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Pulm Flashcards

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1
Q

1L tx for 3wk old w/ pertussis?

A

azithromycin

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2
Q

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?

A

enoxaparin

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3
Q

1L anticoagilant w/ normal pmHx?

A

rivaroxaban

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4
Q

hx - lichen planus. what lab should you check?

A

hepatitis panel

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5
Q

suspect epiglottitis. how to treat?

A

IV CTX + IV vancomyci

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6
Q

dabigatran antidote

A

idarucizumab

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7
Q

apixaban antidote =

A

andexanet alfa

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8
Q

fluid into cell is?

A

hypotonic

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9
Q

c diff tx?

A

fidomacin or oral vanco

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10
Q

what is a from of insensible loss?

A

sweating

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11
Q

MOA of umeclidinium/vilanterol?

A

ong acting muscarinic antagonist (LAMA) / long acting beta agonist (LABA)

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12
Q

which medication should be given in an asthma exacerbation regardless of severity?

A

prednisone (NOT ipratropium)

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13
Q

MOA of albuterol/ipratropium?

A

short acting beta agonist (SABA) / short acting muscarinic antagonist (SAMA)

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14
Q

vignette: pt with suspected silicosis. asking about first diagnostic step?

A

albuterol trial

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15
Q

asking about 1st line treatment of provoked venous thromboembolism (VTE) involving a proximal vein specifically

A

(maybe: femoral or popliteal vein?)

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16
Q

MOA of umeclidinium/vilanterol?

A

long acting muscarinic antagonist (LAMA) / long acting beta agonist (LABA)

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17
Q
A
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18
Q
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19
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20
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21
Q
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22
Q

ARDS Tx

A

intatracheal surfactant

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23
Q

increased tactile fremitus means? decreased?

A

consolidation; effusion

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24
Q

50 y/o smoker w/ honeycomb lungs

Study These Flashcards
A

pulmonary fibrosis

25
Non-caseating granulomas
sarcoidosis
26
pleural plaques (hyalinized collagen on x-ray) w/ a restrictive pattern in lower lung field
asbestosis
27
in electronics, areospace, ceramics, tools, dye with granulomas
berrylliosis
28
4 diagnostic criteria for ARDS?TX?
1. acute 2. CXR "white out" 3. PF ratio < 300 mm Hg 4. Not due to cardiac 5. TX: methylprednisone
29
2 saba meds?
albuterol and levalbuterol
30
5 laba meds?
salmeterol formoterol arformoterol indacaterol olodaterol so far asthma is okay
31
sama med? lama med?
Ipratropium tiotopium
32
COPD group E? tx
A: >2 mod excerbations or > 1 leading to hospital Tx: LABA + LAMA + ICS
33
COPD Group B? TX?
B: 0 or 1 mod exterbations no hospital CA > 10 Tx: laba + lama
34
COPD group A? Tx?
A: 0 or 1 mod exterbations no hospital CA < 10 Tx: bronchodilator
35
Dtap/ Tdap time line
36
MC lung cancer
adenocarcinoma
37
Pnemonia typical mc? atypical?
step pnemo, chlamydophilia
38
How to dx pnemonia?
new inflitrates on cxr and > 1 respiratory sxs and > 1 other ( abnormal lung sounds, fever, leukocytosis, hypoxia )
39
What is seen on an EKG in PE?
s1q3t3, RAD
40
order what first in PE?
cxr and d dimer
41
pregnant pt with PE order?
VQ scan
42
PE tx?
heparin and TPA of greater than 2 hrs
43
pulmary edema tx?
thoracentesis
44
most common disease recently causinf emphyema?
pnemonia
45
klebsilla seen in who?
alcoholics
46
mycoplasma pnemonia has ?
bollus myringitis
47
crushed ping png balls, bat wong apperance with increased LDH dx? tx?
pnemocyctisis jirovecic pnemonia bactrim or pentam
48
5 y/o w. whopping cough dx? tx?
pertusis > 1 month any myocin < 1 month only azithromyocin
49
thumb sign, sniffing position, drooling dx? tx?
epiglottis IV ceftriaxone or augmentin
50
Croup organism?
parainfluenza or influenza
51
5 y/o w/ seal bark and steeple sign on x-ray?
croup
52
curb-65 for pnemonia
confusion uremia > 7 RR > 30 BP < 90/60 > 65
53
TB: > 5 mm
HIV abnormal cxr close contact
54
TB > 10 mm
Iv drug user resident/ employee immigrant
55
TB: > 15 mm
BCG
56
Becks triad for tension pnemo?
JVD, decreased breath sounds, hypotension
57
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
58
Tb in upper lobes? lower lobes?
U: reactive L: new

Summative (14 decks)

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