Pulmonary OMED questions

Question 1

first line treatment for not massive PE?

Answer 1

heparin, then you can bridge to warfarin

Question 2

What does dull percussion mean and decreased fremitus?

Answer 2

dull means mass or fluid

more air or fluid than tissue

Question 3

when I have to pick between CHF or nephrotic syndrome for transudate, what should be the differing factor?

Answer 3

albumin low because we are losing the protein

Question 4

what will excessive oxygen cause in COPD?

Answer 4

hypoventilation

Question 5

mild asthma treatment?
mild persistent?
moderate persistent?

Answer 5

albuterol as needed
ICS
LABA and ICS

Question 6

what is the adverse effect to remember about atenolol and why with the lungs?

Answer 6

wheezing. because it is a non selective beta blocker, it can go after beta 1 and 2. beta 2 will cause broncho constriction in the lungs

Question 7

if someone is healthy and has a PE, how do you treat/manage?

Answer 7

start on heparin, send home and bridge to warfarin

Question 8

heparin to warfarin bridge is standard of care for PE except in what 2 situations?

Answer 8

metastatic cancer and risk to bleed

Question 9

What complication are we worried about if the ventilator is set way too high for tidal volume?

Answer 9

basically pop the lung because of increased volume and pressure, so tension pneumothroax