ITE - Pulm and CC

Question 1

Cystic fibrosis: Clues, Dx.

Answer 1

Clues: pulm or GI symptoms with chronic cough, recurrent sinusitis, recurrent pna’s]
Dx: sweat chloride test

Question 2

Interstitial lung disease, Dx.

Answer 2

Spirometry with restrictive patterns

Question 3

lymphangioleiomyomatosis, Dx.

Answer 3

Evidence of lung parenchyma cystic destruction

Question 4

reversible posterior encephalopathy syndrome

Answer 4

HA, visual disturbances, delirium, sz’s with white matter edema in posterior brain
Tx: Targeted V-EGF therapy (bevacizumab, sunitinib)

Question 5

ARDS, fluid management

Answer 5

Evaluate for cardiac etiology of pulm edema, then diurese as tolerated by hemodynamics

Question 6

ARDS, ventilatory management

Answer 6

low tidal volume, early prone positioning

Question 7

Beta-blocker overdose: Tx.

Answer 7

Tx: stabilize airway, hemodynamics, glucagon, insulin, glucose, calcium

Question 8

Exercise-induced bronchospasm in asthma

Answer 8

Short acting beta 2 agonist before exercise (15 mins)

Question 9

Propofol-related infusion syndrome.

Answer 9

discontinue propofol, supportive care

Question 10

serotonin syndrome: Tx

Answer 10

Tx: stop agent, fluids, cooling