Pulm

Question 0

CXR: hilar adenopathy, calcified parenchymal granulomas, solitary nodules, diffuse infiltrates

Answer 0

TB

Question 1

post-tussive rales, decreased fremitus, LAD

Answer 1

TB

Question 2

CXR: hilar adenopathy, patchy or nodular infiltrates in lower lobes

Answer 2

histo

Question 3

CXR: hilar adenopathy, patchy infiltrates, residual lung nodules

Answer 3

coccidiomycosis

Question 4

fever, cough, arthralgias, erythema nodosum

Answer 4

coccidiomycosis

Question 5

labs: eosinophilia w/ slight leukocytosis

Answer 5

coccidiomycosis

Question 6

CXR: opacities in lower lungs, thickened pleura, pleural plaques

Answer 6

Asbestosis

Question 7

CXR: hilar node calcification, round opacities (silicotic nodules), enlarging opacities

Answer 7

Silicosis

Question 8

CXR: hilar adenopathy, diffuse infiltrates, pulmonary fibrosis
noncaseating granulomas

Answer 8

sarcoidosis

Question 9

CXR: various abnormalities, cavitating nodules
labs: +ANCA

Answer 9

Granulomatosis

Question 10

CT: irregular & stellate-shaped peripheral pulmonary arteries, “vasculitis sign”

Answer 10

Granulomatosis

Question 11

labs: hypercalcemia, high ESR, high serum protein, high serum ACE

Answer 11

sarcoidosis

Question 12

CXR: bilateral diffuse reticular or reticulonodular infiltrates, periphery & bases

Answer 12

Idiopathic pulmonary fibrosis

Question 13

CXR: heart enlargement, pulm. congestion, increased lung markings

Answer 13

chronic bronchitis

Question 14

CXR: infiltrate, consolidation, cavitation

Answer 14

pneumonia

Question 15

CXR: hyperinflation (bullae), flattening of diaphragms, enlargement of retrosternal air space

Answer 15

Emphysema

Question 16

CXR: ground-glass hazy opacity due to inflammation
reticular “netlike” pattern of opacities
honeycombing

Answer 16

interstitial lung disease

Question 17

CXR: bilateral diffuse interstitial infiltrates

Answer 17

P. jirovecii

Question 18

CXR: RLL infiltrate

Answer 18

aspiration pneumonia

Question 19

labs: high LDH, low CD4, sputum culture

Answer 19

P. jirovecii

Question 20

wheezing, bronchospasm, rhonchi (clears w/ cough), no signs of consolidation

Answer 20

acute bronchitis

Question 21

expiratory wheezing, prolonged expiration, tachypnea, tachycardia, pulsus paradoxus, accessory mm. use

Answer 21

Asthma

Question 22

crackles, wheeze, decreased breath sounds

w/ hx of excessive cough

Answer 22

COPD

Question 23

fever, resp. rate >24, tachycardia, diaphoresis, crackles, signs of consolidation

Answer 23

pneumonia

Question 24

lung cancer screening criteria (3)

Answer 24

low dose CT for ages 55-74 w/ 30 pack-year hx
or quit w/in 15 years
or 20 pack-year hx w/ additional risk factor

Question 25

crackles, inspiratory squeaks (high pitched rhonchi), cor pulmonale

Answer 25

Interstitial Lung Disease