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Step II CS > Pulm > Flashcards

Pulm Flashcards

1
Q

Sinusitis in DM?

A

Think mucor or rhizopus

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2
Q

Nl A-a

A

15

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3
Q

Immunocomp PNA?

A

PCP

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4
Q

Walking PNA

A

M Pneumo/Legionella/Chlamydia

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5
Q

Currant jelly-sputum

A

klebsiella

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6
Q

Bird Handler PNA

A

C Psittaci

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7
Q

Bats/Caves PNA

A

Histo

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8
Q

SW USA PNA

A

Coccidio

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9
Q

Alcoholic PNA

A

Aspiration. Kleb/s pneuno

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10
Q

Q Fever

A

Coxiella (Sheep/goat/cattle)

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11
Q

Air conditioners PNA

A

Legionella

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12
Q

Most common PNA <1 yr

A

RSV

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13
Q

Most common PNA <28 d

A

GBS/ecoli

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14
Q

Most common PNA young adults/military barracks

A

M Pneumo

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15
Q

PNA with many comorbidities

A

Klebs

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16
Q

Most common viral PNA

A

RSV/flu

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17
Q

woolsorters dz

A

b anthrax

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18
Q

Bacterial COPD exacerbation

A

Hif

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19
Q

PNA on ventilator

A

Pseudamonas

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20
Q

PNA with CF

A

Pseudamonas

21
Q

Pontiac fever

A

legionella

22
Q

CAP Tx

A

S pneuno coverage. 3 G ceph/macrolide or levaquin

23
Q

ASTHMA CAN BE diagnosed in older ppl. Reversible airway changes after bdilator

A

ASTHMA CAN BE diagnosed in older ppl. Reversible airway changes after bdilator

24
Q

Wegner’s Can also have cutaneous vasc lesions

A

Can also have cutaneous vasc lesions

25
Q

Lung dz in CREST/systemic sclerosis

A

Interstitial fibrosis

26
Q

Most common causes of CHRONIC cough

A

Post nasal drip, Asthma, GERD

27
Q

Dx post nasal drip?

A

Dx by alleviation of sx after antihistamines

28
Q

MAC ppx in HIV/AIDS - when and how

A

CD 4 <50. Azithromycin

29
Q

COPD PTX

A

catastrophic worsening of resp sx. 2/2 apical blebs

30
Q

Granulomas release what hormones?

A

ACE and VitD (causing hyperCa)

31
Q

Eggshell calcifications - sandblaster

A

silicosis. increases risk for TB

32
Q

Recurrent PNA in same locations

A

Red flag for CA. 2/2 bronchial obstruction

33
Q

Cell markers decreased in brutons

A

CD 19 - no B cells. Yes T cells. Tx IVIG

34
Q

Histo Tx

A

itraconazole

35
Q

Exertional dyspnea. CXR shows enlarged pulm aa and RVH

A

Pulm HTN

36
Q

Persistent ptx and significant air leak following chest tube placement in patient who has suffered blunt chest trauma suggests?

A

Tracheobronchial rupture

37
Q

SVC syndrome - tx?

A

Usually due to malignancy - radiation. steroids dont really help

38
Q

Unilateral upper lobe infiltrate with cavitation and hilar LAD?

A

TB

39
Q

Acid base status for COPD?

A

Resp acidosis because chronic CO2 retention.

40
Q

COPD with normal DLCO?

A

Chronic Bronchitis. Emphysema has decreased.

41
Q

Silicosis jobs?

A

Sandblasters. Restrictive lung

42
Q

Asbestosis jobs?

A

Shipbuilders. restrictive lung

43
Q

Difficulty walking - Signs of shock, normal PCWP, increased right atrial pressure and pulm aa pressure. dx?

A

Pulm embolism

44
Q

When is it ok to start empiric anti-thrombotic tx in a patient with possible PE?

A

If there’s high enough suspicion - treat empirically before pursuing diagnostic tests

45
Q

Pleuritic chest pain, cough, dyspnea, hemoptysis. CT shows unilat pleural effusion and wedge shape in lungs.

A

PE. Wedge shaped infarct in lungs is pathgnomonic for PE

46
Q

Patient has recurrent PNA in same lobe - concerning for lung cancer. What study do you do to confirm?

A

CT chest. Do bronchoscopy afterward.

47
Q

Lung Ca + symmetric proximal mm weakness + erythematous rash over dorsum of fingers. dx?

A

Paraneoplastic syndrome = dermatomyositis

48
Q

Potential complication of bronchiectasis

A

hemoptysis

Step II CS (17 decks)

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