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pulmonology > Pulm Exam > Flashcards

Pulm Exam Flashcards

1
Q

Atypical PNA in a 20 yo. Most likely organism?

A

Mycoplasma PNA

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2
Q

Most common symptom of undiagnosed lung CA?

A

Cough

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3
Q

US preventative criteria to screen for lung CA?

A

60 yo with a 30 yr pack history and a current smoker (or quit w/in last 15 yrs)

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4
Q

Governing criteria for asthma severity?

A

Bronchospasm

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5
Q

5yo w/ asthma using SABA every day, waking up every night and severe affect on daily activities. Put him on what?

A

LABA and oral steroid

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6
Q

Old guy was treated for the flu. Now he’s back with signs of infection. What does he most likely have?

A

Secondary bacterial PNA

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7
Q

Risk factor for HCAP?

A

Abx w/in past 90 days

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8
Q

How do you treat a pt with PNA who has a history of heart Dz?

A

Beta-lactam and fluoroquinolone

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9
Q

A CF pt has PNA. What is the most likely organism?

A

Pseudomonas

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10
Q

What do you have to keep in mind when reading an AP view CXR?

A

Heart appears bigger than it is

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11
Q

What is the advantage of a lateral view CXR?

A

See retrocardial space

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12
Q

Explain the histology of idiopathic pulmonary fibrosis

A

Repeated damage from an unknown cause resulting in progressive scarring

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13
Q

How do you treat a pt with a large pleural effusion?

A

Drain it

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14
Q

An HIV pt presents with PNA symptoms. How do you treat them?

A

Bactrim

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15
Q

How do you treat sarcoidosis?

A

Steroids

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16
Q

What is a positive PPD reading?

A

Healthy pt, 20mm at 48 hrs and indurated

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17
Q

How do you diagnose acute bronchitis?

A

Rapid influenza test

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18
Q

What preventative measures do you do for a pt w/ pneumoconiosis?

A

Flu and PPV vaccines

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19
Q

How do you assess lung function in an 8yo?

A

Spirometry (can’t do if < 4 yo)

20
Q

A pt presents with obstructive disease and a 60 yr pack history. What do you expect to see on spirometry?

A

Decreased FEV1/FVC ratio

21
Q

What doesn’t help with classifying or initiating treatment in asthma?

A

Smoking history

22
Q

How do you treat a child with RSV?

A

Send home w/ saline drops and O2

23
Q

How do you treat pleuritis?

A

NSAIDs

24
Q

What is the most likely cause of a low-protein pleural effusion?

A

Transudative pleural effusion d/t CHF

25
Q

How do you treat a tension PTX?

A

Immediate needle decompression

26
Q

What diagnostic test should you do if you have a pt with a family Hx of PEs?

A

Check factor V Leiden

27
Q

What diagnostic test should you perform for a patient with a family history of emphysema (no Hx of smoking)?

A

a-1 antitrypsin

28
Q

How do you diagnose a PE?

A

CT w/ contrast

29
Q

A 2 yo presents with a barking cough. Most likely diagnosis?

A

Croup

30
Q

How do you treat pertussis?

A

Macrolide

31
Q

What is the pathology causing a pt to have barrel chest?

A

Hyperinflation of lung tissue

32
Q

Classify the stage of COPD: FEV1/FVC is 55%.

A

Stage II (moderate)

33
Q

Mainstay Tx for COPD?

A

Bronchodilators

34
Q

Pt in LA presents with dyspnea. What should you ask?

A

Occupational Hx, exposure Hx, etc.

35
Q

What do you have to do before you can treat pulmonary HTN?

A

Right sided catheter

36
Q

What is the MC cause of cor pulmonale?

A

Pulmonary HTN

37
Q

What is the hallmark of sarcoidosis?

A

Non-caseating granulomas

38
Q

20 yo granite worker with difficulty breathing. What is the MC cause?

A

Silica

39
Q

Baby born at 26 weeks with difficulty breathing. What Tx should you initiate?

A

Immediate surfactant replacement therapy

40
Q

How do you test a child that you suspect has CF?

A

Sweat test

41
Q

What is inadequate expansion of air spaces which results in inadequately oxygenated blood (hypoxia)?

A

Atelectasis

42
Q

What doesn’t assess ventilation?

A

Pulse ox

43
Q

What is the etiology of CF?

A

Distrupted CFTR gene

44
Q

What helps with CF?

A

Directed cough, exercise, PEP mask

45
Q

How do you treat a pt with a PE?

A

Heparin

pulmonology (7 decks)

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