Interstitial Lung Disease

Question 1

Best initial Test for Pulmonary Fibrosis

Answer 1

Chest X-ray

Question 2

Most accurate test for pulmonary fibrosis

Answer 2

Lung Biopsy
-shows granulomas in Berylliosis

Question 3

PFT results for Pulmonary Fibrosis

Answer 3

Restrictive pattern
-decreased FEV1
-decreased FVC
-decreased TLC
-decreased Residual Volume
-Normal FEV1/FVC ratio

Question 4

Treatment for Pulmonary Fibrosis

Answer 4

Steroids
-use Azathioprine long-term

Pirfenidone
-inhibits collagen synthesis

Nintedanib
-blocks fibrogenic growth factors

Question 5

Best initial Test for Sarcoidosis

Answer 5

Chest X-ray
-hilar lymphadenopathy
-parenchymal involvement
-Lymphadenopathy

Question 6

Most accurate test for sarcoidosis

Answer 6

Node Biopsy
-noncaseating granulomas

Question 7

PFT in sarcoidosis

Answer 7

Restrictive pattern

Question 8

Treatment for Sarcoidosis

Answer 8

Prednisone: Drug of choice

Question 9

Best initial Test for Pulmonary Hypertension

Answer 9

Chest X-ray and CT
-Dilation of proximal pulmonary arteries
-narrowing of distal vessels “Pruning”

Question 10

Most accurate test for Pulmonary Hypertension

Answer 10

Right heart/Swan-Ganz Catheter

Question 11

Treatment for Pulmonary Hypertension

Answer 11

Prostacyclin: dilate Pulmonary Artery

Endothelin Antagonists

PDE-inhibitors

cGMP stimulants

Calcium channel Blockers

Oxygen to slow progression

Lung Transplant

Question 12

Most accurate test for BOOP/COP

Answer 12

Lung Biopsy

Question 13

Treatment for BOOP/COP

Answer 13

Glucocorticoids

Question 14

Diagnosis for Hypersensitivity Pneumonitis

Answer 14

Chest CT and Chest X-ray
-Bilateral hazy opacities

Question 15

Treatment for Hypersensitivity Pneumonitis

Answer 15

Glucocorticoids

Question 16

Most accurate test for Eosinophilic Pneumonia

Answer 16

Eosinophils on BAL or Lung Biopsy

Question 17

Treatment for Eosinophilic Pneumonia

Answer 17

Steroids