Pulmonology

Question 1

What type of lung tumor is associated with bronchorrhea and a “salty” taste to sputum?

Answer 1

Bronchoalveolar cell carcinoma

Question 2

What FEV1 should patients be sent to pulmonary rehab?

Question 3

What resting hypoxia level indicates need for home oxygen therapy in COPD?

Answer 3

Oxygen sat in RA

Question 4

Does idiopathic pulmonary fibrosis affect upper or basal lung zones more?

Answer 4

Basal

Question 5

What is the only proven treatment to improve survival in IPF?

Answer 5

Lung transplant

Question 6

What rheumatologic drug is associated with causing diffuse parenchymal lung disease?

Answer 6

Methotrexate

Question 7

Does hypersensitivity pneumonitis affect upper or lower lung zones more?

Answer 7

Upper

Question 8

What antibiotic commonly used to treat UTIs can cause pulmonary parenchymal lung disease?

Answer 8

Nitrofurantoin

Question 9

What is triad of Heerfordt syndrome for sarcoid?

Answer 9

Uveitis
Parotid gland enlargement
Fever

Question 10

What genetic condition is associated with lymphangioleiomyomatosis?

Answer 10

Tuberous sclerosis

Question 11

What condition should be considered in a young woman who presents with spontaneous pneumothorax or chylothorax?

Answer 11

Lymphangioleiomyomatosis

Question 12

What occupational exposure causes increased risk for tuberculosis?

Answer 12

Silicosis

Question 13

In a parapneumonic effusion was does a glucose level

Answer 13

Chest tube placement

Question 14

What triglyceride level on pleural fluid indicates chylothorax?

Answer 14

> 110

Question 15

Does bullous pemphigoid or pemphigus vulgaris have a positive nikolsky sign?

Answer 15

Pemphigus vulgaris

Question 16

What can cause high amylase levels in pleural fluid studies?

Answer 16

Acute pancreatitis
Pancreaticopleural fistula
Esophageal perforation

Question 17

What size differentiates a lung nodule from lung mass?

Answer 17

3 cm

Question 18

What type of lung tumor histology can cause false negative PET scan if evaluating a pulmonary nodule ?

Answer 18

Alveolar cell carcinoma

Question 19

What finding on chest X-ray suggests bronchiectasis?

Answer 19

Tram lines

Question 20

What size pulmonary AVM always requires treatment with surgery or embolization?

Answer 20

> 2 cm

Question 21

What occupational exposure can cause a sarcoidosis like clinical syndrome?

Answer 21

Beryllium - light bulb factories

Question 22

What condition is associated with “photographic-negative” or peripheral pulmonary edema?

Answer 22

Chronic eosinophilic pneumonia

Question 23

What elevation is associated with mountain sickness?

Answer 23

> 6300 ft

Question 24

What is primary treatment of CPAP emergent central sleep apnea?

Answer 24

Adaptive seroventilation (ASV)

Question 25

What type of crystals form in tubules with ethylene glycol poisoning?

Answer 25

Calcium oxalate

Question 26

What is goal plateau pressure for ARDS patients?

Question 27

What PO2 during HAST for COPD qualifies for in flight oxygen therapy?