Pulm Flashcards
1L tx for 3wk old w/ pertussis?
azithromycin
20yo F goes to ED w/ SOB, right thigh pain that started 2 days ago, recent surgery 2 wks ago, history of OCP and ibuprofen use. temp normal, pulse 115bpm, RR 18bpm, BP 120/75, O2 96% on RA, next step?
enoxaparin
1L anticoagilant w/ normal pmHx?
rivaroxaban
hx - lichen planus. what lab should you check?
hepatitis panel
suspect epiglottitis. how to treat?
IV CTX + IV vancomyci
dabigatran antidote
idarucizumab
apixaban antidote =
andexanet alfa
fluid into cell is?
hypotonic
c diff tx?
fidomacin or oral vanco
what is a from of insensible loss?
sweating
MOA of umeclidinium/vilanterol?
ong acting muscarinic antagonist (LAMA) / long acting beta agonist (LABA)
which medication should be given in an asthma exacerbation regardless of severity?
prednisone (NOT ipratropium)
MOA of albuterol/ipratropium?
short acting beta agonist (SABA) / short acting muscarinic antagonist (SAMA)
vignette: pt with suspected silicosis. asking about first diagnostic step?
albuterol trial
asking about 1st line treatment of provoked venous thromboembolism (VTE) involving a proximal vein specifically
(maybe: femoral or popliteal vein?)
MOA of umeclidinium/vilanterol?
long acting muscarinic antagonist (LAMA) / long acting beta agonist (LABA)
ARDS Tx
intatracheal surfactant
increased tactile fremitus means? decreased?
consolidation; effusion
50 y/o smoker w/ honeycomb lungs
pulmonary fibrosis
Non-caseating granulomas
sarcoidosis
pleural plaques (hyalinized collagen on x-ray) w/ a restrictive pattern in lower lung field
asbestosis
in electronics, areospace, ceramics, tools, dye with granulomas
berrylliosis
4 diagnostic criteria for ARDS?TX?
- acute
- CXR “white out”
- PF ratio < 300 mm Hg
- Not due to cardiac
- TX: methylprednisone
2 saba meds?
albuterol and levalbuterol
5 laba meds?
salmeterol
formoterol
arformoterol
indacaterol
olodaterol
so far asthma is okay
sama med? lama med?
Ipratropium
tiotopium
COPD group E? tx
A: >2 mod excerbations or > 1 leading to hospital
Tx: LABA + LAMA + ICS
COPD Group B? TX?
B: 0 or 1 mod exterbations no hospital
CA > 10
Tx: laba + lama
COPD group A? Tx?
A: 0 or 1 mod exterbations no hospital
CA < 10
Tx: bronchodilator
Dtap/ Tdap time line
MC lung cancer
adenocarcinoma
Pnemonia typical mc? atypical?
step pnemo, chlamydophilia
How to dx pnemonia?
new inflitrates on cxr and > 1 respiratory sxs and > 1 other ( abnormal lung sounds, fever, leukocytosis, hypoxia )
What is seen on an EKG in PE?
s1q3t3, RAD
order what first in PE?
cxr and d dimer
pregnant pt with PE order?
VQ scan
PE tx?
heparin and TPA of greater than 2 hrs
pulmary edema tx?
thoracentesis
most common disease recently causinf emphyema?
pnemonia
klebsilla seen in who?
alcoholics
mycoplasma pnemonia has ?
bollus myringitis
crushed ping png balls, bat wong apperance with increased LDH dx? tx?
pnemocyctisis jirovecic pnemonia
bactrim or pentam
5 y/o w. whopping cough dx? tx?
pertusis
> 1 month any myocin
< 1 month only azithromyocin
thumb sign, sniffing position, drooling dx? tx?
epiglottis
IV ceftriaxone or augmentin
Croup organism?
parainfluenza or influenza
5 y/o w/ seal bark and steeple sign on x-ray?
croup
curb-65 for pnemonia
confusion
uremia > 7
RR > 30
BP < 90/60
> 65
TB: > 5 mm
HIV
abnormal cxr
close contact
TB > 10 mm
Iv drug user
resident/ employee
immigrant
TB: > 15 mm
BCG
Becks triad for tension pnemo?
JVD, decreased breath sounds, hypotension
managemnt of asthma
1 beta adrenergic (albuterol/ small airway)
#2 anticholigeric (ipratropiu/ large airway)
#3 corticosteroid
#4 magnesium (severe/ smooth muscle relaxer)
#5 intubation/ ventilation
Tb in upper lobes? lower lobes?
U: reactive
L: new