Pulm need to know

Question 1

New born with respiratory distress, cyanosis, and scaphoid abd has?

Answer 1

Diaphragmatic hernia

Question 2

Does Pnx have a scaphoid abdomen?

Answer 2

No, its has a mediastinal shift

Question 3

How does CO kill you?

Answer 3

Stronger affinity to Hemoglobin - irreversible, very left shift

Question 4

How do barbitures affect ABGs?

Answer 4

Respiratory depression (Increase C02+ Resp Acid). and Hypoxemia

Question 5

What Pna has absent fevers or rigors, and a nonprod cough with bilat insterstitial inflitrates?

Answer 5

Mycoplasma, Mac/FQ/Dox

Question 6

What helps to reinflate alveoli?

Answer 6

CPAPs - after drowning.

Question 7

Inhalant abuse teenage patients present with ?

Answer 7

Encephalopathy

Question 8

How are PEs diagnosed?

Answer 8

Angiogram or VQ scan (less invasive)

Question 9

What is pulses paradoxus?

Answer 9

decreased BP with inspiration- asthma

Question 10

What is the best Beta blocker for asthma?

Answer 10

Metoprolol

Question 11

How do you diag Pna?

Answer 11

Infiltrates on Xray

Question 12

How can GERD cause night time cough attacks?

Answer 12

Laying down, acid seeps into the trachea = bronchospasm

Question 13

What med can lead to exercise induced asthma?

Answer 13

Mast cell stabilizer

Question 14

Severe asthma attacks get…

Answer 14

Inhaled Saba + IV steroids

Question 15

Severe Emphysema will have what pH, pC02 and P02?

Answer 15

pH = low
pC02 = high
p02 = low

Question 16

COPD has Resp acid or Resp alk?

Answer 16

Resp Acid

Question 17

Asthmatics has Resp acid or Resp alk?

Answer 17

Resp Alk

Question 18

If someone has asbestos exposure what cancers will they get?

Answer 18

MCC = Bronco carcinoma,

Then -> Mesothelioma a pleural cancer.

Question 19

Chronic use of a ventilator at 100% 02 can lead to?

Answer 19

Pulm fibrosis

Question 20

PEEP increases the risk of …

Answer 20

Hypotension due to Rside HF

Question 21

Large bacteria like pneumococcal pna lead to dyspnea bc?

Answer 21

fill alveola with pus. This decreases 02 diffusion.

Question 22

Beclomethasone is a low or high ICS?

Answer 22

low - used in Mild persistant asthma

Question 23

What vaccinations does a COPD pt need?

Answer 23

Flu and Pna

Question 24

What type of breathing is cycles of increased tidal vol and apnea?

Answer 24

Cheyne-Stokes

Question 25

What type of breathing occurs after head trauma and is long seconds of no breathing?

Answer 25

Apneustic

Question 26

meningities patients have what kind of breathing?

Answer 26

Biots

Question 27

Diabetics have what kind of breathing?

Answer 27

Kussmaul = meta acid compensation.

Question 28

What kind of PFT is seen in severe COPD?

Answer 28

Emphysema will have decrease diffusion for Carbon Monox.

Question 29

Patho of Emphysema?

Answer 29

Destroyed elastic = air is trapped in lungs = increased residual capacity and increased total capacity.

Question 30

Patho of hyperventilating?

Answer 30

uncomp respiratory alk = needs a brown bag.

Question 31

MCC lung tumor in non smokers is?

Answer 31

Adenocarcinoma

Question 32

Tx for a tension Pnx is?

Answer 32

Chest tube thoracostomy

Question 33

What disease has Vit A deficiency, foul stools, Hx of URI, and chronic cough?

Answer 33

Cystic Fibrosis

Question 34

Another name for Croup is?

Answer 34

Acute Laryngotracheobronchitis. Same as Croup

Question 35

How can you diagnose a restrictive lung disease?

Answer 35

High Ct and Biopsy with a pulmonologist

Question 36

Solitary Pulm nodules are safe is you are...

Answer 36

<35, the nodule is <3

Question 37

How often do you FU with a pulm nodule?

Answer 37

3 months with a CT for 2 years. After 2 years, dont do anything

Question 38

What do you do with a patient with 88% 02 sat?

Answer 38

Supplement 02

Question 39

Bronchospams has what triad?

Answer 39

SOB, nonprod cough, and wheezing.

Question 40

What disease has Honey-combing and calcified pleural plaques?

Answer 40

Asbestosis

Question 41

Cruises, Trips, diahhrea and lung issues is caused by what bacteria and treated with what?

Answer 41

Legionnaires. | Azythromycin or FQ

Question 42

Post splenectomy the MCC of pneumonia is?

Answer 42

S. pneumonia

Question 43

02 dissociation curve to the left is caused by?

Answer 43

CO

Question 44

02 dissociation curve to the right is caused by?

Answer 44

Acid pH, Increase PCO2, Increased Temp

Question 45

Cold agglutinin assay is treated with?

Answer 45

Azythromycin = Mycoplamsa TB

Question 46

How do you treat RSV? | What age gets RSV?

Answer 46

02 and palivizumab. | <2 years

Question 47

Onset of tachy with HoTN on a vent with positive pressure can lead to?

Answer 47

Pnx

Question 48

Fine inspiratory crackles at base is associated with?

Answer 48

Restrictive lung disease

Question 49

Why do you do a VQ scan on a PE patient?

Answer 49

bc they are pregnant or have CKD

Question 50

Worsening patient with Asthma, resp akl, cyanotic needs?

Answer 50

Intubation

Question 51

Anti-glomerular + nephrotic + hemoptosis/ lung issues is?

Answer 51

Goodpastures

Question 52

Asthma exacerbations get?

Answer 52

Albuterol Nebulizer

Question 53

what has a lung calcification with fluid?

Answer 53

Lung abscess

Question 54

Multi air filled cavities in pleural space could be a

Answer 54

diaphragmatic rupture. Single air filled would be a hemopnx.

Question 55

Exudative effusions need?

Answer 55

Chest tube + Antibox

Question 56

A Pa02<55 =

Answer 56

02 sat<88

Question 57

Side effect of Fluconazole are?

Answer 57

Hepatotoxicity

Question 58

Why is low diffusion of CO expected in Emphesyma?

Answer 58

destroyed cartilage and alveoli = increase CO in alveoli spaces

Question 59

What is ARDS?

Answer 59

Hypoxic lungs - Sepsis, Trauma, Overdose

Question 60

What does a FB need for Tx?

Answer 60

Rigid Broncoscope and remove

Question 61

What will FB look like?

Answer 61

Sudden onset Unilateral rhinorrhea, Foul smell.

Question 62

FB diagnoses?

Answer 62

History + CXR (R-lung doesn't collapse) = obstruction.

Question 63

What cough med does not cause addiction or constipation

Answer 63

Dextromethorphan (Robitussin)

Question 64

Positive Charcoal yeast is treated with what?

Answer 64

Azithro - Legionella

Question 65

Horner's comes from?

Answer 65

Right side Apex cancer compression of sympathetic nerves

Question 66

What does Acute Asthma look like on CXR?

Answer 66

Normal

Question 67

Tx for a carcinoid Small Cell?

Answer 67

Rad + Chemo

Question 68

Multi rib fractures and pardadoxical breathing leads to?

Answer 68

Flail Chest

Question 69

How do you support a choking kid that is coughing?

Answer 69

Allow him to cough out the obstruction, then Heimlich

Question 70

AMS in COPD pt is due to?

Answer 70

Hypoventilation

Question 71

What genetic dx has lung and elevated ALTs?

Answer 71

Alpha 1 antitrypsan

Question 72

Cromyln Na's MAO?

Answer 72

Mast cell stabilizer

Question 73

Most common COPD associated PNA?

Answer 73

Strep> Heamp>Morax

Question 74

Obstruction in the lungs can lead to what CO/02 distal?

Answer 74

low pH, increased C02

Question 75

Lancet shaped diploccoci are?

Answer 75

S. pneumo AKA pneumococcus

Question 76

Why does TB like the apex?

Answer 76

Increased 02 pressure

Question 77

Exercise induced asthma is due to?

Answer 77

Mast cell rupturing