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Respiratory Final DF > Pop lock and scholom lecture > Flashcards

Pop lock and scholom lecture Flashcards

1
Q

indications for supplemental O2

A

PaO2 less than 55 mmhg or SpO2 under 89%

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2
Q

mild disease asthma treatment

A

SABA or SAMA (ipratroprium) prn

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3
Q

moderate asthma treatment

A

LABA or LAMA (tiatroprium)

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4
Q

severe asthma treatment

A

ICS + LABA + LAMA

with or without roflumilast or theophylline

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5
Q

very severe asthma treatment

A

ICS + LABAB or
ICS + LAMA or
ICS + LAMA + LABA

with or without roflumilast or theophylline

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6
Q

pulmonary rehab for pts with COPD treats what

A

symptoms more than the disease

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7
Q

inducible laryngeal obstruction associated conditions

A

asthma
gerd
chronic rinosinusitis

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8
Q

initial treament with person with COPD

A

LABA and LAMA

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9
Q

inducible laryngeal obstruction vs asthma

ILO

A

ILO- upper airways, rapid, can leave abruptly

monophnic inspiratory stridor and prolonged inspiratory phase

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10
Q

ILO treatment

A

primarily speech therapy

avoidance of irritant substances

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11
Q

oxygen content equation

A

Hb X % saturation X 1.34

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12
Q

O2 transport equation

A

O2 content X CO

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13
Q

prototypic ILD presentation

A 
dyspnea
cough
crackles at bases
digital clubbing
exercise indcued hypoeemia
reduced FRC, TLC normal, low DLCO
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14
Q

scleroderma and lungs

A

pulmonary fibrosis (most lethal)
pulmonary hypertension
aspiritaion (esophagus becomes stiff tube with no motion, aspirate chronically)

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15
Q

SLE assocaitions

A

PIPE

pleural disease
interstitial lung disease
pulmonary HTN
extra pulmonary restriction

if sudden onset then probably not likely SLE

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16
Q

antibiotic commonly used for UTI that can cause lung disease

A

nitrofuratoin

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17
Q

treatment for hypersenstivie pneumonitis

A

put on prednisone for acute form

chronic form does not respond to prednisone as well

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18
Q

ILD of COPD has more rapid decline

A

ILD

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19
Q

ILD and cough

A

non productive

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20
Q

treatment of ILD

A

corticosteroids except IPF

21
Q

treatment for IPF

A

pirfenidone

nintedanib

22
Q

what is Dohls sign

A

microhem on legs from leaning on knees so much with COPD

23
Q

heart size and COPD

A

smaller

24
Q

treatment for sarcoid

A

prednisone

25
Q

sudden collapse of young lady recently prescribed birth control

A

increased hypercoag, so PE leading to syncope

can occur with thrombophlebitis

26
Q

superficial thrombophlebitis vs erythema nodosum

A

superficial thrombo is tracts along the vein

erythema nodsum is bunched up red marks

27
Q

what kind of tumors increase chance of getting clot

A

mucin producing adenocarcinoma of the lung

28
Q

pulmonary hypertension xray

A

opacity in vasculature of the lung fields in the periphery bc it has been narrowed down. big knuclkes in pulm artery

29
Q

treatment of PHTN

A

treat underlying cause

30
Q

pulmonary HTN classification

A

I HLP Others

Group 1- idiopathic and CTD
Group 2- heart
Group 3- lung
Group 4- pulmonary emboli
Group 5- all others
31
Q

what has an increased 2nd heart sound, PHTN or ischemic heart disease

A

pulmonary hypertension

32
Q

woman with SOB, most common causes

A

Smoking
Postnasal drip
GERD
asthma

also ILO

33
Q

causes of bronchiectasis

A

post infectious
A1AT
idiopathic inflammatory disorders like CTD and sarcoid
Inhalation injury/obstruction

34
Q

initial tests in bronchiectasis looking for

A

mycobacterium and NTM

35
Q

managment of bronchiectassis

A

tracheobronchial clearance technique
mucus mobilizing method
anti inflamm airway manag
anti aspiration methods

36
Q

key for seeing pneumothorax in xray

A

looking for pleural line which is white line with dark air on either side

37
Q

tension pneumothorax can cause what

A

decrease venous return and mediastinal shift

true emergency

38
Q

similarity of pneumothorax and pleural effusion on exam

A

absetnt or diminished breath sounds

39
Q

diff of pneumothorax and pleural effusion on exam

A

hyper resonant on pneumothoraX

dull in effusion

change in position may help effusion for breath sounds

40
Q

exudate exists with what

A

pleural protein/serum protein above 0.5

pleural ldh/serum ldh above 0.6

pleaural fluid above 2/3 upper limit of serum level in lab doing measurement

41
Q

heart failure leads to transudate or exudate

A

transudate

42
Q

atypical pneumonias are almost always associated with what

A

bronchiectasis or cystic lung disease

43
Q

what is the DLCO

A

effective alveolar capillary blood volume

44
Q

what can decrease DLCO

A

emphysema
pulmonary fibrosis/interstitial lung disease
pulmonary vascular disease

45
Q

MRC breathlessness:

only with streneous exercise

A

grade 1

46
Q

MRC breathlessness:

slower than other people their same age

A

grade 3

47
Q

MRC breathlessness:

too breathless to leave house or while undressing

A

grade 5

48
Q

MRC breathlessness:

hurrying on level ground or walking up a slight hill

A

grade 2

49
Q

MRC breathlessness:

stops after 100 yards or a few minutes on level ground

A

grade 4

Respiratory Final DF (6 decks)

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