pulm

Question 1

dx foreign body aspiration

Answer 1

insp/exp XR
bronchoscopy to confirm

in young age group - airway fluoroscopy

Question 2

polycythemia effects

Answer 2

HA, joint pain, clots, hemoptysis

increased risk of bleeding 2/2 platelet destruction

Question 3

risk with correcting hypoxia in patient with chronic lung disease

Answer 3

removing respiratory drive

Question 4

carbon monoxide poisoning and O2 sat

Answer 4

normal - carboxyhgb absorbs light at same wavelength

need ABG

Question 5

co-oximetry

Answer 5

blood gas analysis that detects oxyhemoglobin, deoxyhemoglobin, methemoglobin, and carboyhemoglobin

Question 6

fatigue, dizziness, nausea, seizures, AMS, arrhythmias

O2 sat 85%

Answer 6

methemoglobinemia

Question 7

causes of methemoglobinemia

Answer 7

benzocaine
nitric oxide
nitrites in well water

Question 8

cutoff for sweat test

Answer 8

> 60 mEq or higher

Question 9

carrier rate of CF in caucasian pop

Answer 9

1/25

Question 10

chronic sinusitis and bronchiectasis, male infertility, dextrocardia

Answer 10

ciliary dyskinesia
AR

(Kartagener = PCD with full situs inversus)

Question 11

labs c/w chylothorax

Answer 11

TG >110
elevated lymphocytes
protein >3

Question 12

Light’s criteria for exudative effusion

Answer 12

pleural LDH > 2/3 serum
protein > 3
pH < 7.3

Question 13

tx of necrotizing PNA

Answer 13

vanc or clinda