LA pulm-pneuoconioses

Question 1

quarry work/ granite, slate, quartz, pottery, sandblasting

Answer 1

silicosis

Question 2

eggshell calcifications of hilar and mediastinal nodes

multiple small opacities in upper lobes

Answer 2

silicosis

Question 3

caplan syndrome

Answer 3

coal workers pneumocosis plus RA

Question 4

CXR: small nodules in upper lung with hyperinflation of lower lobes in obstructive pattern

Answer 4

coal workers

Question 5

what resembles emphysema

Answer 5

coal workers

Question 6

coal workers pft

Answer 6

obstructive

Question 7

working with medals, aerospace, electronics, ceramics, tool & dye, fluorescent lighting

Answer 7

berylliosis

Question 8

berylliosis pft

Answer 8

restrictive

Question 9

what is similar to sarcoidosis

Answer 9

berylliosis

Question 10

CXR: hilar lymphadenopathy, increased interstitial markings

Answer 10

berylliosis

Question 11

from nitrogen dioxide gas exposure released from plant matter; also seen in combustion exposure

Answer 11

silo filler disease

Question 12

bx: noncaseating granulomas

Answer 12

berylliosis and sarcodosis

Question 13

what drug to give if corticosteroids fail

Answer 13

methotrexate

Question 14

what is associated with an increased risk of lung, stomach, and lung cancer

Answer 14

berylliosis

Question 15

cotton exposure, textile industry, flax/hemp dust exposure

Answer 15

byssinosis

Question 16

monday fever

Answer 16

byssinosis. symptoms worse at the beginning of week then improve later

Question 17

asbestosis sx seen how long after exposure

Answer 17

15-20 years

Question 18

insulation, ship building, fire resistant products, old building renovation/destruction

Answer 18

asbestosis

Question 19

bibasilar crackles on exam

Answer 19

asbestosis

Question 20

shaggy heart

Answer 20

indistinct heart border, asbestosis

Question 21

pleural plaques lower lobes

Answer 21

asbestosis

Question 22

pft asbestosis

Answer 22

restrictive. nml or increased ratio, nml or decreased FVX, decreased lung volumes

Question 23

bx linear asbestos bodies/ferruginous bodies

Answer 23

asbestosis

Question 24

complications of asbestosis

Answer 24

bronchogenic carcinoma and malignant mesothelioma of pleura

Question 25

infected birds

Answer 25

psittacosis, parrot fever

Question 26

psittacosis, parrot fever tx

Answer 26

tetracyclines first line. macrolides

Question 27

CXR: atypical pneumonia, lobar changes, ground glass opacities

Answer 27

psittacosis, parrot fever

Question 28

psittacosis, parrot fever dx test

Answer 28

serologic testing for microimmunoflourescent antibody

do not order a culture