Obstructive Disorders Flashcards

1
Q

Obstructive Disorder PFT results

A

Increased lung volumes with decreased FEV1/FVC

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2
Q

Different conditions that correspond with obstructive

A

Asthma
Bronchiectasis
COPD
Cystic Fibrosis

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3
Q

Hyperirritability of bronchial tree leading to airway inflammation and bronchoconstriction

A

asthma

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4
Q

Samters Triad

A
  1. Asthma
  2. NSAID/aspirin allergy
  3. nasal polyps
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5
Q

Physical exam of someone with asthma

A

Decreased breath sounds, hyperresonance to percussion, and expiratory wheezing

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6
Q

Management of acute asthma exacerbation

First line drug?

A

SABA-Albuterol, Tertbutaline given every 20 mins x 3 doses

SE: tachycardia, hypkalemia

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7
Q

Treatment for mild persistent asthma

A
  1. SABA

2. Low dose ICS

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8
Q

Moderate persistent asthma

A
  1. Low ICS+ LABA
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9
Q

Irreversible airway obstruction

A

COPD

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10
Q

Most important risk factor for development of COPD

A

Smoking

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11
Q

Chronic bronchitis definition

A

Productive cough for more than 3 months x 2 consectuive years

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12
Q

Physical exam for person with emphysema

A

hyperresonance to percussion, pursed lips, barrel chest, tripod

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13
Q

COPD can cause what cardiac effect

A

Cor pulmonales secondary to pulmonary HTN

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14
Q

chronic cough with thick, mucopurulent, foul smelling sputum with hemoptysis. What do you order?

A

High resolution CT scan

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15
Q

What does CT scan for bronchiectasis show?

A

Tram track appearance

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16
Q

Most common organism for bronchiectasis

A

H. influenzae

17
Q

Pt with hx of cystic fibrosis presents with hemoptysis and foul smelling sputum. Organism and abx?

A

Pseudomonas-treat with Quinolone

18
Q

Defect of what transport leads to cystic fibrosis?

A

Chloride transport

19
Q

Pt presents after being treated for bronchiectasis for 3rd time for evaluation. Reports hx of infertility. Has been having foul, bulky, stools. What do you order?

A

Sweat chloride test

DNA-definitive

20
Q

What vitamins should someone with cystic fibrosis be taking?

A

A, D, E, K