pulm

Question 1

types of asthma: extrinsic (70%)

Answer 1

childhood. TH2 lymphocytes
occupational (fumes plastic wood )type 1
Allergic bronchopulm aspergillosis type 1 and 3

Question 2

types of asthma intrinsic

Answer 2

nonalergic: resp infection, smokes/fumes, cold, stress, exercise, drug induced

Question 3

asthma dx

Answer 3

resp alkylosis and hypoxia, hyperinflation, methacholine challenge

Question 4

asthma tx

Answer 4

ASTHMA- albuterol, steroids, theophylline, humidified o2, Mg sulfate, anti leukotriene

Question 5

chronic asthma meds

Answer 5

beclomethasone (steroid)- inhibits cytokine syn 1st line
theophylline- inhibits phosphodiesteratse and decreases Camp hydrolysis
cromolyn-inhibits mast cell mediators
montelukast- block d4

Question 6

COPD basics and types and causes

Answer 6

lose elastic, thick inflamed mucus.
emphysema and bronchitis
asthma, bronchiectasis, cystic fibrosis, tracheal/bronchial obstruction (a1 antitrypsin deficiency)

Question 7

Emphysema types

Answer 7

centriacinar (smoking) apical and upper lobes

panacinar (a 1 antitrypsen) distal acinus. atelectasis/scarring

Question 8

emphysema presentatation and tx

Answer 8

pink puffer blebs and flat diaphragm on cxr, barrel chest,

tx-o2, a 1 antitrypsin therapy

Question 9

bronchiectasis signs and tx

Answer 9

blue bloater,
tram lines and honey comb
tx inhaled steroids, therapy and lobectomy/transplant