Peds Pulm

Question 1

What is wheezing?

Answer 1

Continuous muscial sound heard throughout chest

Question 2

What are the requirements to form the wheezing sound

Answer 2

narrowing of the airway and sufficient airflow

Question 3

MCC of wheezing less than 3 mos

Answer 3

Viral URI

Question 4

MCC of weezing greater than 3 mos

Answer 4

Asthma

Question 5

What is bronchiolitis

Answer 5

clinical syndrome that occurs in children

Question 6

What is the MCC of bronciollitis

Answer 6

RSV

Question 7

SSX of bronchiolitis

Answer 7

profuse rhinorrhea, peak of lower resp sx at day 5 with diffuse crackles and wheezing, cough, tachypnea, resp distress

Question 8

what are complications of bronchiolitis

Answer 8

apnea, resp failure, secondary bacterial infection

Question 9

What is the med to prevent bronchiolitis

Answer 9

Synagis (palivizumab) - monthly doses from november to march

Question 10

What is asthma

Answer 10

chronic disorder of the airway, reversible airflow obstruction, bronchial hyperresponsiveness, inflammation

Question 11

SSx of asthma

Answer 11

cough, wheeze, SOB, chest tightness,

Question 12

What are medication induced triggers of asthma

Answer 12

aspirin, NSAIDs, ACEi

Question 13

If nasal polyps are found on PE, what disease should be forefront in DDx

Answer 13

Cystic fibrosis

Question 14

FEV1/FVC less than 85% indicates

Answer 14

obstruction

Question 15

What is the short term agonists for the tx of asthma

Answer 15

albuterol

Question 16

what is the inhaled anticholinergics in the tx of asthma

Answer 16

atrovent

Question 17

What is the predictive index for infants with asthma

Answer 17

1 major or 2 minor

Question 18

What are the major predictive factors for asthma in an infant

Answer 18

eczema or parent with asthma

Question 19

what are the minor predictive factors for asthma in an infant

Answer 19

allergic rhinitis, eosinophilia, wheezing without URI

Question 20

What is the MC location of boreign body aspiriation

Answer 20

right lung

Question 21

What are the common ssx of foreign body aspiriation

Answer 21

coughing, stridor, localized wheezing, decreased aeration unilaterally

Question 22

what is the treatment for an incomplet obstruction

Answer 22

rigid bronchoscopy with general anesthesia

Question 23

what is the treatment for a complete obstruction

Answer 23

Heimlich maneuver

Question 24

What are the indications for hx in a patient with wheezing?

Answer 24

SaO2 of 92% or less, RR >70, 2 mos with risk factors, dehydration