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Summative > Pulm > Flashcards

Pulm Flashcards

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
A
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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

A

pulmonary fibrosis

25
Q

Non-caseating granulomas

A

sarcoidosis

26
Q

pleural plaques (hyalinized collagen on x-ray) w/ a restrictive pattern in lower lung field

A

asbestosis

27
Q

in electronics, areospace, ceramics, tools, dye with granulomas

A

berrylliosis

28
Q

4 diagnostic criteria for ARDS?TX?

A
  1. acute
  2. CXR “white out”
  3. PF ratio < 300 mm Hg
  4. Not due to cardiac
  5. TX: methylprednisone
29
Q

2 saba meds?

A

albuterol and levalbuterol

30
Q

5 laba meds?

A

salmeterol
formoterol
arformoterol
indacaterol
olodaterol
so far asthma is okay

31
Q

sama med? lama med?

A

Ipratropium
tiotopium

32
Q

COPD group E? tx

A

A: >2 mod excerbations or > 1 leading to hospital
Tx: LABA + LAMA + ICS

33
Q

COPD Group B? TX?

A

B: 0 or 1 mod exterbations no hospital
CA > 10
Tx: laba + lama

34
Q

COPD group A? Tx?

A

A: 0 or 1 mod exterbations no hospital
CA < 10
Tx: bronchodilator

35
Q

Dtap/ Tdap time line

36
Q

MC lung cancer

A

adenocarcinoma

37
Q

Pnemonia typical mc? atypical?

A

step pnemo, chlamydophilia

38
Q

How to dx pnemonia?

A

new inflitrates on cxr and > 1 respiratory sxs and > 1 other ( abnormal lung sounds, fever, leukocytosis, hypoxia )

39
Q

What is seen on an EKG in PE?

A

s1q3t3, RAD

40
Q

order what first in PE?

A

cxr and d dimer

41
Q

pregnant pt with PE order?

42
Q

PE tx?

A

heparin and TPA of greater than 2 hrs

43
Q

pulmary edema tx?

A

thoracentesis

44
Q

most common disease recently causinf emphyema?

45
Q

klebsilla seen in who?

A

alcoholics

46
Q

mycoplasma pnemonia has ?

A

bollus myringitis

47
Q

crushed ping png balls, bat wong apperance with increased LDH dx? tx?

A

pnemocyctisis jirovecic pnemonia
bactrim or pentam

48
Q

5 y/o w. whopping cough dx? tx?

A

pertusis
> 1 month any myocin
< 1 month only azithromyocin

49
Q

thumb sign, sniffing position, drooling dx? tx?

A

epiglottis
IV ceftriaxone or augmentin

50
Q

Croup organism?

A

parainfluenza or influenza

51
Q

5 y/o w/ seal bark and steeple sign on x-ray?

52
Q

curb-65 for pnemonia

A

confusion
uremia > 7
RR > 30
BP < 90/60
> 65

53
Q

TB: > 5 mm

A

HIV
abnormal cxr
close contact

54
Q

TB > 10 mm

A

Iv drug user
resident/ employee
immigrant

55
Q

TB: > 15 mm

56
Q

Becks triad for tension pnemo?

A

JVD, decreased breath sounds, hypotension

57
Q

managemnt of asthma

A

1 beta adrenergic (albuterol/ small airway)

#2 anticholigeric (ipratropiu/ large airway)
#3 corticosteroid
#4 magnesium (severe/ smooth muscle relaxer)
#5 intubation/ ventilation

58
Q

Tb in upper lobes? lower lobes?

A

U: reactive
L: new

Summative (14 decks)

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