Pulmonary Flashcards

1
Q

s/s of acute bronchitis

A

cough > 5 days, wheezing, dyspnea

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2
Q

Tx of acute bronchitis

A

supportive:
OTC expectorants (guafenesin)
humidifier
hydration

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3
Q

bronchiolitis s/s

A

difficulty feeding, cyanosis, wheezing, coughing

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4
Q

tx of bronchiolitis

A

supportive

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5
Q

tx of pertussis

A

macrolide

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6
Q

MC cause of croup

A

parainfluenza virus

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7
Q

s/s of croup

A

barking cough, stridor on inspiration, hoarseness

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8
Q

tx of croup

A

oral steroids (dexamethasone)
stridor at rest–> add nebulized racemic epinephrine

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9
Q

RSV s/s

A

prolonged expiration, grunting, retractions, crackles

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10
Q

RSV dx

A

PCR of nasopharyngeal swab

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11
Q

tx of RSV

A

supportive
hospitalize and supplemental O2–> if O2<90-92

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12
Q

s/s of TB

A

fever, WL, night sweats, hemoptysis

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13
Q

tx of TB

A

active- PIER (6mo or 9mo regimens)
latent- RIF and/or INH

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14
Q

+ PPD >15mm

A

no RFs

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15
Q

+ PPD >10 mm

A

healthcare worker
crowded living conditions
born in high TB country
<4 yrs old
injection drug user

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16
Q

+ PPD >5 mm

A

HIV+
contact w/ someone w/ active TB
organ transplant
immunocompromised
previously had TB

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17
Q

typical pneumonia pathogens

A

strep pneumoniae
h flu
kelbsiella
staph aureus

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18
Q

atypical pneumonia pathogens

A

mycobacterium
legionella
chlamydia
viruses

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19
Q

rust colored sputum and rigors is characteristic of pneumonia due to what pathogen?

A

strep pneumo

20
Q

alcoholics are at increased risk of pneumonia due to what pathogen?

A

klebsiella

21
Q

tx of outpatient CAP

A

macrolide
amoxicillin
doxycycline

22
Q

tx of inpatient CAP

A

macrolide + beta lactam OR respiratory fluoroquinolone

23
Q

pneumonia admission criteria

A

CURB65
AMS
uremia
RR>30
BP <90 systolic or <60 diastolic
65+

24
Q

nosocomial pneumonia treatment is based on:

A

MRSA
Multiple drug resistance
Mortality
Antibiograms

25
Q

chronic bronchitis s/s

A

cough and sputum production for 3+ mo for 2 consecutive years

26
Q

GOLD criteria

A

2+ exacerbations or any hospitalizations–> group E
0-1 exacerbations
- mMRC 0-1–> group A
-mMRC 2+–> group B

27
Q

GOLD tx

A

group E- LABA + LAMA
- eos>300 add ICS
group A- bronchodilator
group B- LABA + LAMA

28
Q

bronchiectasis s/s

A

foul smelling purulent sputum
cough
hemoptysis

29
Q

Dx of bronchiectasis

A

HRCT- bonchoarterial dilation ratio >0.8 in children and 1-1.5 in adults

CXR- tram track markings

30
Q

tx of bronchiectasis

A

airway clearance techniques
inhaled bronchodilators

31
Q

s/s of asthma

A

wheezing
breathlessness that’s worse at night

32
Q

Dx of asthma

A

FEV1/FVC <0.70
bronchoprovocation–> >20% worsening
bronchodilator–> >12% improvement

33
Q

step 1 asthma criteria

A

s/s: 2 or less/ wk
night s/s: 2 or less/ mo
FEV1: >80%

34
Q

step 1 asthma tx

A

PRN low dose ICS + LABA

35
Q

step 2 asthma criteria

A

s/s: 2-7/ wk
night s/s: 3-4/ mo
FEV1: >80%

36
Q

step 2 asthma tx

A

PRN low dose ICS + LABA

37
Q

step 3 asthma criteria

A

s/s: daily
night s/s: >1/wk
FEV1: 60-80%

38
Q

step 3 asthma tx

A

low dose ICS +LABA

39
Q

step 4 asthma criteria

A

s/s: all day
night s/s: nightly
FEV1: <60%

40
Q

step 4/5 asthma tx

A

medium-high dose ICS +LABA

may add LAMA

41
Q

obstructive sleep apnea s/s

A

snoring
witnessed breath pauses
insomnia
daytime sleepiness

42
Q

Dx of obstructive sleep apnea

A

PSG: >5 episodes (symptomatic) or >15 episodes (asymptomatic)

43
Q

Tx of obstructive sleep apnea

A

CPAP

44
Q

triad of obesity hypoventilation syndrome

A

obesity
sleed disordered breathing
chronic hypercapnia

45
Q

s/s of obesity hypoventilation syndrome

A

HA
peripheral edema
polycythemia

46
Q

Tx of OHS

A

CPAP