Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step 2 CK > Pulmonology > Flashcards

Pulmonology Flashcards

1
Q

normal A-a gradient? What causes a high A-a gradient? What is the equation

A

5-15

PE, pulmonary edema, R-L shunt

atm air pressure x FiO2 - PaCO2/0.8 - PaO2

713X0.21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

feared complication of strep pharyngitis

A

acute rheumatic fever

post strep GN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

signs of peritonsillar abscess

A

muffled voice, uvula deviation, severe sore throat, fever, drooling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most commonly used empiric treatments for community acquired pneumonia in adults?

A

levofloxacin, moxifloxacin, gemifloxacin

beta lactam + macrolide or doxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

most common cause of atypical pneumonia in young adults

A

mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

most common cause of pneumonia in adults

A

strep pneumo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most common cause of pneumonia in younger children

A

RSV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

most common cause of penumonia in neonates

A

GBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cystic fibrosis patients are at increased risk of acquiring pneumonia from which organism

A

pseudomonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common cause of pneumonia in immunocompromised patients

A

PCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pneumonia associated with currant jelly sputum

A

klebsiella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

interstitial pneumonia in bird handlers

A

c psiiaci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pneumonia in patient with exposure to bats and bat dropping

A

histo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

cause of pneumonia in patient who has visited cali, new mexico, west texas

A

coccidio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pneumonia acquired from air conditioners

A

legionella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pneumonia cause in children 1 year or younger

A

RSV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pneumonia in neonate

A

GBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

penumonia in young adults

A

mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

cause of woolsorters disease

A

bacillus anthracis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

hallmark pulmonary function test in COPD

A

FEV1:FVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

48 y/o FEV1 of 55% of predicted and has SOB when walking, what medications would be appropriate for this patient?

A

short acting beta2, inhaled ach, smoking cessation, flu vaccine, pneumococcal vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

lung cancer associated with paraneoplastic syndrome: elevated ACTH, cushing syndrome

A

small cell lung Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

lung cancer associated with paraneoplastic syndrome: elevated PTH related peptide, hypercalcemia

A

squamous cell lung Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

lung cancer associated with paraneoplastic syndrome: elevated ADH, SIADH, hyponatremia

A

small cell lung Ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

lung cancer associated with paraneoplastic syndrome: antibodies to presynaptic Ca channels, lambert eaton syndrome

A

small cell lung Ca

26
Q

classic findings in idiopathic pulmonary fibrosis

A

ground glass appearance, honeycomb lung

27
Q

tx of idiopathic pulmonary fibrosis

A

pirfenidone, nintedanib

28
Q

pneumoconiosis with progressive fibrosis

A

coal worker’s, silicosis

29
Q

pneumoconiosis with increased risk of TB

A

silicosis

30
Q

pneumoconiosis with working with electronics, causes increased Ca risk

A

berylliosus

31
Q

pneumoconiosis with malignant mesothelioma and bronchogenic carcinoma

A

asbestos

32
Q

classic sign of PE on CXR

A

hampton’s hump, wedge shaped infarct

33
Q

CXR findings suggestive of pulmonary edema

A

kerley B lines, diffuse interstit fluid, cephalization of vessels

34
Q

drugs used to treat pulmonary HTN

A

vasodilators

  • prostanoids
  • endothelin receptor antag
  • cGMP PDE
  • CCB
35
Q

study to help differentiate pleural effusion loculated or free flowing in thorax

A

CXR upright and then lateral decubitus

36
Q

cause of transudative pleural effusion

A

CHF, nephrotic syndrome, cirrhosis

37
Q

size pneumothorax requiring a chest tube placement

A

> 15%

38
Q

medication used prior to intubation in head injury patients

A

lidocaine

39
Q

substances avoided in obstructive sleep apnea

A

alcohol, sedatives

40
Q

tx of epiglottitis

A

intubate, abx covering staph/strep, steroids

41
Q

tx of croup

A

supportive, racemic epi/O2

42
Q

tx of RSV bronchiolitis

A

supportive care

43
Q

CXR appearance of newborn RDS

A

ground glass and air bronchogram

low lung volumes

44
Q

after birth, child has stridor, wheezing, SOB despite medical therapies, what is the likely cause?

A

vascular ring

45
Q

tx of pulmonary components of CF

A

beta2 agonist

DNAse

hypertonic saline

physiotherapy

azithromycine/fluoroquinolones

46
Q

causes of exudative pleural effusion

A

malignancy, TB, bacterial infection, pulmonary embolus, pancreatitis

47
Q

treatment of wegener’s

A

steroids

cyclophosphamide/MTX/rituximab

48
Q

patient with hypoxemia and pulmonary edema has normal pulmonary capillary wedge pressure. Diagnosis?

A

acute respiratory distress syndrome

49
Q

diagnosis of patient with dyspnea, hilar LAD on CXR, with hypercalcemia

A

sarcoidosis

50
Q

patient with chronic COPD qualifies for home O2 when…

A

O2 sat

51
Q

patient with lung disease is found to have anti-glomerular basement membrane antibodies. Dx and tx?

A

goodpasture disease

tx: plasmapheresis, steroids, immunosuppression

52
Q

40 year old black woman is found to have hypercalcemia and noncaseating granulomas of the lung. Dx?

A

sarcoidosis

53
Q

four clinical features of strep pharyngitis

A

fever,
tender ant cervical LAD
tonsillar exudates
absence of cough

54
Q

Patient is found to have honeycomb pattern on CT scan of the chest. What is the diagnosis and treatment?

A

pulmonary interstitial fibrosis

treatment: steroids, azathioprine, NAC, lung transplant

55
Q

empiric treatment for a 2 month old with pneumonia

A

erythromycin, cefotaxime

56
Q

empiric treatment for a 2 day old with pneumonia

A

amox/amp

57
Q

rare, classic EKG finding in pulmonary embolism

A

S1Q3T3

58
Q

most common EKG finding in pulmonary embolism

A

sinus tachy

59
Q

lung cancer associated with elevated ACTH and cushing syndrome

A

small cell

60
Q

lung cancer associated with elevated PTH related peptide and hypercalcemia

A

squamous cell

61
Q

lung cancer associated with elevated ADH, SIADH, hyponatremia

A

small cell

62
Q

lung cancer associated with antibodies to presynaptic Ca channels, lambert eaton syndrome

A

small cell

Step 2 CK (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions