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EORE > Pulm > Flashcards

Pulm Flashcards

1
Q

Type of crackles with Dilated Cardiomyopathy?

A

Coarse crackles

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2
Q

Barrel chest with which type of COPD?

A

Emphysema (Pink Puffer)

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3
Q

Emphysema and breath sounds?

A

Distant breath sounds

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4
Q

Emphysema and cough?

A

Minimal cough

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5
Q

Which type of COPD has chronic, productive cough?

A

Chronic Bronchitis

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6
Q

Chronic Bronchitis and sputum?

A

Purulent sputum

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7
Q

Which COPD has hemoptysis?

A

Chronic Bronchitis

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8
Q

Which COPD happens in obese?

A

Chronic Bronchitis

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9
Q

Aspiration pneumonia which type of aerobe?

A

Anaerobic

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10
Q

Noninvasive positive pressure in COPD patient does what to tidal volume?

A

Increases tidal volume

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11
Q

MC EKG finding for pulmonary embolism?

A

Sinus tachycardia

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12
Q

Ethambutol (used for TB) does what to eyes?

A

Optic neuritis, decreased visual acuity, and possible blindness

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13
Q

Amylase levels of pleural fluid in setting of acute pancreatitis?

A

Elevated amylase levels

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14
Q

What appears on lymph node biopsy with sarcoidosis?

A

Noncaseating granuloma

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15
Q

Definition of cor pulmale?

A

Altered structure and function of RV

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16
Q

What can cause an unexplained isolated pleural effusion?

A

Pulmonary embolism

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17
Q

What is the prediction value of a D-Dimer? (hint: prediction)

A

Negative predictive value

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18
Q

Which vitamin to supplement with Isoniazid?

A

B6 pyridoxine

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19
Q

Which pneumonia organism in alcoholics or chronically debilitated patients?

A

Klebsiella pneumoniae

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20
Q

Hydrocarbon ingestion in kids can cause what?

A

ARDS

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21
Q

Hydrocarbon ingestion on CXR shows what?

A

Diffuse bilateral infiltrates

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22
Q

Which ABX for CAP?

A

Azithromycin

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23
Q

Honeycombing on CXR which dz?

A

Idiopathic pulmonary fibrosis

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24
Q

Which COPD has chronic cough for at least three months in at least two successive years?

A

Chronic bronchitis

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25
Q

Exudative effusion is associated with what?

A

Malignancy

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26
Q

Beta-2-agonists promost bronchodilation by increasing what?

A

Cyclic adenosine monophosphate

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27
Q

What will CXR show in acute bronchitis?

A

Thickening of bronchial walls

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28
Q

Tx for acute bronchitis?

A

Dextromethorphan and/or guaifensein

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29
Q

Which finding has highest odds ratio for kids with pneumonia?

A

Oxygen saturation <92%

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30
Q

Test of choice for cor pulmonale?

A

Right heart cath

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31
Q

First line tx for latent TB?

A

Isoniazid

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32
Q

Tx for COPD exacerbation?

A

Supplemental oxygen, nebulized albuterol and ipratropium, oral prednisone

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33
Q

What are nodules in skin from sarcoidosis called?

A

Subcutaneous nodules

34
Q

What lung infx can develop after influenza?

A

Staph aureus pneumonia

35
Q

Test of choice for carcinoid syndrome?

A

24 hour urine excretion of 5-hydroxyindoleacetic acid

36
Q

Test for pulmonary embolism if kidneys bad?

A

Ventilation/perfusion scan (V/Q)

37
Q

Most common EKG in acute pulmonary embolism?

A

Sinus tachycardia

38
Q

Coup xray will show?

A

Subglottic narrowing aka steeple sign

39
Q

Which abx class for pertissis?

A

macrolide

40
Q

Strongest risk factor in OSA?

A

obesity

41
Q

CAP species in kids under 5?

A

Mycoplasma pneumoniae

42
Q

Bat-wing lung xray which fungus?

A

Pneumocystis jiroveci (PCP)

43
Q

Sarcoidosis and ACE levels?

A

Elevated

44
Q

Best test for abrupt onset of fevers, chills, malaise, coryza, and cough?

A

Nasopharyngeal swab for flu

45
Q

MC cause of transudative pulmonary effusion?

A

CHF

46
Q

Most common croup virus?

A

Parainfluenza

47
Q

Military TB is spready through which route?

A

Hematogenous route

48
Q

Stacatto cough is due to which pneumonia organism?

A

Chlamydia trachomatis

49
Q

MC cause of cor pulmonale?

A

CPOD

50
Q

MC location for aspired foreign bodies in kids?

A

Right main bronchus

51
Q

Which pneumonia organism causes diarrhea, low sodium, and unilabor infiltrate?

A

Legionella

52
Q

Tx for acute sarcoidosis?

A

Prednisone

53
Q

MC cause of pleural effusion in developed countries?

A

heart failure

54
Q

Several weeks of cough, fever, pleuritic chest pain, weight loss, and night sweats with xray showing dense consolidation?

A

Lung abscess

55
Q

Parynchymal abnormalities consistent with obstructive or restrictive lung dz?

A

Restrictive

56
Q

Oral tx for patient admitted with asthma exacerbation?

A

Oral Prednisone

57
Q

Aspiration pneumonitis due to what?

A

Inhalation of regurgitated gastric contents causing inflammatory chemical injury of tracheobronchial tree.

58
Q

Tx for carcinoid tumors?

A

Octreotide

59
Q

Solitary pulmonary nodule <6mm and low risk?

A

Observation

60
Q

Acute bronchitis cough tx?

A

Inpratropium

61
Q

Nonproductive cough and gradual exertion in men over 50 most likely?

A

Idiopathic Pulmonary Fibrosis

62
Q

MC type of neonatal respiratory distress?

A

Transient tachypnea of newborn d/t residual fluid in lungs after delivery

63
Q

Pleural fluid:serum protein ratio above what indicates exudative effusion from infection?

A

> 0.5

64
Q

Positive PPD above what if pt is organ transplantee on suppressive therapy, recent active TB exposure, or HIV+?

A

≥5 induration

65
Q

Annual chest xray should be done on patients who are on which long-term antiarrythmic?

A

Amiodarone, d/t chronic interstitial pneumonitis

66
Q

Tx for Mycoplasma pneumoniae?

A

Clarithromycin

67
Q

Tx for Psittacosis?

A

Doxycycline

68
Q

Who gets Psittacosis?

A

Animal people

69
Q

High-resolution CT shows what with Idiopathic Pulmonary Fibrosis?

A

Honeycombing

70
Q

What type of pleural effusion does SLE cause?

A

Exudative

71
Q

Glucose level of exudative effusion?

A

<0.6

72
Q

B6 given with Isoniazid prevents what?

A

Peripheral neuropathy

73
Q

Which pneumonia organism also causes bullous myringitis?

A

Strep pneumoniae

74
Q

Does influenza require droplet precautions?

A

Yes

75
Q

Calcium in Sarcoidosis?

A

Hypercalcemia

76
Q

Tx for pleuritic chest pain?

A

Supportive

77
Q

MC sign in pulmonary embolism?

A

Tachypnea

78
Q

Aspiration pneumonia is aerobic or anaerobic?

A

Anaerobic

79
Q

2 tx for acute asthma exacerbation?

A
  1. Oxygen

2. Nebulized albuterol (can also add Ipitropium aka DuoNeb)

80
Q

Initial test for COPD?

A

Pulmonary Function Test

81
Q

Tx for cough in acute bronchitis?

A

Albuterol

82
Q

Gram and morphology of Staph Aureus?

A

Gram positive, cocci in clusters

EORE (10 decks)

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