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pulm Flashcards

1
Q

First line tx for peds CAP?

A

Amoxcillin

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2
Q

Post-flu pneumonia which bacteria?

A

Staph aureus

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3
Q

COPD pneuminia which bacteria?

A

H Flu

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4
Q

Alcoholic pneumonia which bacteria?

A

Klebsiella

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5
Q

GI sx or neuro sx which pneumonia bacteria?

A

Legionella

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6
Q

Bullous myringitis and pneumonia which bacteria?

A

Mycoplasma

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7
Q

Xray view for small pleural effusion?

A

Lateral decub side down

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8
Q

Croup virus?

A

Parainfluenza

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9
Q

Transudative effusion has little to know ______

A

Protein

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10
Q

Transudative effusion numbers high or low?

A

Low

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11
Q

Exudative effusion numbers high or low?

A

High!

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12
Q

Bronchiectasis most common secondary to what condition?

A

Cystic Fibrosis

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13
Q

Bronchiectasis sputum smell?

A

Foul smelling sputum

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14
Q

Bronchiectasis chest xray looks like?

A

Dilated, thickened bronchi described as “tram-track” appearance

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15
Q

Subglottic narrowing in Croup aka

A

Steeple Sign

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16
Q

What condition to consider when patient has unexplained pleural effusion?

A

pulmonary embolism

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17
Q

Classic radiographic appearence of pleural effusion?

A

Blunting of costophrenic angle

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18
Q

MC cause of pleural effusion in US?

A

Heart failure

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19
Q

Pleural effsion does what to breath sounds, percussion, and fremitus?

A

Decreased breath sounds
Decreased tactile fremitus
Dull percussion

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20
Q

PCP pneumonia looks like what on CXR?

A

Bat-wing appearance

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21
Q

Who gets Psittacosis the most often?

A

bird owners, veterinarians, and pet-shop employees

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22
Q

Psittacosis harbored by what animal?

A

Birds

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23
Q

Psittacosis pneumonia tx?

A

Doxy x14-21d

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24
Q

Which HIV-positive PCP pneumonia patients get corticosteroids before Bactrim?

A

arterial oxygen partial pressure (PaO2) < 70 mm Hg

or alveolar-arterial oxygengradient > 35 mm Hg

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25
Inhaling sandblasting, rock mining, and stone cutting dust causes
Silicoliosis
26
Carcinoid tumors do what to skin?
Flushed skin
27
2 bacteria which MC cause bullous myringitis
Strep Pneumonia | H Flu
28
Which CAP bacteria causes hospitalization most often?
Strep pneumoniae
29
Which physical exam test can differentiate the cause of crackles and rales?
Egophony. E to A in pneumonia but no other conditions which cause crackles and rales.
30
About 90% of transudative effusions are caused by which condition?
CHF
31
Carconoid Syndrome dx by...?
24-hour excretion of 5-hydroxyindoleacetic acid (5-HIAA) in the patient’s urine
32
What route is “military TB” (aka acute disseminated TB) spread?
Hematogenous route
33
Honeycombing of periphery and bases is most consistent with which condition?
Idiopathic Pulmonary Fibrosis
34
Isoniazid required supplementation with what?
B6
35
Bilateral hilar adenopathy on chest xray scream which condition?
Sarcoidosis!!!!!
36
Serum angiotensin converting enzyme in Sarcoidosis?
Elevated!
37
Tamiflu/oseltamivir safe in preggers?
Yup
38
ABX class for pertussis?
Macrolides (-mycin)
39
PPD position when if organ recipiants on daily immune suppression, recent contact to active tuberculosis, chest radiographs suggesting infection, and any HIV-positive patients?
5 mm or greater of induration.
40
Acute bronchiolitis has wheeze during inspiration or expiration?
Expiration
41
3 tx for idiopathic pulmonary fibrosis?
1. Supportive care 2. supplemental oxygen 3. pulmonary rehab
42
3 tx for idiopathic pulmonary fibrosis?
1. Supportive care 2. supplemental oxygen 3. pulmonary rehab
43
Which TB med can cause optic neuritis?
Ethambutol
44
Aspiration pneumonia is what sort of injury?
Inflammatory chemical injury
45
Tx for atypical pneumonia (mycoplasma, legionella, psitacci, chylm)?
Azithromycin
46
Work up for low-risk PT with solitary pulm nodule <6mm?
No further follow-up is necessary in a low-risk patient with a solitary pulmonary nodule of < 6 mm.
47
Staph aureus gram stain and morphology?
Gram positive cocci in clusters
48
MC cause of cor pulmonale?
COPD
49
B6 for isoniazid prevents what?
Peripheral neuropathy
50
What PO meds for admitted asthma exacerbation?
PO Prednisone
51
Beta-2-agonists promote bronchodilation how?
by increasing cyclic adenosine monophosphate (cAMP)
52
Major complication of aspiration pneumonia if untreated?
lung abscess
53
Lupus causes what type of pleural effusion?
Exudative
54
Tx for pertussis if macrolides CId?
Bactrim
55
Name of syndrome which is acute presentation of sarcoidosis with triad of hilar adenopathy, erythema nodosum, and polyarthralgia
Löfgren syndrome
56
Tx for mycoplasma pneumoniae (atypical pneumonia) even if peds?
Azithromycin
57
Tx for carconoid tumor?
Octreotide
58
Pleural effusion from infection which transudate or exudate?
Exudate
59
Mild persistent asthma uses low-dose or high-dose ICS?
Low dose ICS
60
Highest odds-ratio for pneumonia in kids?
Oxygen sat <92%
61
MC bacteria in Atypical CAP?
Mycoplasma pneumoniae
62
Restrictive dz something parynchymal?
Yes, it’s something paryenchymal
63
Walking pneumonia which bacteria?
Mycoplasma pneumoniae
64
Rigors happens in which pneumonia bacteria?
Strep Pneumoniae
65
Serum cold agglutinins in which pneumonia bacteria?
Mycoplasma
66
Elevated LFT and hyponatremia which PNA bacteria?
Legionella
67
Rusty (blood-tinged) which PNA bacteria?
Strep pneumniae
68
Currant jelly which PNA bacteria?
Klebsiella
69
Green sputum which PNA bacterias? (hint: 2)
H Flu | Pseudomonas
70
Pneumonia fremitus increased or decreased?
INCREASED
71
Sinusitis in which PNA bacteria?
Chlamyodphila pneumoniae
72
Anaerobic PNA where and which lobe?
MC right lower lobs
73
H Flu PNA happens to people with what underlying problem?
Pulmonary dz
74
Atypical PNA causes sympoms where?
Extrapulmonary=myalgia, malaise, sore throat, HA, N/V/D

PANCE (6 decks)

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