Pulmonary

Question 1

FEV1/FVC RATIO

Answer 1

Airway Obstruction

Question 2

Rule of twos: >2 asthma exacerbation per week requiring rescue inhaler, or awakening with nocturnal symptoms >2 Times per month treatment

Answer 2

SABA plus inhaled steroid

Question 3

CURB-65 determines severity of pneumonia

Answer 3

Confusion, Urea (BUN>20), RR>30, BPsys>90, age >65

2 points admit greater than 2 points ICU

Question 4

What test is validated and widely accepted for the diagnosis and access a pleural effusion?

Answer 4

Chest ultrasound

Question 5

Pleural fluid LDH greater than 150mg/dL is indicative of?

Answer 5

Exudate

Question 6

A loculated and septated pleural effusion is indicative of?

Answer 6

Emphysema- REFER

Question 7

In a patient with asthma exacerbation a normal ABG (CO2should be LOW in a tachypnic patient) with normal CO2 is indicative of?

Answer 7

Impending respiratory failure secondary to respiratory muscle fatigue

Question 8

If the diameter of a solitary pulmonary nodule is less than 8mmthe risk of cancer is?

Answer 8

Low

Question 9

Guidelines for outpatient treatment CAP healthy patient

Answer 9

Macrolides; azithromycin,clarithromycin,erythromycin or doxycycline

Question 10

Preferred tuberculin test children less than 5

Answer 10

Mantoux tuberculin skin test

Question 11

Preferred tuberculin test for persons who have received BCG vaccine

Answer 11

Interferon gamma release assay

Question 12

Reduced FEV1 and DECREASED FEV1/FVC RATIO is most consistent with

Answer 12

Diagnosis to asthma

Question 13

Ipratroprium Atrovent nasal spray

Answer 13

Only nasally inhaled anticholinergic recommended for common cold