pulm

Question 1

Asbestosis is associated with which risk factor?

Answer 1

shipping yard; insulation

Question 2

Asbestosis: C-ray/HRCT findings

Answer 2

Lower lobes affected-> pleural plaques, diffuse pleural thickening

Question 3

PFT finding of asbestosis

Answer 3

FEV1/FVC:normal -> restrictive pattern

Question 4

A complication of asbestosis?

Answer 4

Lung cancer: mesothelioma

Question 5

Risk factor of silicosis?

Answer 5

Mining, quarry, sandblasting

Question 6

x-ray/HRCT findings for sillicosis?

Answer 6

upper lobes-> bilateral hilar: rounded opacities (eggshell calcifications)

Question 7

Coal workers pneumociconisosi + RA

Answer 7

caplan syndrome: arthralgia, morning stiffness

Question 8

Coal workers pneumociconisos imaging findings

Answer 8

upper lobe: nodular opacities

Question 9

berylliosis risk factor?

Answer 9

working with computers, aerospace

Question 10

lobe affected in berylliosis

Answer 10

upper lobe: multiple small round opacities

Question 11

Lofgren syndrome

Answer 11

pathogonominc for sarcoidosis
1) Erythema nodosum (sores on shin)
2) Bilateral hilar LAD on xray
3) Polyarthralgia + fever

Question 12

Symptoms of sarcoidosis

Answer 12

pulm: dry cough, dyspnea, CP
Skin: erythema nodosum, lupus pernio (most specifi: purple rash on cheeks, nose)
Eyes: Antrior uveitis
Facial nerve palsies
Lymphadenopathy: bilateral hilar nodes

Question 13

What lab findings are seen in sarcoidosis?

Answer 13

Increased ACE levels
Hypercalciuria
Hypercalcemia

Question 14

Sarcoidosis Chest x-ray findings 4 stages

Answer 14

Stage 1: bilateral hilar lymphadenopathy
Stage 2: BHL + interstitial lung disease (reticular opacities)
Stage 3: Interstia lung disease
Stage 4: Lung fibrosis (restrictive disease)

Question 15

Sarcoidosis Biopsy findings

Answer 15

Noncaseating granuloma

Question 16

Sarcoidosis management

Answer 16

Asymptomatic = observation
Symptomatic: oral corticoidsteriods +/- methotrexate, leflunomide, azathioprine

Question 17

Heerfordt syndrome

Answer 17

pathognomonic for sarcoidosis 1) parotitis
2) Fever
3) Uveitis

Question 18

dry bibasilar end inspiratory velcro crackles

Answer 18

idiopathic fibrosing interstital pneumonia

Question 19

idiopathic fibrosing interstital pneumonia is most strongly associated with

Answer 19

smoking

Question 20

What is acute respiratory distress syndrome?

Answer 20

Bilateral pulmonary infiltrates & hypoxemia in the absence of heart failure.

Question 21

what are the common causes of acute respiratory distress syndrome?

Answer 21

1) pulmonary trauma (pulmonary contusion, inhaled irritants)
2)Indirect non pulmonary insults (sepsis, burns, pancreatitis)