Pulmonary

Question 1

PFTs during asthma exac

Answer 1

Decr FEV1/FVC , diminished peak flow, incr RV

Question 2

Tram lines on cxr

Answer 2

bronchiectasis

Question 3

PFTs restrictive lung

Answer 3

FVC decr, FEV1nl, RV mod decr

Question 4

Assoc with inspiratory squeaks, velcro-like crackles

Answer 4

ILD

Question 5

PFTs ILD

Answer 5

Decr TLC, Decr FVC, decr DLco

Question 6

PFTs COPD exac

Answer 6

decr FEV1/FVC, decr DLco, normal or decr FVC

Question 7

CXR shows linear opacities, calcified pleural plaques

Answer 7

Asbestosis

Question 8

CXR shows small nodular opacities in upper lung zones, Spirometry restrictive (dx, prognosis)

Answer 8

Coal miner’s, progressive massive fibrosis

Question 9

Egg shell calcification on CXR (dx, tx)

Answer 9

Silicosis, annual TB

Question 10

Tx, findings of berylliosis

Answer 10

hilar adenopathy, chronic corticosteroids

Question 11

Causes incr Aa grad

Answer 11

shunt, VQ mismatch, diffusion impairment

Question 12

criteria to dx ARDS

Answer 12

acute onset

ratio PaO2/FiO2

Question 13

Tx and O2 goals for ARDS

Answer 13

ventilation with low tidal volumes

SaO2>90% o FiO2

Question 14

Definition, causes pulm htn

Answer 14

pulm art pres >25

L heart failure, mitral stenosis, pulm vasoconstr

Question 15

loud, palpable S2, flow murmr, S4, parasternal heave

Answer 15

pulm htn

Question 16

size vs calcification in benign vs malignant lung nodule

Answer 16

size:

Question 17

Lung nodule in:

• recent immigrant
• SW US
• Ohio River Valley

Answer 17

Recent immigrant: TB
SW US: coccidiomycosis
Ohio: histoplasmosis

Question 18

location lung cancer mets (4)

Answer 18

liver, adrenals, brain, bone

Question 19

Light’s criteria

Answer 19

Exudate if an criteria met:
pleural protein/serum protein >0.5
pleural LDH/serum LDH >0.6
pleural fluid LDH >2/3 upper limit normal serum LDH