gögüs hastalıkları

Question 1

Kesintisiz ek sesler

Answer 1

Wheze (alt solunum
Ronküs
Stridor(üst solunum

Question 2

Wheze

Answer 2

Küçük hava yolları daralmabronşial duvarların salınımı ile
Kesintisiz müzikal tiz ses
Ekspiryum sırasında

Question 3

Wheeze ronküs nedenleri

Answer 3

Astım
Koah
Pulmoner ödem
Tromboemboli
Bronşektazi

Question 4

Wheze mekanizmalar

Answer 4

Hidrostatik basınç artar ve interatisyuma serum sızat bronşiollerde daralma olur

Koah bronkospazm ve düz kas hipertrofisi mukus bezlerinde artış

Question 5

Apnea

Answer 5

Less than 5 per hour is normal more is pathologival

Question 6

Obstructive apnea

Answer 6

Abdominal movements continue without breating
Sleeo apnea about pulmonogy
Polysomnography sleep apnea gold standart

Question 7

Akut dispne ve wheezing

Answer 7

Astım ve pulmoner ödem

Question 8

Akut dispne fever cough sputum

Answer 8

Pnomoni akut bronşit

Question 9

Akut dispne sudden onset pain

Answer 9

Pnomothoraks pulmoner emboli yabancı cisim

Question 10

Kronik dispne pretibial ödem

Answer 10

Congestive heart failure

Question 11

Kronik dispne smoking cough

Answer 11

COPD

Question 12

Kronik dispne fever dry cough

Answer 12

Pleural diseases

Question 13

Kronik dispne clubbing velcro rales( kulaktan çıtırtı)

Answer 13

İnterstitial lung disease

Question 14

Cough

Answer 14

Akut less than 3 weeks
Subakut between 3-8 weeks
Kronik more than 8 weeks

Question 15

Akut öksürük

Answer 15

Pnomoni
Astım
Aspiration
Chf

Question 16

Subakut öksürük

Answer 16

Postinfectious cough
Bakterial sinuzit
Astım

Question 17

Kronik öksürük

Answer 17

Upper airway cough sybdrome 1
Astım3
Gastroesophgeal reflü 2
Nonasthmatic eosinophilic bronşit 4
En sık nedenleri

Question 18

Stridor

Answer 18

Occurs with inspiration
Laryngomalacia abnormal softeninh of larynx cartilage most common cause of inspiratory stridor is laryngo malacia in infant ve neonatlarda

Question 19

Acute laryngotracheobronchitis

Answer 19

Most commonly caused by parainfluenza virus

Question 20

Cyanosis

Answer 20

Reduced hemoglobin concentartion above 5 g/dl in capillaries
Presence of
Jaundice
Skin color
Ambient temperature

Question 21

Central cyanosis

Answer 21

Extremities are hot
İn cardiac origin p co2 is normal but in pulmonary origin pco2 different o2 vermekle geçer

Question 22

Peripheral cyanosis

Answer 22

Slowing of the blood
Extremities are cold and moist
Arterial and venous occlusions

Question 23

Typical pneumonia

Answer 23

High fever
Shaking chills
Productive cough
Chest pain
Bacterial pathogen caused

Question 24

Atypical pneumonia

Answer 24

Fever without chills
Upper respiratory symptoms
Nonproductive cough
Headache myalgias
İnfection with viruses

Question 25

Psi port score

Answer 25

Score
50 ve küçük low risk class 1
79 low class 2
71 90 low risk class 3
91 130 moderate risk class 4
130 dan büyük high risk class 5

Question 26

Yoğun bakım kriterleri

Answer 26

Mekanik ventilasyon
Requiring vasopressors due to septic schok
Wbc 4000 den az
Platelet 100000 den az
Respitary hız 30 dan büyük
Strepto pneumonia most common pathogen for CAP in all patient

Question 27

Astımda tanı

Answer 27

Kronik hava yolu enflamasyonu ve bronşiyal hiperreaktivite ile persiste

Question 28

Hava akımı kısıtlanması
Astım tanısı

Answer 28

Fev 1/fvc oranı azalır < 75-80
pef değişikliği >10

Koah da %70 e alırız
Astımda % 80 e alırız

Question 29

Hava yolu inflamasuonunu ne ile tedavi ederiz

Answer 29

İnhale kortikosteroid

Question 30

Astım ilaç

Answer 30

İnhale kortikosteroid ve SABA

Question 31

Risk of COPD

Answer 31

Cigarette
Age
Astma
İnfections
Sex male
Socioecomnomic status
Fev1/fvc <70 obstructive ventilatory defect

Question 32

Gold 4 severe
Pharmacotherapy

Answer 32

Fev1 <30
Brocodilators beta 2 agonist
Antimuscarinic drugs
Methylxantines
Antinflammatıry İCS inhaled corticosteroids

Question 33

Severe copd

Answer 33

Pursed lip breathing
Acessory muscles
Retraction of intercostal
Juguler venous distantion
Peripheral edema
Bartrel chest
Rstricted chest expansion