Interstitial Lung Disease

Question 1

Describe the main symptoms that are typical of interstitial lung diseases

Answer 1

dyspnea on exertion and cough with abnormal radiographic findings

Question 2

What is the interstitium

Answer 2

connective tissue in the lungs between the alveolar air sacs & the capillaries supplying them
- basement membrane, connective fibrous tissue

Question 3

Describe the etiology and pathophys of idiopathic pulmonary fibrosis

Answer 3

Question 4

Describe the clinical presentation of idiopathic pulmonary fibrosis

Answer 4

Question 5

Describe the diagnostic testing for IPF

Answer 5

Question 6

Describe the treatment for IPF

Answer 6

Question 7

Describe the etiology of systemic sarcoidosis

Answer 7

Question 8

Describe the clinical presentation of systemic/acute sarcoidosis

Answer 8

Question 9

Describe the diagnostic testing for systemic sarcoidosis

Answer 9

Question 10

Describe the prognosis & treatment for systemic sarcoidosis

Answer 10

Question 11

Describe the etiology of asbestos pneumoconiosis

Answer 11

Question 12

Describe the clinical presentation of asbestos pneumoconiosis

Answer 12

Question 13

Describe the diagnostic testing for asbestos pneumoconiosis

Answer 13

Question 14

Describe the etiology of coal workers pneumoconiosis

Answer 14

Question 15

Describe the clinical presentation of coal workers pneumoconiosis

Answer 15

Question 16

Describe the diagnostic testing for coal workers pneumoconiosis

Answer 16

Question 17

Describe the treatment for coal workers pneumoconiosis

Answer 17

Question 18

Describe the etiology of silicosis

Answer 18

Question 19

Describe the clinical presentation of silicosis

Answer 19

Question 20

Describe the diagnostic testing for silicosis

Answer 20

Question 21

Describe the treatment for silicosis

Answer 21

Question 22

Describe the etiology of drug induced lung disease

Answer 22

Question 23

Describe the clinical presentation of drug induced lung disease

Answer 23

Question 24

Describe the diagnostic testing for drug induced lung dz

Answer 24

Question 25

Describe the treatment for drug induced lung dz

Answer 25

stop the med

Question 26

Describe the etiology & presentation of radiation lung toxicity

Answer 26

Question 27

What is the treatment for radiation lung toxicity

Answer 27

corticosteroids

Question 28

What is on the differential for abnormal breath sounds in the upper lobes

Answer 28

sarcoidosis & silicosis

Question 29

What is on the differential for abnormal breath sounds in the lower lobes

Answer 29

Idiopathic pulmonary fibrosis

Question 30

What is on the differential for adventitious sounds

Answer 30

• sarcoidosis (wheezing)
• Idiopathic pulmonary fibrosis (velcro rales)
• asbestos (rales)

Question 31

What is on the differential for abnormal CXR findings in the upper lobes

Answer 31

sarcoidosis & silicosis

Question 32

What is on the differential for abnormal CXR findings in the lower lobes

Answer 32

idiopathic pulmonary fibrosis & asbestosis

Question 33

What is the most common and most serious ILD

Answer 33

insidious pulmonary fibrosis

Question 34

What is one characteristic physical exam finding of IPF

Answer 34

velcro rales

Question 35

What is the primary diagnostic tool for IPF

Answer 35

CT (biopsy is gold standard but it is invasive)

Question 36

What is the only intervention with proven benefit for IPF

Answer 36

lung transplant

Question 37

2 skin findings for sarcoidosis

Answer 37

erythema nodosum, lupus pernio

Question 38

CXR and lung sound findings in sarcoidosis are found in which lobes

Answer 38

Upper

Question 39

What treatment should an asymptomatic pt with bilateral hilar adenopathy be given

Answer 39

none! asymptomatic (corticosteroids if symptomatic)

Question 40

which lung dz is assoc with increased TB infection risk

Answer 40

silicosis

Question 41

What professions are associated with asbestos exposure

Answer 41

• pipe fitter
• construction
• custodians

Question 42

What professions are at risk for silica exposure

Answer 42

mines, quarries

Question 43

what are some drugs that can cause lung tox

Answer 43

amiodarone, bleomycin, nitrofurantoin, mtx