Pulmonary

Question 0

Foul smelling unilateral discharge from nose

Answer 0

Foreign body

Question 1

Choanal atresia is part of which syndromes

Answer 1

CHARGE, Treacher-Collins

Question 2

Epistaxis in adolescents

Answer 2

Think drug abuse

Question 3

Nasal polyps

Answer 3

Think CF

Question 4

Most common cause of epistaxis

Answer 4

Nose picking

Question 5

Glottic webs are seen in which syndrome

Answer 5

Velocardial facial syndrome (22q11 deletions)

Question 6

CXR shows over inflation, air trapping, depressed diaphragm ipsilaterally with mediastinal shift and compression atelectasis of adjacent lobes

Answer 6

Congenital lobar emphysema

Question 7

A mass of non functioning pulmonary tissue in which fetal lung tissue is segregated from main tracheobronchial tract, with blood supply from systemic arteries arising directly from aorta

Answer 7

Bronchopulmonary sequestration

Question 8

CXR shows triangular density with displacement of bronchovascular markings

Answer 8

Extralobar sequestration

Question 9

CXR with round water density mass or air trapping

Answer 9

Bronchogenic cyst

Question 10

Infant presents with scaphoid abdomen, barrel chest, respiratory distress

Answer 10

Congenital diaphragmatic hernia

Question 11

Werdnig Hoffman

Answer 11

SMA type 1

Question 12

Black eschar on nasal turbinate in poorly controlled diabetic

Answer 12

Sinusitis caused by Mucormycosis

Question 13

Presents like RSV

Answer 13

Human metapneumovirus

Question 14

High fever, severe throat pain, trismus, hot potato voice, deviation of uvula to opposite side

Answer 14

Peritonsillar abscess

Question 15

Causes majority of croup cases

Answer 15

Parainfluenza types 1 & 2

Question 16

Tx for epiglottis

Answer 16

Ceftriaxone or cefotaxime

Question 17

Staccato cough, nasal congestion, conjunctivitis in first week of life, wheezing. CXR with hyperinflation

Answer 17

Chlamydia

Question 18

Organisms that causes pneumatoceles

Answer 18

Strep pyogenes, staph aureus

Question 19

Seen in Mississippi and Ohio River valleys, hilar adenopathy

Answer 19

Histoplasmosis

Question 20

Endemic to southwest

Answer 20

Coccidiomycosis

Question 21

Central, southeast, or mid Atlantic states. Mass like infiltrates. Budding yeast

Answer 21

Blastomycosis

Question 22

High IgE, asthmatic with fleeting infiltrates on CXR and cough productive of brown plugs

Answer 22

Allergic Bronchopulmonary Aspergillosis

Question 23

Bullous myringitis and neurological changes

Answer 23

Mycoplasma pneumoniae

Question 24

HPA axis suppression, osteoporosis, cataracts, hyperglycemia, weight gain, thinning of skin, striae, growth retardation

Answer 24

Adverse effects of steroid use

Question 25

Asthma medication that requires serum monitoring, has drug-drug interactions, and causes GI symptoms and behavioral changes

Answer 25

Theophylline

Question 26

Procedure to diagnose and tx foreign body aspiration

Answer 26

Rigid bronchoscopy

Question 27

Pulmonary cause of meconium ileus

Answer 27

CF

Question 28

Most common CF mutation

Answer 28

Delta F508 mutation on CFTR gene. Shows up on newborn screen as elevated immunoreactive trypsinogen

Question 29

LIP (lymphocytic interstitial pneumonitis

Answer 29

Sjogren's or HIV

Question 30

Pulmonary HTN

Answer 30

Scleroderma

Question 31

Congenital hypoventilation syndrome associated with Hirschsprungs Disease

Answer 31

Ondine's Curse

Question 32

Hemoptysis and nephritis

Answer 32

Goodpasture's Syndrome

Question 33

Hemosiderin laden macrophages on bronchalveolar lavage

Answer 33

Idiopathic pulmonary hemosiderosis