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 - what are they at risk for?

Answer 11

Impending respiratory failure (should have low PaCO2)

Question 12

Most common organism in bacterial tracheitis?

Answer 12

S. aureus