PreTest Medicine: Pulmonary Disease

Question 1

Bone pain with periosteal thickening in a patient with COPD should make you think ________________.

Answer 1

“hypertrophic osteoarthropathy”

Question 2

Parapneumonic effusions typically start out as _______________.

Answer 2

sterile exudative effusions due to the increased capillary permeability

Question 3

The preferred way to diagnose sarcoidosis with hilar LAD is _______________.

Answer 3

endobronchial ultrasound-guided biopsy

Question 4

In addition to trauma and surgery, chylothorax can also be caused by _______________.

Answer 4

mediastinal masses (lymphoma)

Question 5

True or false: males with cystic fibrosis are usually infertile.

Answer 5

True

About 95% are azoospermic.

Question 6

True or false: a normal D-dimer excludes PE.

Answer 6

False

While it makes PE extremely unlikely, a PE is still possible in those with high pretest probability.

Question 7

Fenfluramine is associated with what pulmonary complication?

Answer 7

pHTN

Question 8

When can a lobectomy be done if there are lymph mets?

Answer 8

With ipsilateral hilar lymph mets

Question 9

The pleural effusion with the lowest pH is ______________.

Answer 9

esophageal perforation: gastric acid can make it as low as 3.0