LRI 1 trigger/extra questions

Question 1

presents with substernal pain

Answer 1

acute bronchitis

Question 2

what is a possible cause of RVH

Answer 2

chronic bronchitis

Question 3

where would you see RVH on an exam

Answer 3

heave palpable on the left sternal border

Question 4

what three symptoms is adenovirus associated with

Answer 4

conjunctivitis, adenopathy and rhinorrhea

Question 5

PE shows isolated rales, tachycardia and fever

Answer 5

pneumonia.

acute bronchitis does not present with rales.

Question 6

what does a CXR typically show in acute bronchitis

Answer 6

NOTHING. clear or inconclusive

Question 7

what test result would indicate ICU admission in acute bronchitis

Answer 7

procalcitonin >.5mcg

Question 8

can cause hallucinogen effects if taken at a high enough dose.

Answer 8

dextromethorphan

Question 9

this medication is derived from an anesthetic

Answer 9

benzonatate

Question 10

lethargy with clear lungs

Answer 10

influenza

Question 11

the presence of rales on PE would suggest what type of test

Answer 11

CXR, rales suggest pneumonia. so must rule this out!

Question 12

RT-PCR confirms the presence of what

Answer 12

influenza

Question 13

what is known to inactivate cAMP regulation

Answer 13

Toxin A in bordetella pertussis

Question 14

increased mucous production and decreased phagocytic activity

Answer 14

bordetella pertussis

Question 15

what PE is specific to pertussis

Answer 15

facial petechiae

also infants<3 mo that gasp and redden when they cough

Question 16

what would a pertussis CXR show

Answer 16

NOTHING. gotcha

Question 17

what is associated with leukocytosis and lymphocytosis

Answer 17

pertussis

Question 18

gold standard for pertussis diagnosis

Answer 18

bacterial NP culture

Question 19

how would you treat pertussis

Answer 19

azithromycin in infants under 1 mo.

bactrim = alternative unless <2 mo.

Question 20

contraindicated in pts with QT prolongation or proarrhythmic conditions

Answer 20

azithromycin.

therefore if this pt has pertussis we give them bactrim (unless <2 months)

Question 21

bronchospasm is indicative of what disease

Answer 21

bronchitis