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Pulmonary Medicine > MKSAP > Flashcards

MKSAP Flashcards

1
Q

Define heat stroke and what are the two types with risk factors

A

Temp >104 and encephalopathy

  1. Exertional: athletes with hot and humid weather
  2. Non exertional: old patients wuth anticholinergic or diuretics use
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2
Q

TG level of pleural fluid in chylothorax

A

110

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3
Q

Hallmark PE finding of DPLD

A

Normal pulse ox with rest and >4% drop in O2 sat with ambulation

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4
Q

Two antifovrotic agents for IPF

A

Nintedanib and perfinidone

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5
Q

What is HAPE

A

High altitude pulmonary edema —> develops due to rapid ascent above 2500 ft —> causes intense vasoconstriction and leads to pulmonary HTN and fluid leak into alveoli —> pneumonia

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6
Q

Treatment of HAPE

A

Low altitude descent, O2 supplementation

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7
Q

Medication used for HAPE prophylaxis

A

Acetazolamide

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8
Q

What is the size cutoff to call it a pulmonary nodule upper limit

A

3 cm

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9
Q

Size above which a pulmonary nodule is called a lung mass

A

3 can

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10
Q

What is the first question to ask in evaluation of pulmonary nodules

A

Solid or sub solid?

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11
Q

Solid pulmonary nodule <6mm follow up

A

None

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12
Q

Solid pulm nodule 6-8 mm

A

CT at 6-12 months —> CT 1.5-2 years

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13
Q

Solid pulm nodule >8 mm. Next step?

A

Evaluate risk of malignancy and obtain CT in 3 months, PET/tissue sampling

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14
Q

Subsolid nodules are —- likely to be malignant

A

More

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15
Q

I hat are the two types of subsolid nodules

A

GGO only and GGO with solid component

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16
Q

A subsolid nodule with GGO developed solid component. Next step?

A

It is malignant

17
Q

Pure GGO nodule <6 mm. Follow up?

A

None

18
Q

Pure GGO >6mm

A

CT at 6-12 months —-> every 2 years for 5 years

19
Q

Part solid module <6mm

A

No follow up

20
Q

Part solid nodule >6 mm

A

CT 3-6 months —-> I’d stable —-> annual CT

21
Q

How do you differentiate between a complicated and uncomplicated para pneumonic effusion?

A

Ph <7.20 or evidence of microorganism on culture —> complicated

22
Q

Patient with anaphylaxis develops recurrent episode. Rx?

A

Epinephrine drip maybe required

23
Q

Side effect of monteluekast FDA black box warning

A

Depression and suicide

24
Q

What is Reynolds’s Pentad

A

Fever jaundice RUQ pain hypotension AMS

25
Q

What is the temp cut off for hyperthermic emergencies

A

> 104

26
Q

What are the typical symptoms of hyperthermic emergencies

A

AMS, seizures
Muscle rigidity and rhabdomyolysis
ARDS
Kidney dysfunction
DIC

27
Q

Which symptom differentiates serotonin syndrome

A

Myoclonus and hyper reflexia

28
Q

Rx of NMS

A

Benzo, bromocriptine.

29
Q

Rx of serotonin syndrome

A

Benzodiazepine —> fails cypriheptadine

30
Q

I hen should we start parenetrral nutrition in ICU patients

A

Failed enteral nutrition - inability to achieve 60% of requirements in 7-10 days

31
Q

I’m Medical conditions assoicted with central sleep apnea

A

Heart failure and pain

32
Q

Indications of antibiotics in COPD exacerbation. Name 5

A
  1. Increase sputum volume
  2. Increased purulent
  3. Increased DOE
  4. Non invasive vent
  5. Invasive vent
33
Q

Mesothelioma is linked to — exposure

A

Asbestos

34
Q

Pleural effusion from mesothelioma is —- in cytology and —— is neede d for diagnosis

A

Negative; transthoracic vidoscopic pleural biopsy

35
Q

3 DDx for exudative effusions

A
  1. Infection
  2. Malignancy
  3. CTD
36
Q

Respirator indices s/o NM associated respiratory failure

A

Decrease in FVC of >20% in while supine compared to upright position and >50% decline in MIP/MEP

37
Q

Normal NIF

A

-100 to -150

38
Q

A patient with true aspiration pneumonitis rapidly improves within — hours and antibiotics can be —-

A

24; discontinued

39
Q

Empiric Rx of bronchiectasis exacerbation antibiotic

A

Ciprofloxacin x 14 days

Pulmonary Medicine (1 decks)

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