Pulm

Question 0

definition of mild intermittent asthma and tx?

Answer 0

< 2x/wk sx
night sx < 2x/mo

Bronchodilators

Question 1

% of kids that outgrow asthma?

Fx assoc w/ persistent asthma (4)

Answer 1

60% of mild
30% of severe
Persistent in those w/ onset before 3, IgE elev, Eos, maternal hx asthma

Question 2

ominous CO2 sign in asthma attack

Answer 2

going from low (from tachypnea) to normal / high

Question 3

% of infants w/ severe RSV bronchiolitis that dev recurrent wheezing

Answer 3

half

Question 4

HCT up to what is okay before development of HA, Joint pain, clots, hemoptysis

Answer 4

65

Question 5

tx of acute exacerbation in CF?

Answer 5

aminoglycoside, PCN (piperacillin) against pseudomonas

Age: staphy –> pseudom

Question 6

si/sx of hypercarbia

Answer 6

flushing, agitation, HAs

Question 7

post op complication after T&A in pt w/ hx of OSA

Answer 7

pulm edema

Question 8

definition of apnea

Answer 8

> 20sec, or w/ bradycardia or cyanosis

Question 9

pleural fluid with high TG > 110 and high WBC, and high protein >3

Answer 9

chylothorax

Question 10

TG level in transudative pleural fluid

Answer 10

< 50 low

Question 11

chocolate colored blood

Answer 11

methemoglobinemia

Question 12

best test for suspected aspiration / foreign body in baby and older child

Answer 12

baby: airway fluoroscopy
older: inspiration / expiration films

Question 13

recurrent wheezing in child w/ worsening w/ feeding and neck flexion

Answer 13

double aortic arch

Question 14

two drug choices for positive PPD and neg CXR for how long

Answer 14

INH or Rifampin x 9 mo

Question 15

rales at bases, chronic fever / cough, hilar adenopathy

Answer 15

TB, active pulm

Tx: RIP: Rifampin, InH, Pyrazinamide x 2 mos –> 4 mos Rif/INH or Just Rif/INH x 9 mos

Question 16

tx of TB meningitis

Answer 16

RIP x 2 mos AND Streptoycin, then R/I x 10 mos

AND STEROIDS

Question 17

near drowning

most important key to prognosis and predictors of future deterioration requiring hospitalizatoin

Answer 17

1. duration of asphyxia

2. hx of apnea and CPR in field, neuro or resp failure from aspiration, desat or tachypnea

Question 18

placenta connection in a kid w/ PNA and splenomegaly

Answer 18

coxiella