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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
Q

Inhaling sandblasting, rock mining, and stone cutting dust causes

A

Silicoliosis

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26
Q

Carcinoid tumors do what to skin?

A

Flushed skin

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27
Q

2 bacteria which MC cause bullous myringitis

A

Strep Pneumonia

H Flu

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28
Q

Which CAP bacteria causes hospitalization most often?

A

Strep pneumoniae

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29
Q

Which physical exam test can differentiate the cause of crackles and rales?

A

Egophony. E to A in pneumonia but no other conditions which cause crackles and rales.

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30
Q

About 90% of transudative effusions are caused by which condition?

31
Q

Carconoid Syndrome dx by…?

A

24-hour excretion of 5-hydroxyindoleacetic acid (5-HIAA) in the patient’s urine

32
Q

What route is “military TB” (aka acute disseminated TB) spread?

A

Hematogenous route

33
Q

Honeycombing of periphery and bases is most consistent with which condition?

A

Idiopathic Pulmonary Fibrosis

34
Q

Isoniazid required supplementation with what?

35
Q

Bilateral hilar adenopathy on chest xray scream which condition?

A

Sarcoidosis!!!!!

36
Q

Serum angiotensin converting enzyme in Sarcoidosis?

37
Q

Tamiflu/oseltamivir safe in preggers?

38
Q

ABX class for pertussis?

A

Macrolides (-mycin)

39
Q

PPD position when if organ recipiants on daily immune suppression, recent contact to active tuberculosis, chest radiographs suggesting infection, and any HIV-positive patients?

A

5 mm or greater of induration.

40
Q

Acute bronchiolitis has wheeze during inspiration or expiration?

A

Expiration

41
Q

3 tx for idiopathic pulmonary fibrosis?

A
  1. Supportive care
  2. supplemental oxygen
  3. pulmonary rehab
42
Q

3 tx for idiopathic pulmonary fibrosis?

A
  1. Supportive care
  2. supplemental oxygen
  3. pulmonary rehab
43
Q

Which TB med can cause optic neuritis?

A

Ethambutol

44
Q

Aspiration pneumonia is what sort of injury?

A

Inflammatory chemical injury

45
Q

Tx for atypical pneumonia (mycoplasma, legionella, psitacci, chylm)?

A

Azithromycin

46
Q

Work up for low-risk PT with solitary pulm nodule <6mm?

A

No further follow-up is necessary in a low-risk patient with a solitary pulmonary nodule of < 6 mm.

47
Q

Staph aureus gram stain and morphology?

A

Gram positive cocci in clusters

48
Q

MC cause of cor pulmonale?

49
Q

B6 for isoniazid prevents what?

A

Peripheral neuropathy

50
Q

What PO meds for admitted asthma exacerbation?

A

PO Prednisone

51
Q

Beta-2-agonists promote bronchodilation how?

A

by increasing cyclic adenosine monophosphate (cAMP)

52
Q

Major complication of aspiration pneumonia if untreated?

A

lung abscess

53
Q

Lupus causes what type of pleural effusion?

54
Q

Tx for pertussis if macrolides CId?

55
Q

Name of syndrome which is acute presentation of sarcoidosis with triad of hilar adenopathy, erythema nodosum, and polyarthralgia

A

Löfgren syndrome

56
Q

Tx for mycoplasma pneumoniae (atypical pneumonia) even if peds?

A

Azithromycin

57
Q

Tx for carconoid tumor?

A

Octreotide

58
Q

Pleural effusion from infection which transudate or exudate?

59
Q

Mild persistent asthma uses low-dose or high-dose ICS?

A

Low dose ICS

60
Q

Highest odds-ratio for pneumonia in kids?

A

Oxygen sat <92%

61
Q

MC bacteria in Atypical CAP?

A

Mycoplasma pneumoniae

62
Q

Restrictive dz something parynchymal?

A

Yes, it’s something paryenchymal

63
Q

Walking pneumonia which bacteria?

A

Mycoplasma pneumoniae

64
Q

Rigors happens in which pneumonia bacteria?

A

Strep Pneumoniae

65
Q

Serum cold agglutinins in which pneumonia bacteria?

A

Mycoplasma

66
Q

Elevated LFT and hyponatremia which PNA bacteria?

A

Legionella

67
Q

Rusty (blood-tinged) which PNA bacteria?

A

Strep pneumniae

68
Q

Currant jelly which PNA bacteria?

A

Klebsiella

69
Q

Green sputum which PNA bacterias? (hint: 2)

A

H Flu

Pseudomonas

70
Q

Pneumonia fremitus increased or decreased?

71
Q

Sinusitis in which PNA bacteria?

A

Chlamyodphila pneumoniae

72
Q

Anaerobic PNA where and which lobe?

A

MC right lower lobs

73
Q

H Flu PNA happens to people with what underlying problem?

A

Pulmonary dz

74
Q

Atypical PNA causes sympoms where?

A

Extrapulmonary=myalgia, malaise, sore throat, HA, N/V/D

PANCE (6 decks)

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