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PANCE Questions > Pulmonology > Flashcards

Pulmonology Flashcards

1
Q

Virchow’s triad

A

Venous stasis
Injury to vessel wall
Hypercoagulability

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2
Q

CXR of PE

A

Hamptons hump= wedge shaped defect

Westermark sign= prominent pulmonary arteries

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3
Q

Virus that causes croup

A

parainfluenza virus

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4
Q

Boerhaave’s syndrome

A

esophogeal rupture

usually iatrogenic

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5
Q

Treatment for acute mountain sickness/high altitude cerebral edema/ high altitude pulmonary edema

A

Acstazolamide and Dexamethasone

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6
Q

*** Cyanide poisoning characteristics

A

Smells of BITTER ALMONDS
metabolic acidosis
Treat with inhaled nitrites, injected nitrites and Thiosulfate

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7
Q

Carbon monoxide poisoning

A

pulse ox will be 100%
cherry red skin color
treat with 100% o2 for 4 hours

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8
Q

TB Meds side effects

A

Rifampin: hepatotoxic, orange urine
Isonizid: Hepatotoxic, monitor LFTs, peripheral nephropathy, give B6
Pyrazinamide: hepatotoxic, gout
Ethambutol: diminished visual acuity to red/green

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9
Q

Pseudomonas PNA features

A

green sputum
grape-like odor
seen in hospital acquired, cystic fibrosis

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10
Q

Klebsiella PNA features

A

Alcoholics
Red currant jelly sputum
bulging fissure line on Xray

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11
Q

Calculating pack years

A

packs per day x # years smoked

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12
Q

Hypersensitivity Pneumocystitis

A

“Farmers lung” cigarettes decrease the risk
abrupt fever, chills, nausea, anorexia without wheezing
treat: Glucocorticoids

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13
Q

Bronchiolitis Obliterans

A

airway rejection in lung transplant patient

common complication of lung transplant.

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14
Q

Sarcoidosis

A

characterized by noncasating granulomas see in young adults, hilar adenopathy
Tx with glucocorticoids

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15
Q

***Sampter’s triad

A

nasal polyps
hypersensitivity to aspirin
allergic rhinitis

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16
Q

*** 4 classifications of asthma

A

Mild intermittent: 80%) tx: albuterol prn

Mild persistant: >2 sx per week but not daily. 3-4 night sx per month. normal FEV1. Use SABA >2x/week. Tx: albuterol prn, ICS (Flovent, Pulmicort, QVAR)

Moderate persistant: daily sx, night sx >1 time per week. Daily SABA. FEV1 b/w 60-80% tx: albuterol prn, ICS and LABA (Salmeterol, Ipratropium Bromide, Spiriva)

Severe persistant: daily sx, nightly sx, Several times use of SABA, FEV1

PANCE Questions (10 decks)

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