Pulm - Restrictive Disease Flashcards

1
Q

What category of pulmonary diseases is characterized by interstitial fibrosis due to occupational exposure?

A

Pneumoconioses

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2
Q

Pneumonconioses are caused by chronic exposure to ________genic particles engulfed by _____________.

A

Pneumonconioses are caused by chronic exposure to fibrogenic particles engulfed by alveolar macrophages.

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3
Q

Name four types of pneumoconiosis:

  1. _____________ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. Asbestosis
A

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. Asbestosis
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4
Q

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. ___________
  3. Beryllosis
  4. Asbestosis
A

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. Asbestosis
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5
Q

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. ___________
  4. Asbestosis
A

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. Asbestosis
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6
Q

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. ___________
A

Name four types of pneumoconiosis:

  1. Coal workers’ pneumoconiosis
  2. Silicosis
  3. Beryllosis
  4. Asbestosis
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7
Q

Name the major occupation(s) associated with carbon dust exposure.

A

Coal mining

(coal workers’ pneumoconiosis)

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8
Q

Name the major occupation(s) associated with silica exposure.

A

Sandblasters;

silica miners

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9
Q

Name the major occupation(s) associated with beryllium exposure.

A

Beryllium miners;

the aerospace industry

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10
Q

Name the major occupation(s) associated with asbestos exposure.

A

Construction workers;

plumbers;

shipyard workers

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11
Q

How does coal miners’ pneumoconiosis appear in the lung tissue?

A

Diffuse fibrosis

(‘black lung’)

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12
Q

Coal miners’ pneumoconiosis is associated with ___________ arthritis in ___________ syndrome.

A

Coal miners’ pneumoconiosis is associated with rheumatoid arthritis in Caplan syndrome.

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13
Q

How does silicosis appear in the lung tissue?

A

Fibrotic nodules in the upper lobes

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14
Q

How does berylliosis appear in the body tissues?

A

Noncaseating granulomas in the lungs, hilar lymph nodes, and systemic organs

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15
Q

How does asbestosis appear in the pulmonary tissues?

A

Fibrotic lung/pleural plaques

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16
Q

Mild exposure to carbon results in __________sis, collections of carbon-laden macrophages which are not clinically significant.

A

Mild exposure to carbon results in anthracosis, collections of carbon-laden macrophages which are not clinically significant.

17
Q

Silicosis increases risk of ___________sis.

A

Silicosis increases risk of Tuberculosis.

18
Q

How does silicosis cause its fibrotic changes?

A

Impaired phagolysosome formation in macrophages

19
Q

True/False.

Beryllosis increases risk of lung cancer.

20
Q

Describe the asbestos bodies associated with asbestos lesions.

A

Long, golden-brown fibers associated with iron

21
Q

What size of particles are most dangerous to our lungs when inhaled?

A

1 - 5 microns

22
Q

List the following pneumoconioses in order of increasing carcinogenicity:

Silicosis, berylliosis, asbestosis, coal worker’s

A

List the following pneumoconioses in order of increasing carcinogenicity:

Berylliosis, coal worker’s, silicosis, asbestosis

23
Q

Inhalation of fibrogenic particles (e.g. in pneumoconioses) causes a release of what fibrogenic cytokines?

A

TGF-beta,

IL-6,

ROS

24
Q

Name the three acute forms of intrinsic restrictive lung disease that are all manifestations of diffuse alveolar damage.

A

ARDS (adults);

neonatal respiratory distress syndrome (infants);

acute interstitial pneumonia (no identifiable cause)

25
The presentation of cryptogenic organizing pneumonia (bronchiolitis obliterans) is caused by what basic mechanism?
Fibroblastic plugs in the bronchioles and alveoli
26
How does cryptogenic organizing pneumonia (bronchiolitis obliterans) present on CXR?
Triangular, patchy consolidations | (apex pointing toward hilum)
27
What is the most common interstitial lung disease?
Sarcoidosis
28
What disorder is here described? ## Footnote *Diffuse interstitial granulomatous pneumonitis caused by exposure to inhaled organic antigens.*
Hypersensitivity pneumonitis