Lecture 20 - Review Flashcards

1
Q

Label the lung image 1:

A

1 = apex
2 = medial surface
3 = base
4 = diaphragmatic surface
5 = costal surface
6 = cardiac notch

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2
Q

How can you tell what are the airways in the lung hilum?

A

Airway = cartilage

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3
Q

What condition can you hear changes in apical lung sounds?

A

TB

Pancoast tumours?

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4
Q

What forms the costodiaphragmatic recesses?

A

Parietal pleura extends further down into the chest compared to the visceral pleura

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5
Q

What can accumulate in the costodiaphragmatic recesses?

What is this called?

A

Pleural fluid

Pleural effusion

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6
Q

Why is a normal relationship between the pleural layers essential for normal lung function?

A

The pressure in the intrapleural space should be maintained as negative with pleural fluid between them

It allows for both the chest and the lungs to expand or shrink simultaneously

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7
Q

Slide 5:

Which pressure is represented by the area shaheed in pink?

A

Intrapleural pressure

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8
Q

What statement describes trans pulmonary pressure on slide 8?

A

The difference between the intrapulmonary pressure and intrapleural pressure

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9
Q

What is intrapulmonary pressure?

A

Pressure within the alveoli

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10
Q

Look t slide 9:

Diagnose the most likely cause of the mans illness and why?

A

TB

Affecting apical portion of lungs (TB preferentially infects the well aerated areas of the lungs
Fever
Fatigue
Poor. Living conditions

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11
Q

If you suspect TB infection, what diagnostic approach is most appropriate:

Slide 11:

A

Obtain 3 sputum samples for acid fast bacilli smear microscopy and culture

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12
Q

What i s the point of an interferon gamma release assay?

A

Says whether the individual has been previously exposed to TB

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13
Q

What is primary TB?

A

Patient exposed to Tb and suffers symtpoms

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14
Q

What is latent TB?

A

When the infection is contained and isn’t symptomatic

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15
Q

What is post primary TB?

A

When latent TB becomes reactivated

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16
Q

How do you diagnose active TB?

A

Get 3 sputum samples for microscopy and culture

17
Q

Where do you insert a needle through the ribs, above or below?

A

Above

18
Q

Where do you listen to the lower lobes of the lungs?

A

Posterior

19
Q

Diagnose slide 18:

A

Primary spontaneous pneumothorax secondary to blew rupture of visceral pleural

20
Q

Look at slide 24 and answer:

A

The FEV1:FVC ratio is greater than 0.7 so is a restrictive lung disease
Maybe like pulmonary fibrosis