Pulm Flashcards
Type of crackles with Dilated Cardiomyopathy?
Coarse crackles
Barrel chest with which type of COPD?
Emphysema (Pink Puffer)
Emphysema and breath sounds?
Distant breath sounds
Emphysema and cough?
Minimal cough
Which type of COPD has chronic, productive cough?
Chronic Bronchitis
Chronic Bronchitis and sputum?
Purulent sputum
Which COPD has hemoptysis?
Chronic Bronchitis
Which COPD happens in obese?
Chronic Bronchitis
Aspiration pneumonia which type of aerobe?
Anaerobic
Noninvasive positive pressure in COPD patient does what to tidal volume?
Increases tidal volume
MC EKG finding for pulmonary embolism?
Sinus tachycardia
Ethambutol (used for TB) does what to eyes?
Optic neuritis, decreased visual acuity, and possible blindness
Amylase levels of pleural fluid in setting of acute pancreatitis?
Elevated amylase levels
What appears on lymph node biopsy with sarcoidosis?
Noncaseating granuloma
Definition of cor pulmale?
Altered structure and function of RV
What can cause an unexplained isolated pleural effusion?
Pulmonary embolism
What is the prediction value of a D-Dimer? (hint: prediction)
Negative predictive value
Which vitamin to supplement with Isoniazid?
B6 pyridoxine
Which pneumonia organism in alcoholics or chronically debilitated patients?
Klebsiella pneumoniae
Hydrocarbon ingestion in kids can cause what?
ARDS
Hydrocarbon ingestion on CXR shows what?
Diffuse bilateral infiltrates
Which ABX for CAP?
Azithromycin
Honeycombing on CXR which dz?
Idiopathic pulmonary fibrosis
Which COPD has chronic cough for at least three months in at least two successive years?
Chronic bronchitis
Exudative effusion is associated with what?
Malignancy
Beta-2-agonists promost bronchodilation by increasing what?
Cyclic adenosine monophosphate
What will CXR show in acute bronchitis?
Thickening of bronchial walls
Tx for acute bronchitis?
Dextromethorphan and/or guaifensein
Which finding has highest odds ratio for kids with pneumonia?
Oxygen saturation <92%
Test of choice for cor pulmonale?
Right heart cath
First line tx for latent TB?
Isoniazid
Tx for COPD exacerbation?
Supplemental oxygen, nebulized albuterol and ipratropium, oral prednisone
What are nodules in skin from sarcoidosis called?
Subcutaneous nodules
What lung infx can develop after influenza?
Staph aureus pneumonia
Test of choice for carcinoid syndrome?
24 hour urine excretion of 5-hydroxyindoleacetic acid
Test for pulmonary embolism if kidneys bad?
Ventilation/perfusion scan (V/Q)
Most common EKG in acute pulmonary embolism?
Sinus tachycardia
Coup xray will show?
Subglottic narrowing aka steeple sign
Which abx class for pertissis?
macrolide
Strongest risk factor in OSA?
obesity
CAP species in kids under 5?
Mycoplasma pneumoniae
Bat-wing lung xray which fungus?
Pneumocystis jiroveci (PCP)
Sarcoidosis and ACE levels?
Elevated
Best test for abrupt onset of fevers, chills, malaise, coryza, and cough?
Nasopharyngeal swab for flu
MC cause of transudative pulmonary effusion?
CHF
Most common croup virus?
Parainfluenza
Military TB is spready through which route?
Hematogenous route
Stacatto cough is due to which pneumonia organism?
Chlamydia trachomatis
MC cause of cor pulmonale?
CPOD
MC location for aspired foreign bodies in kids?
Right main bronchus
Which pneumonia organism causes diarrhea, low sodium, and unilabor infiltrate?
Legionella
Tx for acute sarcoidosis?
Prednisone
MC cause of pleural effusion in developed countries?
heart failure
Several weeks of cough, fever, pleuritic chest pain, weight loss, and night sweats with xray showing dense consolidation?
Lung abscess
Parynchymal abnormalities consistent with obstructive or restrictive lung dz?
Restrictive
Oral tx for patient admitted with asthma exacerbation?
Oral Prednisone
Aspiration pneumonitis due to what?
Inhalation of regurgitated gastric contents causing inflammatory chemical injury of tracheobronchial tree.
Tx for carcinoid tumors?
Octreotide
Solitary pulmonary nodule <6mm and low risk?
Observation
Acute bronchitis cough tx?
Inpratropium
Nonproductive cough and gradual exertion in men over 50 most likely?
Idiopathic Pulmonary Fibrosis
MC type of neonatal respiratory distress?
Transient tachypnea of newborn d/t residual fluid in lungs after delivery
Pleural fluid:serum protein ratio above what indicates exudative effusion from infection?
> 0.5
Positive PPD above what if pt is organ transplantee on suppressive therapy, recent active TB exposure, or HIV+?
≥5 induration
Annual chest xray should be done on patients who are on which long-term antiarrythmic?
Amiodarone, d/t chronic interstitial pneumonitis
Tx for Mycoplasma pneumoniae?
Clarithromycin
Tx for Psittacosis?
Doxycycline
Who gets Psittacosis?
Animal people
High-resolution CT shows what with Idiopathic Pulmonary Fibrosis?
Honeycombing
What type of pleural effusion does SLE cause?
Exudative
Glucose level of exudative effusion?
<0.6
B6 given with Isoniazid prevents what?
Peripheral neuropathy
Which pneumonia organism also causes bullous myringitis?
Strep pneumoniae
Does influenza require droplet precautions?
Yes
Calcium in Sarcoidosis?
Hypercalcemia
Tx for pleuritic chest pain?
Supportive
MC sign in pulmonary embolism?
Tachypnea
Aspiration pneumonia is aerobic or anaerobic?
Anaerobic
2 tx for acute asthma exacerbation?
- Oxygen
2. Nebulized albuterol (can also add Ipitropium aka DuoNeb)
Initial test for COPD?
Pulmonary Function Test
Tx for cough in acute bronchitis?
Albuterol
Gram and morphology of Staph Aureus?
Gram positive, cocci in clusters