PULMONARY

Question 1

At term, what happens to diaphragm? Subcostal angle?

Answer 1

Diaphragm rises

Subcostal angle widens

Question 2

At term, what happens to thoracic circumference? Thoracic cage?

Answer 2

Thoracic circumference increases

Thoracic cage widens

Question 3

Term lung volumes

Inspiratory capacity

Answer 3

Increases

Question 4

Term lung volumes

Functional residual capacity

Answer 4

Decreases

Question 5

Term lung volumes

Tidal volume

Answer 5

Increases

Question 6

Term lung volumes

Expiratory Reserve Volume

Answer 6

Decrease

Question 7

Term lung volumes

Residual volume

Answer 7

Decreases

Question 8

Term lung volumes

Total lung capacity

Answer 8

Decreases

Question 9

Peak expiratory flow rates

Answer 9

Increase progressively

Question 10

Airway conductance

Answer 10

Increases

Question 11

Total pulmonary resistance

Answer 11

Decreases

Question 12

Lung compliance

Answer 12

Unchanged

Question 13

Hormone affecting airway conductance and total pulmonary resistance

Answer 13

Progesterone

Question 14

Term lung volumes

Vital capacity

Answer 14

Unchanged

Question 15

Asthma complications in pregnancy.

Maternal

Answer 15

Depression
Miscarriage
CS
Preeclampsia

Question 16

Asthma complications in pregnancy

Fetal

Answer 16

Fetal growth restriction

Question 17

Acute asthma first line treatment

Answer 17

Beta agonist

Terbutaline

Question 18

When to admit pregnant asthma?

Answer 18

Respiratory distress

Status asthmaricua

Question 19

Stepwise treatment in Asthma

Answer 19

Mild intermittent: SABA
Persistent
— mild: SABA, low dose ICS
— mod: SABA, low dose ICS, LABA
— severe: SABA, high dose ICS, LABA
— very severe: SABA, high dose ICS, LABA, OCS

Question 20

Classify Asthma

Symptoms throughout the day

Answer 20

Severe persistent

Question 21

Classify Asthma

Nocturnal awakenings 3-4x a month

Answer 21

Mild, persistent

Question 22

SABA Daily

Answer 22

Moderate Persistent

Question 23

Classify Asthma

Activity limitation, minor

Answer 23

Mild persistent

Question 24

Classify Asthma

SABA 2 or less days/week

Answer 24

Intermittent

Question 25

Classify Asthma

Day symptoms 2 days per week

Answer 25

Intermittent

Question 26

Classify Asthma

Night awakening 3-4x a month

Answer 26

Mild persistent

Question 27

Classify Asthma

FEV 80% predicted

Answer 27

Mild persistent

Question 28

Classify Asthma

60-80% predicted

Answer 28

Moderate persistent

Question 29

Classify Asthma

FEV1/FVC Normal

Answer 29

Intermittent or mild persistent

Question 30

Classify Asthma

FEV1/FVC reduced 5%

Answer 30

Moderate persistent

Question 31

Classify Asthma

FEV1/FVC reduced >5%

Answer 31

Severe persistent

Question 32

Low dose ICS safe in pregnancy

Answer 32

Budesonide

Question 33

LABA safe in pregnancy

Answer 33

Salmeterol

Question 34

OCS safe in pregnancy

Answer 34

Prednisone

Question 35

Most common etiology of CAP

Answer 35

Strep pneumonia

Question 36

Most common cause of influenza pneumonia

Answer 36

Influenza A and B

Question 37

Most frequent pneumonia complication

Answer 37

Premature rupture of membranes

Question 38

Pneumonia complications in fetus

Answer 38

Low birth weight

Question 39

Bacterial pneumonia management

Answer 39

Hospitalize pregnant women with pneumonia by Xray

Question 40

Antibiotic therapy in bacterial pneumonia

Answer 40

Macrolide - initial monotherapy
Fluoroquinolone - severe cases
B-lactams (co-amox)

Question 41

Management of influenza pneumonia

Answer 41

Supportive

Neuraminidase inhibitors to shorten course

Question 42

Fetal response to maternal hypoxemia

Answer 42

Decrease cardiac output

Question 43

Sign of a Potentially fatal asthma attack

Answer 43

Central cyanosis