Pulmonary

Question 1

Delayed passage of newborn’s first meconium is concerning for

Answer 1

Cystic fibrosis

Question 2

Stridor in a neonate that resolves after intubation

Answer 2

Laryngeal web

Question 3

Stridor in a neonate that appears after prolonged intubation

Answer 3

Subglottic stenosis

Question 4

2 year old with sudden-onset wheeze that doesn’t respond to albuterol

Answer 4

Think foreign body aspiration (get decubitus chest films)

Question 5

How to manage rising CO2 levels in a mechanically ventilated patient?

Answer 5

Increase the respiratory rate or tidal volume

Question 6

High fevers, drooling, and respiratory distress in an unvaccinated child: what is the management?

Answer 6

Intubate in the operating room ASAP and don’t upset the child (epiglottitis)

Question 7

What is the most common etiology and timing of stridor?

Answer 7

Extrathroacic obstruction and inspiratory

Question 8

What is the most common etiology and timing of wheeze?

Answer 8

Intrathoracic obstruction and expiratory

Question 9

Preferred imaging to evaluate parapneumonic effusion

Answer 9

Ultrasound

Question 10

Unilateral pleural effusion after thoracic surgery

Answer 10

Think chylothorax

Question 11

Tachypneic patient with normal PaCO2?

Answer 11

Impending respiratory failure (should have low PaCO2)

Question 12

Most common organism in bacterial tracheitis?

Answer 12

S. aureus