Pulmonary

Question 1

What GOLD COPD stage is LAMA first line?

Answer 1

Category C, Gold 3-4

Question 2

What 2 common bacteria occur with COPD?

Answer 2

Strep pneumo
H. flu

Question 3

Interstitial to patchy infiltrates on CXR

Answer 3

Atypical - mycoplasma

Question 4

3 options for atypical pathogens for ABX

Answer 4

Macrolides
Doxy
Ciprofloxacin (last choice)

Question 5

What bacteria to consider w/ smokers and ppl w/ COPD and pneumonia?

Answer 5

H. flu

Question 6

LABA’s can be used for COPD rescue treatment? true/false
Give 2 examples of LABA

Answer 6

False
Salmeterol, fomotorol

Question 7

1 cause of CAP in C. fibrosis

Answer 7

Pseudomonas

Question 8

Treatment for CAP w/ no comorbidities

Answer 8

Azithromycin x 5 days
Clarithyromycin 5-7 days
Amoxicillin x 5-7 days

Question 9

Treatment of CAP w/ comorbidities

Answer 9

Augmentin x 5-7 days
Levofloxcain x 5-7 days

Question 10

CURB-65

Answer 10

Confusion
U (BUN > 19.6)
R RR > 30
BP < 90/60
65 years

Question 11

If PPSV 23 < age 65 when can repeat

Answer 11

in 5 years

Question 12

If PCV 13, when can give PPSV 23

Answer 12

In 1 year

Question 13

Young adule w/ several weeks of fatigue w/ severe coughing, clear mucuous. gradual onset of symptoms, started w/ flu-like illness and diffuse interstitial infiltrates on x-ray. What is it and how to treat?

Answer 13

Walking pneumonia/mycoplasma
Doxy x 7-10 days
Azithromycin x 5 days
Levofloxacin x 5 days

Question 14

Treatment of pertusis

Answer 14

azithromycin 500mg x 1 dose then 250 mg x 4 days

Question 15

2 most common bacteria for pnenumonia

Answer 15

H. flu and strep pneumo

Question 16

2 most common bacteria for atypical pneumonia

Answer 16

Mycoplasma
Chlamydia

Question 17

T/F acute bronchitis is treated w/ ABX?

Answer 17

False

Question 18

Milia seed pattern on CXR

Answer 18

Miliary TB

Question 19

Ioniazid and rifampin are two first line drugs for what condition

Answer 19

Tuberculosis

Question 20

T/F ethambutol as treatment for TB can cause conjunctivitis?

Answer 20

False
It causes optic neuritis

Question 21

What to suspect w/ upper lobe cavitations and mediastinal adenopathy on CXR?

Answer 21

TB

Question 22

TB skin test + if INDURATION ____ mm in person
+ HIV
Recent contact w/ TB
CXR w/ fibrotic changes —> previous TB
Any child with close contact
Immunocompromised

Answer 22

5 mm

Question 23

TB skin test + if INDURATION ____ mm in person
recent immigrants ( < 5 years)
Child younger than 4 exposed to high risk adult
IVDU
Living in congested settings

Answer 23

10 mm

Question 24

TB skin test + if INDURATION ____ mm in person
no risk factors

Answer 24

15 mm

Question 25

IGRA blood test is used for

Answer 25

people vaccinated w/ BCG vaccination for tb testing

Question 26

What test is gold standard for diagnosing TB

Answer 26

sputum culture & sensitivity

Question 27

PEFR is based on what 3 characteristics

Answer 27

HAG:
`
Height
Age
Gender

Question 28

Spirometry asthma
Green zone -
Yellow zone
Red zone

Answer 28

Green zone - 80-100%
Yellow zone 50-80%
Red zone < 50%

Question 29

Asthma classification:
Intermittent
Mild persistent
Moderate persistent
Severe persistent

Answer 29

Intermittent - FEV 1 > 80% predicted; daytime symptoms < 2 x/week; nighttime waking < 2 x/month
Mild persistent - FEV 1 > 80% predicted; daytime symptoms > 2 x/week (NOT daily); nighttime waking 3-4 x/month
Moderate persistent FEV1 60-80%; nighttime wakening > 1 x/week (NOT nightly)
Severe persistent FEV1 < 60%; symptoms throughout day, nightly symptoms