Pulmonary And CCM

Question 1

Post-operative complication of undiagnosed OSA

Answer 1

Acute hypercarbic and hypoxic respiratory failure secondary to loss of pharyngeal muscle tone 2/2 anesthetic effect

Question 2

Treatment of croup without inspiratory stridor at rest

Answer 2

Humidified air + corticosteroids

Question 3

Treatment of croup with inspiratory stridor at rest

Answer 3

Corticosteroids + nebulized epinephrine

Question 4

Causative agent of croup

Answer 4

Parainfluenza virus

Question 5

Clinical presentation of croup

Answer 5

1. Barking cough
2. Inspiratory stridor
3. Hoarseness

Question 6

4 characteristic clinical features of cough-variant asthma

Answer 6

1. Persistent non-productive cough
2. Worse at night
3. Triggered by exercise and forced expiration
4. Associated with chest tightness

Question 7

Treatment of cough-variant asthma

Answer 7

Same as classic astham

Question 8

Diagnosis of cough variant asthma

Answer 8

Clinical picture and PFT

Question 9

Drug contraindicated for asthma exacerbation in pregnancy

Answer 9

Epinephrine

Question 10

Most common cause of hemoptysis

Answer 10

Pulmonary infections in 70 % patients

Question 11

3 complications associated with post-ICU care syndrome (PICS)

Answer 11

1. Mood and sleep disorder
2. Cognitive impairment similar to moderate TBI
3. Physical dependence needing assistance with ADL for months to years

Question 12

Duration of PICS symptoms

Answer 12

Lifelong

Question 13

Predictors of poor prognosis in COPD

Answer 13

Age and FEV1

Question 14

What are the mesothelial layers

Answer 14

Pleura, pericardium, peritoneum, tunica vaginalis

Question 15

Diagnosis of mesothelioma

Answer 15

Thora with cytology showing malignant cells (rare)

VATS with biopsy

Question 16

Radiographic features of silicosis

Answer 16

LL emphysema and UL nodules

Question 17

Median survival in mesothelioma

Answer 17

9-13 months

Question 18

Treatment of mesothelioma

Answer 18

Surgery, palliative chemo and radio. No cure

Question 19

Improvement of hypoxemia in COPD on supplemental O2

Answer 19

Ventilation of high V/Q areas

Question 20

PPV and NPV of STP-BANG

Answer 20

PPV low NPV high

Question 21

Neck circumference for OSA

Answer 21

17 inches

Question 22

Lifestyle factors associated with snoring

Answer 22

Smoking and EtOH before bedtime

Question 23

Mechanism of postoperative atelectasis

Answer 23

1. Decrease lung compliance
2. Poor inspiratory effort
3. Impaired cough
4. Decreased mucous clearance

Question 24

Rx of atelectasis with minimal respiratory secretions

Answer 24

CPAP

Question 25

Rx of atelectasis with copious respiratory secretions

Answer 25

Chest PT and pulmonary toilet

Question 26

Duration for atelectasis development

Answer 26

2-5 days

Question 27

Leading cause of death in Parkinson’s disease

Answer 27

Aspiration pneumonia

Question 28

Criteria for organ donation

Answer 28

DBD- donation after brain dead

DCD- donation after cardiac death

Question 29

Diagnostic of death

Answer 29

Apnea as it is present in both brain death and cardiac death

Question 30

Diagnostic test of choice for pneumothorax

Answer 30

Bedside U/S

Question 31

Popcorn calcification

Answer 31

Pulmonary hamartoma

Question 32

Calcifications associated with benign pulmonary nodules

Answer 32

Popcorn, concentric, central and homogenous diffuse

Question 33

Diagnosis of aseptic TB in HIV

Answer 33

Pleural biopsy

Question 34

Most reliable method of verifying ET tube placement

Answer 34

Capnography

Question 35

Duration for chronic cough in children

Answer 35

4 weeks

Question 36

Initial test for chronic cough in children

Answer 36

Spirometry