 2/3 normal

32
Q

how do you treat plural effution

A

thoracocentesis

33
Q

what is the MC cause of PE

A

DVT

34
Q

what is the MC symptom of a PE

A

dyspnea

35
Q

what is teh MC sign of a PE

A

tachypnea

36
Q

what is the classic traid of a PE

A
  1. dyspnea
  2. Pluritisc chest pain
  3. Hemoptysis
37
Q

what is the best test for a PT

A

pulmonary angiographt

38
Q

what is the 1st test for PE

A

CT

39
Q

CXR

“wedge shape infiltrate that represents infarction”

A

hamptons hump

40
Q

what is the metabolic dysfunction with PE

A

initially respiratory alkalosis then acidosis

41
Q

what are the two options for a unstable PE

A
  • thrombolysis

- embolectomy

42
Q

the PERC is only used for people if they are what age

A

< 50

43
Q

what lobe for aspiration

A

right lower lobe

44
Q

what are the 2 MCC of CAP in adults

A
  • Step penumo

- HIB

45
Q

MCC of viral pneumonia kids

A

RSV

46
Q

MCC of viral pneumonia adults

A

influenza

47
Q

what is the 2 MCC of HAP

A
  • Psudomonas

- MRSA

48
Q

what is the relationship between pna and CXR

A

CXR may lag behind

49
Q

klebsilla is what lobe

A

right upper

50
Q

aspiration pna what lobe

A

right lower

51
Q

what is one PE finding that is only on PNA

A

increased tactile fremitius

52
Q

CAP OP tx

A

macrolide OR doxcy

53
Q

CAP IP Tx

A

ceftriaxone + macrolide OR doxcy

Ceftriaxone + Levo

54
Q

HAP IP Tx

A

zosyn + Levo + vac

55
Q

how long after Pna 13 can they get 23

A

5 years

56
Q

how do you tx HAP

A

clindamycin

General Surgery (30 decks)

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