Pulm Flashcards

1
Q

shaggy heart sign

A

asbestosis

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2
Q

silhouette sign

A

pneumonia

(but probably other consolidation diseases, too)

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3
Q

MC viral pneumonia in adults?

A

influenza

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4
Q

barking cough

A

croup

(+ pertussis)

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5
Q

steeple sign

A

croup

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6
Q

caseating granulomas on bx

A

TB

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7
Q

cbc shows severe leukocytosis

A

HS pneumonia

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8
Q

ground glass opacities

A

sarcoidosis

IPF

IRDS

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9
Q

meniscus on lateral decubitus CXR

A

pleural effusion

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10
Q

resp acidosis diseases

A

emphysema

end of PE

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11
Q

pink/purple well vascularized tumor

A

carcinoid tumor

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12
Q

drug s/e is hyperuricemia (gout) and hepatitis

A

pyrazinamide

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13
Q

CFTR gene

A

CF

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14
Q

MC cause of acute bronchitis?

A

adenovirus

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15
Q

pneumo culture - foul

A

anaerobes

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16
Q

drug s/e involving eyes

A

etambutol

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17
Q

white-out on CXR except for costophrenic angles

A

ARDS

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18
Q

tram track markings on CT

A

bronchiectasis

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19
Q

companion lines or visceral lines

A

pneumothorax

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20
Q

v/q mismatch

high profusion

A

shunt

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21
Q

MC cause of hosp acquired pneumo

A

pseudomonas (in ICU)

s aureus and klebsiella also common

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22
Q

dx by nasal swab?

A

bronchiolitis

pertussis

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23
Q

increased ACE

A

sarcoidosis (secreted by granulomas)

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24
Q

pleuritic chest pain

A

pleural effusion

TB

pneumonia

PE

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25
Q

BMPR2 gene

A

idiopathic (primary) pulm htn

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26
Q

pleural plaques

A

asbestosis

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27
Q

nodules in upper lungs with hyperinflation of lower lungs

A

CWP

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28
Q

MC cause of bronchiolitis?

A

RSV

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29
Q

sweat chloride test >60mmol

A

CF

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30
Q

multiorgan failure

A

ARDS

(if non-acute consider sarcoidosis or CF)

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31
Q

MC bacteria in bronchiectasis?

A

H inf

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32
Q

respiratory alkylosis

A

asthma

emphysema

beginning of PE

33
Q

CA that occurs in those under 60y

A

carcinoid tumor

34
Q

drug s/e is orange secretions

A

rifampin

35
Q

nighttime cough

A

asthma

pertussis

36
Q

eggshell calcifications

A

silicosis

37
Q

MC cause of epiglottitis?

A

H inf B

38
Q

constitutional sx with N/V/D

A

atypical pneumonia

39
Q

MC causes of ARDS

A

sepsis*

trauma

FB aspiration

40
Q

clubbing

A

IPF

emphysema

bronchiectasis

CF

41
Q

frothy, blood-tinged sputum

A

ARDS

42
Q

acid fast bacilli smear

or + PPD

A

TB

43
Q

v/q mismatch

high ventilation

A

dead space

44
Q

CA that you can’t excise

A

small cell

45
Q

“crackles at bases”

A

bronchiectasis

IPF

46
Q

enlarged R heart border

A

chronic bronchitis

pulmonary HTN

cor pulmonale

47
Q

ascites

periph edema

inc JVP

A

cor pulmonale

pulm HTN

48
Q

Why would you order a pulmonary capillary wedge pressure test?

A

to differentiate pulmonary HTN from ARDS

( < 18 is ARDS and > 18 is pulm HTN )

49
Q

Hampton’s hump or Westermark’s sign

A

PE (wedges on CXR)

Hampton’s - white

Westermarks - black

50
Q

altered mental status

A

cor pulmonale

elderly w/ pneumonia or other infection

51
Q

pneumo culture - blood tinged

A

S pneumo

52
Q

hypoxemia does not respond to 100% O2

A

ARDS

53
Q

pneumo culture - green

A

H inf

pseudomonas

54
Q

rigors

A

typical pneumonia

55
Q

pneumo culture - currant jelly

A

klebsiella

56
Q

silent chest

A

filled with air!

severe asthma

emphysema

57
Q

dome diaphragm

A

IRDS

58
Q

bx shows unorganized NCGs

A

acute HS pneumonitis

59
Q

MC cause of croup?

A

PIV

60
Q

flattened diaphragm

bullae

blebs

A

emphysema

61
Q

massive hemoptysis

A

bronchiectasis

62
Q

MC cause of atypical pneumo

A

mycoplasma

63
Q

MC cause of typical pnuemonia

A

s pneumo

64
Q

CA in non smoking females

A

adenocarcinoma

65
Q

MC cause of pneumonia in kids < 1y

A

RSV

66
Q

merconeum ileum (inability to pass 1st stool)

A

CF

67
Q

tx is cool, humified air

A

croup

bronchiolitis

68
Q

CA that mets early

A

large cell

small cell

69
Q

foul sputum

A

bronchiectasis

70
Q

MC cause of FB aspiration

A

vomit

71
Q

drug s/e is peripheral neuropathy, hepatitis

A

INH

72
Q

located centrally

A

squamous - large bronchioles

small cell

(large cell - can be either central or periph)

73
Q

bilat hilar lymphadenopathy

A

sarcoidosis

berylliosis

74
Q

rapid growing CA

A

large cell

small cell

75
Q

honeycombing

A

IPF*

asbestosis

76
Q

positive Homan’s test

A

PE

77
Q

admit if O2 is < 96%

A

bronchiolitis

78
Q

lupus pernio, erythema nodosa, maculopap rash

+ other pulm and extrapulmonary sx

A

sarcoidosis

79
Q

bx shows organized NCGs

A

subactue/chronic HS pneumonitis

sarcoidosis