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Step 2/Level 2 > Pulmonology > Flashcards

Pulmonology Flashcards

1
Q

Mild intermittent asthma? Tx?

A

-

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2
Q

Mild persistent asthma? Tx?

A
  • > 2 day sx/week but less than daily
  • 3-4 night sx/month
  • SABA + ICS
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3
Q

Moderate persistent? Tx?

A
  • Daily day symptoms and > 4 night sx per month

- SABA + ICS + LABA

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4
Q

Severe persistent asthma? Tx?

A
  • Continual daytime sx or frequent nighttime sx (>4/month)

- SABA + ICS + LABA + PO steroid

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5
Q

Severe persistent asthma?

A

Continual daytime sx or frequent nighttime sx (>4/month)

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6
Q

Mild persistent asthma?

A

> 2 day sx/week but less than daily

3-4 night sx/month

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7
Q

Moderate persistent?

A

Daily day symptoms and > 4 night sx per month

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8
Q

Severe persistent asthma?

A

Continual daytime sx or frequent nighttime sx (>4/month)

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9
Q

Most common lung cancer which often affects non-smokers?

A

Adenocarcinoma

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10
Q

When do patients with COPD qualify for home O2?

A

-O2 sat

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11
Q

Paraneoplastic syndromes associated with squamous cell lung cancer?

A

-PTHrp

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12
Q

Paraneoplastic syndromes associated with small cell lung cancer?

A
  • ACTH –> bushings
  • ADH –> SIADH
  • Lambert-Eaton Syndrome
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13
Q

Most common lung cancer which often affects non-smokers?

A

Adenocarcinoma

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14
Q

Which 2 lung cancers are more likely found in the periphery?

A

Adenocarcinoma and large cell carcinoma

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15
Q

What is the primary treatment for small cell lung cancer?

A

Chemotherapy

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16
Q

“eggshell” calcifications of mylar lymph nodes? Increases the risk for what?

A
  • Silicosis

- Increases risk for TB and lung cancer

17
Q

Symptoms of sarcoidosis?

A

“A GRUELING Disease”

  • increased ACE
  • Gammaglobinemia
  • RA association
  • Uveitis
  • Erythema Nodosum
  • LAD (bilateral hilar)
  • Idiopathic
  • Noncaseating Granulomas
  • increased vitamin D by activated macrophages in granulomas
18
Q

Medications for Idiopathic pulmonary fibrosis?

A
  • Pirefenidone

- Nintedanib

19
Q

Noncaseating granulomas and associated with aerospace manufacturing?

A

Berylliosis

20
Q

ILD associated with sandblasting?

A

Silicosis

21
Q

ILD causes chronic bronchitis but no increased risk of lung cancer?

A

Coal Workers pneumoconiosis

22
Q

What kind of defect will a PE have on a V/Q scan?

A

Perfusion defect!

23
Q

What size pneumothorax requires chest tube placement?

A

> 15%

24
Q

Tx of influenza?

A

Osetamivir or zanamivir within the first 48 hours of symptoms

25
Q

Midline throat cyst that moves with swallowing and often contains ectopic thyroid tissue?

A

Thyroglossal duct cyst

26
Q

Hot potato voice and trismus (lockjaw)?

A

Peritonsillar abscess

27
Q

+ heterophil antibodies?

A

Mononucleosis (EBV)

-risk of splenic rupture

28
Q

Tx of influenza?

A

Osetamivir or zanamivir

29
Q

Tx of CAP in a healthy individual who has not received ABX in the past 3 months?

A

Azithromycin or doxycycline

30
Q

CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?

A

PCP

-Tx: Bactrim

31
Q

Tx of latent TB?

A

-Isoniazid x 9 months

OR
-Rifapantine + INH x 3 months

32
Q

PNA in a patient who recently to Arizona?

A

Coccidiodes immitis

33
Q

PNA sx + skin lesions?

A

Blastomyces dermatitidis

-Amphotericin B or Itraconazole

34
Q

CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?

A

PCP

35
Q

Tx of latent TB?

A

-Isoniazid x 9 months
OR
-Rifapantine + INH x 3 months

36
Q

PNA in a patient who recently travelled to Arizona?

A

Coccidiodes immitis

37
Q

What medication is given prior to intubation in head injury patients?

A

Lidocaine

38
Q

In a patient with pulmonary edema, how can you tell ARDS from cariogenic edema?

A

ARDS (or non-cardiogenic) PCWP

39
Q

ARDS diagnostic criteria?

A
  • acute onset respiratory distress

- PaO2: FiO2

Step 2/Level 2 (18 decks)

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