Pulmonary

Question 1

Adult CF diagnosis

Answer 1

9% present after 18 yo
Bronchiectasis w/ hemoptysis
Pseudomonas in sputum
Upper lobe involvement is distinguishing

Question 2

Lung cancer paraneoplastic

Answer 2

Squamous - central - PTHrP
Small cell - ACTH and SIADH
Adenocarcinoma - peripheral - hypertrophic pulmonary osteoarthropathy

Question 3

Lung cancer screening guidelines

Answer 3

Annual low-dose CT imaging

55-80 in patients who have >30 pack-year smoking history, currently smoking or quit within past 15 years

Question 4

Safe mechanical ventilation TV in ARDS

Answer 4

6ml/kg

Question 5

COPD survival benefit O2 initiation criteria

Answer 5

O2 sat under 88%

O2 sat under 89% with evidence of right-sided heart failure or Hct > 55%

Question 6

Emphysema patterns

Answer 6

Panacinar - alpha-1 antitrypsin deficiency

Centriacinar - smoking

Question 7

Top 3 causes of malignant pleural effusions

Answer 7

1) lung cancer
2) breast cancer
3) lymphoma

Question 8

CF Bronchiectasis characteristics

Answer 8

Cough with sputum
Hemoptysis
Pseudomonas growth
UPPER LUNG LOBES

Question 9

COPD and asthma PFT criteria

Answer 9

> 12% reversal after SABA administration is asthma

PFT most sensitive way of differentiating asthma from COPD (NOT CXR)