Pulmonary Flashcards

0
Q

What color is air on an x-ray?

A

Black “radiolucent” (clarity)

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1
Q

What is the difference between a carotid body and a carotid sinus?

A

Carotid body: chemoreceptor

Carotid sinus: baroreceptor

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2
Q

What color is fluid/solid on x-ray?

A

White “radiopaque” (opacity)

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3
Q

What disease has a steeple sign (inverted “V” shape) on neck film??

A

Croup

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4
Q

What disease has a thumb sign on neck film?

A

Epiglottitis (Most common caused by H.Influenza)

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5
Q

What is “blue bloater”?

A

Bronchitis

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6
Q

What is a “pink puffer”?

A

Emphysema

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7
Q

What diseases have pulmonary eosinophilia?

A

Aspergillosis

Strongyloides

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8
Q

What drugs cause pulmonary eosinophilia?

A

Nitrofurantoin

Sulfonamides

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9
Q

What are the risk factors for lung cancer?

A

Smoking
Radon
2nd hand smoke
Pneumoconiosis (except anthracosis)

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10
Q

What diseases have hemoptysis (cough up blood/ bloody sputum)?

A
Bronchiectasis
Bronchitis
Pneumonia
TB
Lung cancer
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11
Q

Where is a Bokdalek hernia?

A

Back of diaphragm

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12
Q

Where is Morgagni hernia?

A

Middle of diaphragm

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13
Q

What diseases have respiratory alkalosis?

Low levels of carbon dioxide in the blood

A

Restrictive lung disease

Anxiety, pregnancy, gram negative sepsis, pulmonary embolism

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14
Q

What diseases have respiratory acidosis?

Lung can’t remove all carbon dioxide that the body produces

A

Obstructive lung disease

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15
Q

What diseases have metabolic alkalosis?

pH of tissues is elevated

A

Low volume state

vomiting, diuretics, GI blood loss

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16
Q

What diseases have metabolic acidosis?

Body produces too much acid or Kidneys not remove enough acid from the body

A
Acid production
(MUDPILES (methanol, uremia, diabetic ketoacidosis, propylene glycol, isoniazid, lactic acidosis, ethylene glycol ans salicylates), RTA II, diarrhea)
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17
Q

What does stridor tell you?

A

Extrathoracic narrowing
(Narrows when breathe in)
(This sound is found in larynx and trachea)

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18
Q

What does wheezing tell you?

A

Intrathoracic narrowing
(Narrows when breath out)
(This sound is found in bronchus)

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19
Q

What does rhonchi tell you?

A

Mucus in airway
(Obstructive lung disease)
(This sound is found in bronchus)

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20
Q

What does grunting (crepitante) tell you?

A

Blows collapsed alveoli open
(Restrictive lung disease)
(This sound is found in alveoli)

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21
Q

What does dull (mate) percussion tell you?

A

Airspace and chest wall absorbing sound

Found fluid or solid

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22
Q

What does hyperresonance tell you?

A

Air in lungs

23
Q

What does tracheal deviation tell you?

A

Away from pneumothorax or toward atelectasia

“Air phobic”

24
What does fremitus, egophony and bronchophony tell you?
Consolidation (pneumonia) | Alveolar space contains liquid instead (en vez) of gas
25
What is restrictive lung disease?
Trouble breathing in | Small stiff lungs
26
What is obstructive lung disease?
Trouble breathing out | Big mucus-filled lungs
27
What is epiglottitis?
X-ray thumb sign | Drooling (babear)
28
What is croup?
X-ray steeple sign | Barking cough
29
What is tracheitis?
Inflammation of trachea Look toxic Grey pseudomembrane Leukocytosis
30
What is asthma?
Wheeze on expiration IgE Eosinophils
31
What is bronchiolitis?
Asthma in kids under 2yrs
32
What is sinusitis?
Paranasal inflammation
33
What is Bronchiectasis?
Irreversible Dilation of terminal bronchia | Cause bad breath, purulent sputum and hemoptysis
34
What is bronchitis?
Lots of sputum, "blue bloater"(common in chronic bronchitis (have excessive mucus production) and the person is hypoxemic and cyanotic)
35
What is emphysema?
Restrictive to obstructive pattern, "pink puffers"(pink complexion)
36
What is pneumonia?
Consolidation of airway | Inflammatory condition of lung affecting primarily alveoli
37
What is pneumothorax?
Decreased breath sound on one side | Abnormal collection of air or gas in pleural space
38
How do you detect a pulmonary embolus?
Tachypnea, increased V/Q scan, EKG:S1,Q3,T3
39
What is tamponade?
Decreased breath sounds/BP; increased JVD
40
What is laryngomalacia?
Most common cause of stridor in infancy and cause airway obstruction
41
What is tracheomalacia?
Flaccidity of tracheal cartilage | Soft cartilage, stridor since birth
42
What is cystic fibrosis?
Meconium ileus, steatorrhea, bronchiectasis | Also known mucoviscidosis
43
What is aspergillosis?
Allergy to mold, dead plants and found in wet places
44
What is asbestosis?
Shipyard workers, pipe fitters, brake mechanics and mine-workers
45
What is silicosis?
Sandblasters, glassblowers | More fibronodular
46
What is beryliosis?
Radio, TV welders | More granulomatous
47
What is anthracosis?
Coal workers, massive fibrosis
48
What is sarcoidosis?
Non-caseating granulomas, eggshell calcification of lymph nodes
49
What is caplan syndrome?
Combination of rheumatoid arthritis and pneumoconiosis | Manifiest intrapulmonary nodules
50
What is carcinoid syndrome?
Flushing, wheezing, diarrhea | Tx.Ostreotide
51
What is small cell CA?
At carina, malognant, cushing's, SIADH, SVC syndrome
52
What is large cell CA?
Large stuff
53
What is squamous cell CA?
Smoker, high PTH, high Ca2+
54
What is bronchealveolar CA?
Looks like pneumonia, due to pneumoconiosis
55
What is kartagener syndrome?
Defect in cilia motility, fallopian tube and flagella of sperm in males