Pulmonary

Question 1

Most likely complication of bronchiolitis in babies

Answer 1

Apnea and respiratory failure

Question 2

Treatment for empyema (particularly after hemothorax) with a think rim

Answer 2

Surgery. Streptokinase in chest tube has little benefit

Question 3

Immediate treatment or acute tension pneumothorax

Answer 3

Needle decompression. Chest tube placement can come after. Start to stabilize patient immediate with need decompression

Question 4

Pneumonia and abdominal symptoms (diarhea etc)

Answer 4

Think legionella, CMV. Hyponatremia is very commonly seen in legionella

Question 5

Criteria for starting home O2 in COPDy

Answer 5

PaO2 55%; nocturnal hypoxia. signs of cor pulmonare or pulmonary hypertension

Question 6

Anterior mediastinal mass with elevated b-Hcg and AFP

Answer 6

Non seminomatous germ cell tumor. B-hcg is elevated in but seminomatous and non seminomatous. But only non seminomatous produces both Bhcg and AFP

Question 7

Patient from Wisconsin, presents with fevers, chills, night sweats, unintentional weight loss , mildly productive cough. You also notice a few skin lesions and lyric bone lesions

Answer 7

Think Blastomycosis.

Question 8

Medications that cause interstitial lung disease

Answer 8

Amiodarone, Busulfan, nitrofuratoin,bleomycin, radiation, long term high O2 concentration

Question 9

Criteria for ARDS diagnosis

Answer 9

Acute onset

ratio PaO2/ FiO2