Pulmonary questions

Question 1

benefit of NO?

Answer 1

increases PaO2 and decreases PAP, no long term benefit

Question 2

portopulmonary HTN symptoms?

Answer 2

hypoxia, LE edema, JVD, clear lungs, cirrhosis

Question 3

pathophys of portopulmonary HTN?

Answer 3

vasoconstriction and changes to vasculature

Question 4

treatment for CAP?

Answer 4

flq alone or B lactam against S pneumo( amox, augmentin, cefuroxime) plus a macrolide or azithromycin

Question 5

asthma, chronic rhinosinusitis, polyposis and respiratory sx 1-3 hours after exposure?

Answer 5

aspirin related respiratory disease

Question 6

MOA of aspirin lung dz?

Answer 6

inhibits cox-1 leads to a buildup of arachidonic acid

Question 7

tx for aspirin lung dz?

Answer 7

aspirin desensitization, leukotriene antagonist

Question 8

treatment for CRAB(carbapenem resistant acenitobacter Baumanni)?

Answer 8

carbapenem and colistin

Question 9

CURB 65 scoring?

Answer 9

BUN >20, DBP<60, confusion, RR>30, age >65

Question 10

things used to prevent VAP?

Answer 10

subglottic drain, HOB elevation, nursing in semirecumbent position, SAT/SBT

Question 11

high levels of what in BAL would suggest aspiration pneumonitis?

Answer 11

amylase