Pulmonology

Question 1

FEV1 to FVC is less than what in asthma?

Answer 1

80%

Question 2

an increase in what percentage of FEV1 with bronchodilator therapy suggests asthma?

Answer 2

10%

Question 3

What is the acute tx for asthma?

Answer 3

O2, nebulizer SABA, ipratropium bromide, oral corticosteroids

Question 4

What tx is indicated for mild to moderate asthma?

Answer 4

ICS + SABA prn

Question 5

What defines bronchitis?

Answer 5

cough that persists for more than 5 days

Question 6

what is the tx for bronchitis?

Answer 6

symptomatic/supportive tx since 95% of cases are viral

Question 7

What will a PFT reveal for a pt with chronic bronchitis?

Answer 7

FEV1/FVC ratio of less than 0.7

Question 8

What is the inhaler of choice for COPD?

Answer 8

ipratropium bromide

Question 9

Chest XR will reveal a flattened diaphragm, hyperinflation, and small, thin appearing heart

Answer 9

Emphysema

Question 10

Long-term O2 therapy is beneficial in COPD when O2 sat and PaO2 are at what with no sx of HF?

Answer 10

O2 sa = <88% and PaO2 = <55mmHg

Question 11

What is the MC kind of Non-small cell lung cancer?

Answer 11

adenocarcinoma (35 - 45% of lung cancers)

Question 12

What percentage of lung cancers make up non-small cell cancers?

Answer 12

85%

Question 13

Where do you find squamous cell lung cancers?

Answer 13

central mass

Question 14

Where do you most commonly find adenocarcinoma lung cancer?

Answer 14

peripheral mass

Question 15

Small cell lung cancer accounts for what percentage of lung cancers?

Answer 15

15%

Question 16

which type of lung cancer can be treated with surgery?

Answer 16

Non-small cell

Question 17

Superior vena cava syndrome (facial/arm edema and swollen chest wall veins)

Pancoast tumor (shoulder pain, Horner’s syndrome, brachial plexus compression)

Horner’s syndrome (unilateral miosis, ptosis, and anhidrosis)

Carcinoid syndrome (flushing, diarrhea, and telangiectasia)

are associated manifestations of what type of cancer?

Answer 17

small cell lung cancer

Question 18

What is the most common type of community-acquired pneumonia in pts >40 yo

Answer 18

Streptococcus pneumonia

Question 19

most common community-acquired pneumonia in < 40 yo

Answer 19

mycoplasma pneumonia

Question 20

what is the mc bacteria for hospital-acquired pneumonia

Answer 20

pseudomonas aeruginosa

Question 21

How do you dx obstructive sleep apnea?

Answer 21

polysomnography

Question 22

What type of bladder cancer does cigarette smoking cause?

Answer 22

transitional cell carcinoma