Pulmonary MKSAP Flashcards
What defines massive hemoptysis?
100 mL of blood (1/2 cup)
What defines massive hemoptysis?
100 mL of blood (1/2 cup)
FEV1/FVC ratio that defines obstruction?
Positive Bronchodilator challenge
Increase of FEV1 of 12% or 200 mL
Positive Methacholine Challenge
Decrease of FEV1 of 20%
What type of COPD is indicated for Lung Volume Reduction Surgery?
What are other Criteria?
- Upper Lobe Emphysema
- Severe COPD, refractory to medical therapy
- Completed Pulmonary Rehabilitation
- TLC >100% and RV > 150%
- FEV1 is at least 20% (poor outcomes if its lower)
- PaO2
FEV1/FVC ratio that defines obstruction?
FEV1/FVC ratio
Positive Bronchodilator challenge
Increase of FEV1 of 12% or 200 mL
Positive Methacholine Challenge
Decrease of FEV1 of 20%
Signs/Symptoms for Cystic Fibrosis
Recurrent pancreatitis Chronic Sinusitis Nasal Polyposis Male Infertility Bronchiectasis Allergic Bronchopulmonary Aspergillosis (+) sputum for Pseudomonas or Burkholderia non-TB Mycobacteria infection
What type of COPD is indicated for Lung Volume Reduction Surgery?
Upper Lobe Emphysema
Criteria for Lung Transplantation?
- History of exacerbations associated with acute hypercapnia (arterial PCO2 >50 mm Hg [6.7 kPa])
- Pulmonary hypertension, cor pulmonale, or both despite oxygen therapy
- or FEV1 less than 20% of predicted with DLCO less than 20% of predicted
Indications for Omalizumab/Xolair?
- IgE level btwn 30-700
- (+) for perennial allergens
- Moderate-Severe Persistent Asthma not controlled by ICS
Diagnose Allergic Bronchopulmonary Aspergillosis
(+) skin test to Aspergillus
Increased IgE with peripheral eosinophilia
CXR: proximal bronchiectasis, pleural thickening, transient infiltrate, atelectasis
Signs/Symptoms for Cystic Fibrosis
Recurrent pancreatitis Chronic Sinusitis Nasal Polyposis Male Infertility Bronchiectasis Allergic Bronchopulmonary Aspergillosis (+) sputum for Pseudomonas or Burkholderia
