Pulm FA

Question 1

Exudative effusion criteria

Answer 1

Pleural/serum protein > 0.5; plasma/serum LDH > 0.6

Question 2

Transudative effusion causes

Answer 2

CHF, liver or kidney disease, protein losing enteropathy

Question 3

Normalizinf PCI2 in an asthmatic exacerbation indicates what?

Answer 3

Fatigue and impending respiratory failure

Question 4

Sarcoidosis

Answer 4

Dyspnea, lateral hilar lymphadenopathy on CXR, noncaseating granulomas, inc ACE, hypercalcemia

Question 5

PFTs in obstructive disease

Answer 5

low FEV/FVC

Question 6

PFTe for restrictive disease

Answer 6

Inc FEV/FVC, low TLC

Question 7

Honeycomb pattern on CXR. Treatment?

Answer 7

Diffuse interstitial pulm fibrosis. Supportive care. Steroids may help.

Question 8

Treatment with SVC syndrome

Answer 8

Radiation

Question 9

Treatment for mild persistent asthma

Answer 9

Inhaled beta agonists and corticosteroids

Question 10

COPD exacerbation treatment

Answer 10

O2, bronchodilators, antibiotics, corticosteroids with taper, smoking cessation

Question 11

Chronic COPD

Answer 11

Smoking cessation, home O2, beta agonists, anticholinergics, systemic or inhaled corticosteroids, flu and pneumo vaccines

Question 12

PE acid base status

Answer 12

Respiratory alkalosis with hypoxia and hypocarbia

Question 13

Non small cell lung cancer assoc with hypercalcemia

Answer 13

Squamous cell carcinoma

Question 14

Risk factors for DVT

Answer 14

Virchow’s triad (endothelial injury, stasis, and hypercoagulability

Question 15

Lung cancer associates with SIADH

Answer 15

Small cell

Question 16

Tall Caucasian man with acute shortness of breath. diagnosis? Treatment?

Answer 16

Spontaneous pneumothorax, spontaneous regression (suplemental O2 may be helpful

Question 17

Treatment of tension pneumo

Answer 17

Immediate needle thoracostomy

Question 18

Pulm nodule characteristics that favor carcinoma

Answer 18

Age > 45, new or enlarged lesions, absent or irregular calcifications, > 2 cm, irregular margins

Question 19

ARDS

Answer 19

Hypoxemia and pulm edema with normal PCWP

Question 20

Sequelae of asbestos exposure

Answer 20

Pulm fibrosis, pleural plaques, bronchogenic carcinoma, mesothelioma

Question 21

Silicosis inc risk of what infection?

Answer 21

TB

Question 22

Causes of hypoxemia

Answer 22

Right to left shunt, hypoventilation, low inspired O2, tension, diffusion defect, V/Q mismatch

Question 23

Classic CXR findings for pulm edema

Answer 23

Cardiomegaly, prominent pulm vessels, Kerley B lines, “bats wing” appearance of hilar shadows, perivascular and peribronchial cuffingg

Question 24

Westermark’s sign and Hampton’s hump

Answer 24

CXR suggestive of PE