Pulmonology

Question 1

What condition is a patient with coal-worker pneumonoconiosi likely to develop?

Answer 1

Massive pulmonary fibrosis, cor pulmonate, emphysema

Question 2

PFT in Asthma

Answer 2

Obstructive (decreased FEV), increased lung capacity (increased TLC), normal transfer factor (TLCO)

Question 3

TLCO (transfer factor) in COPD

Answer 3

low

Question 4

PFT in restrictive lung disease

Answer 4

FEV may be decreased or normal, TLCO is decreased, TLC is also decreased

Question 5

What anti fungal is used to treat aspergilloma?

Answer 5

Itraconazole. Other agents include amphotericin B with flucytosine, voraconazole

Question 6

What is the early asthma response?

Answer 6

Acute bronchospasm occurring 20 mins after exposure with resolution in 1-2 hours. mast cell degranulation caused by IgE produced by B cells

Question 7

Late Asthma response

Answer 7

occurs 3-5 hours and resolves spontaneously after 6-8 hours includes eosinophils, attraction of phagocytes

Question 8

What pneumonia is common in cystic fibrosis?

Answer 8

Staphylococcus aureus in early ages then pseudomonas as patient ages