PANCE Pulm round 2 8/13

Question 1

when do you hear rales Inspiration or expiration

Answer 1

inspiration

Question 2

when do you hear stridor Inspiration or expiration

Answer 2

inspiration or expiration

Question 3

asthma triad

Answer 3

• dyspnea
• wheezing
• cough

Question 4

what pulse ox with asthma is respiratory distress

Answer 4

< 90

Question 5

what is the rescue medication for asthma

Answer 5

SABA (albuterol)

Question 6

what cardiac medication may be given to severe asthmatics

Answer 6

IV mAG

Question 7

when do you step down asthma medication

Answer 7

when it’s controlled for 3 months

Question 8

what is pulses paradoxis associated with

Answer 8

pneumothortax

tanpanode

Question 9

BP decreases with inspiration

Answer 9

pulses paradoxis

Question 10

diarrhea due to increased serotonin

what is the cause

Answer 10

bronchial carcinoid tumor

Question 11

what is the difference in size between a pulm nodule and mass

Answer 11

mass > 3 cm

Question 12

location of squamous cell brochiogenic tumor

Answer 12

central

Question 13

what is the cause of pancost syndrome

Answer 13

squmous cell bronchiogenic carcinoma

Question 14

MCC HAP

Answer 14

psudomonas

Question 15

2 MCC CAP

Answer 15

H influenza

Question 16

CAP OP 2
CAP IP 
CAP ICU 2
HAP
aspiration

Answer 16

• azithro OR Doxcy
• Levo
• Ceftriaxone + Levo
• Zozyn + Levo
• Clinda

Question 17

what are three indications of severe asthma

Answer 17

• AMS
• Pulses paradoxis
• silent chest

Question 18

salmeterol what class

Answer 18

salmeterol

Question 19

ipratroprium what class

Answer 19

anticholinergic

Question 20

who get O2 COPD 3

Answer 20

• cor pulmonale
• O2 < 88
• PAO2 < 55

Question 21

what is the one medication proven to increase mortality with COPD

Answer 21

• O 2

Question 22

what meds COPD FEV1

• > 80%
• 50 -80 %
• 30- 50%
• < 30%

Answer 22

• Saba + anticholinergic
• ” + LABA
• ” +” + steroid
• O2

Question 23

what are the 2 MCC of bronchiectasis

Answer 23

• CF (psudomonas)

- H influenza

Question 24

bronchiectasis DX

Answer 24

high resolution CT

Question 25

"tram track" what pathology

Answer 25

bronchiectasis

Question 26

what ion does CR affect

Answer 26

chloride

Question 27

what is classic for sarcoid on CXR

Answer 27

bilateral hailar lymphadenopahy

Question 28

Is sarcoid obstructive or restrictive

Answer 28

restricitive

Question 29

Is CF obstructive or restrictive

Answer 29

obstetive

Question 30

diminished skin sensitivity "cutaneous anergy" what pathology

Answer 30

sarcoid

Question 31

what pathology kinda looks like roseasa but is associated with sarcoid

Answer 31

lupus perino

Question 32

tender nodules that develop on the shin

Answer 32

- erythema nodosum

Question 33

what is the CXR finding for IPF

Answer 33

- honeycombing

Question 34

"shaggy heart sign"

Answer 34

asbestosis

Question 35

what lobe for asbestosis

Answer 35

lower lobe

Question 36

what lobe for coal workers lung

Answer 36

upper

Question 37

mesothelioma tx

Answer 37

plurectomy

Question 38

what causes transudative PE

Answer 38

- increased hydrostatic pressure | - decreased oncotic pressure

Question 39

what is the tactile fremmtous with plural effution

Answer 39

decreased

Question 40

what will you see on CXR for plural effuion

Answer 40

- blunting of the costophrenic angle | - "menisci sign"

Question 41

associated with enterochromaffin cells

Answer 41

bronchial carcinoid tumor

Question 42

where does brochogenic carcinoma met to 4

Answer 42

Brain Bone liver lymph

Question 43

what are two main types and 4 sub types of brochogenic carcinoma

Answer 43

non small cell (resection) - andocarcimoma (peripherial) MC - squamous cell (central) - large (anaplastic) - Small cell (oat cell) Chemo

Question 44

what is cancoast syndrome

Answer 44

- shoulder pain - horners syndrome - antrophy of hand due to SCC brochogenic carcinoma

Question 45

when is the PERC useful (age)

Answer 45

< 50

Question 46

what are the 4 grades of pulmonary 2 HTN

Answer 46

- idiopathic - LHD - COPD - PE

Question 47

2 MCC of CAP

Answer 47

H flu

Question 48

what causes croup

Answer 48

para influenza virus

Question 49

barking cough

Answer 49

croup

Question 50

what lobe is the lingual lobe

Answer 50

LLL