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Onlinemeded > Pulmonary > Flashcards

Pulmonary Flashcards

1
Q

characteristics of asthma

A
  • bronchoconstriction
  • inflammation
  • obstructive
  • IgE
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2
Q

A syndrome

A

asthma, atopy and allergies, response to triggers

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3
Q

omnius asthma signs

A

decreased lung sounds, hyperresonance

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4
Q

drug induces asthma

A

methycholine

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5
Q

asthma stabilizers

A

cromolyn (athletic asthma)

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6
Q

order of asmtha treatment

A
  1. SABA
  2. inhaled steroid
  3. LABA
  4. increase steroid
  5. PO steroid
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7
Q

med you must use with LABA

A

inhaled corticosteroid

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8
Q

asthma exacerbation treatment

A
  1. oxygen
  2. duonebs
  3. steroids
  4. measure PEFR
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9
Q

home asthma exacerbation

A

no o2, no wheeze, PEFR >70%

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10
Q

asthma salvage therapy

A
  • racemic epi

- subq epi

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11
Q

suspect lung cancer with neg xray could be…..

A

paraneoplastic

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12
Q

stage lung cancer with…..

A

PET-CT

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13
Q

lung cancer work up

A
  1. stage
  2. PFTs
  3. surgery
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14
Q

screening for lung cancer

A

low dose CT scan

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15
Q

who gets lung cancer screening

A
  • 55-80
  • 30 py
  • 15 years ago quit
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16
Q

good signs of pulmonary nodule

A
  • less than 8mm
  • smooth
  • no smoking
  • younger than 45
  • calcified
17
Q

first step of pulmonary nodule

A

look at old films, no change in 2 years, stop

18
Q

small cell lung cancer

A
  • smoking
  • centrally located
  • ACTH
  • SIADH
  • chemo/radiation
19
Q

squamous cell lung cancer

A
  • smoking
  • central
  • PTHrP - calcium
20
Q

adenocarcinoma

A
  • non smokers
  • mesothelioma
  • peripheral
  • pleura
  • puckering
21
Q

carcinoid cancer

A
  • serotonin syndrome
  • left side gets fibrosed
  • 5HIAA in urine
22
Q

prolonged expiration

A

emphysema

23
Q

emphysema

A
  • CO2 retention
  • no cyanosis
  • AP diameter increase
  • prolonged expiration
  • pursed lips
24
Q

bronchitis

A
  • cyanosis
  • pulmonary HTM
  • CHF
  • edema
25
Q

diagnosis of COPD

A

PFTs

26
Q

treatment of COPD order

A
  1. SABA
  2. long acting muscarinic antagonist
  3. LABA
  4. inhaled steroids
  5. PDE4 inhibtors
27
Q

mnemonic for COPD treatment

A 
Corticosteroids 
Oxygen (<88%)
Prevention (vaccines/smoking)
Dialators
Experimental
Rehab
28
Q

COPDers are driven by what to breath

A

hypoxic drive, CO2 drive is gone

29
Q

improving mortality in COPD

A

only O2 and smoking cessation

30
Q

treatment for COPD exacerbation

A
  • Antibiotics - doxy/azythro
  • bronchodilators
  • steroids
  • oxygen
31
Q

ventilator in ARDS

A
  • RR high, tidal volume low

- use PEEP for O2

32
Q

PEEP in ARDS

A

keeps the alveoli open

33
Q

best diagnostic for DPLD

A

high res CT

Onlinemeded (2 decks)

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