Pulmonary

Question 1

Risk factors for DVT

Answer 1

Stasis
Endothelial injury
Hypercoagulability

(Virchow’s Triad)

Question 2

Criteria for exudative effusion

Answer 2

Pleural / Serum Protein >0.5

Pleural / Serum LDH >0.6

Question 3

Causes of Exudative Effusion

Answer 3

Think of leaky Capillaries

Malignancy
TB
Bacterial or Viral Infection
Pulmonary Embolism with infarct
Pancreatitis

Question 4

Causes of Transudative Effusion

Answer 4

Think of Intact capillaries

CHF
Liver or Kidney Disease
Protein losing enteropathy

Question 5

Normalizing PC02 in a pt having an asthma exacerbation may indicate?

Answer 5

Fatigue and impending respiratory failure

Question 6

Dyspnea, laterla hilar lymphadenopathy on CXR, non-caseating granulomas, Increase ACE and Hypercalcemia

Answer 6

Sarcoidosis

Question 7

PFTs showing decrease FEV1/FVC

Answer 7

Obstructive Pulmonary Disease (Asthma)

Question 8

PFTs showing Increase FEV1/FVC

Answer 8

Restrictive Pulmonary Disease

Question 9

Honeycomb pattern on CXR

DX
TX

Answer 9

Diffuse interstital pulomnary fibrosis

Supportive care

Steroids may help

Question 10

Tx for SVC syndrome

Answer 10

Radiation

Question 11

Tx for Mild, persistent asthma

Answer 11

Inhaled B agonsists and inhaled corticosteroids

Question 12

Tx for COPD exacerbation

Answer 12

02
Bronchodilators
Antibiotics
Steroids with taper
Smoking Cessation

Question 13

Tx for Chronic COPD

Answer 13

Smoking Cessation
Home 02
B agonists
Anticholinergics
Systemic or Inhaled corticosteroids
Flu and Pneumococcal Vaccines

Question 14

Acid base disorder in pulmonary embolism

Answer 14

Hypoxia and Hypocarbia (Respiratory Alkalosis)

Question 15

Non-small cell lung cancer (NSCLUC) assocaited with Hypercalcemia

Answer 15

Squamous cell lung cancer

Question 16

Lung cancer associated with SIADH

Answer 16

Small Cell

Question 17

Lung cancer highly related to cigarette exposure

Answer 17

SCLS

Question 18

Tall white male presents with acute SOB

DX

TX

Answer 18

Spontaneous pneumothorax

Spontaneous regression

Supplemental 02 may be helpful

Question 19

Tx of Tension Pneumothorax

Answer 19

Immediate needle thoracostomy

Question 20

Characteristics favoring carcinoma in an isolated pulmonary nodule

Answer 20

Age >45-50 years

lesions new or larger in comparison to old films

Absence of calcification or irregular calcifications

Size >2 irregular margins

Question 21

Hypoxemia and pulmonary edema with normal pulmonary capillary wedge pressure

Answer 21

ARDS

Question 22

Sequelaw of Asbestos exposure

Answer 22

Pulmonary fibrosis
Pleural plaques
Bronchogenic carcinoma (Mass in lung field)
Mesothelioma (Pleural mass)

Question 23

Increase risk of what infection with Silicosis

Answer 23

Mycobacterium Tuberculosis

Question 24

Causes of Hypoxemia

Answer 24

Right to left shunt

Hypoventilation
Low inspired 02 tension
Diffusion defect
V/Q mismatch

Question 25

Classic CXR findings for pulmonary edema

Answer 25

Cardiomegaly prminent pulmonary vessels
Kerley B Lines
Bat’s wing appearance of hilar shadows, and perivascular and peribronchial cuffing