Pulmonology Flashcards
Mild intermittent asthma? Tx?
-
Mild persistent asthma? Tx?
- > 2 day sx/week but less than daily
- 3-4 night sx/month
- SABA + ICS
Moderate persistent? Tx?
- Daily day symptoms and > 4 night sx per month
- SABA + ICS + LABA
Severe persistent asthma? Tx?
- Continual daytime sx or frequent nighttime sx (>4/month)
- SABA + ICS + LABA + PO steroid
Severe persistent asthma?
Continual daytime sx or frequent nighttime sx (>4/month)
Mild persistent asthma?
> 2 day sx/week but less than daily
3-4 night sx/month
Moderate persistent?
Daily day symptoms and > 4 night sx per month
Severe persistent asthma?
Continual daytime sx or frequent nighttime sx (>4/month)
Most common lung cancer which often affects non-smokers?
Adenocarcinoma
When do patients with COPD qualify for home O2?
-O2 sat
Paraneoplastic syndromes associated with squamous cell lung cancer?
-PTHrp
Paraneoplastic syndromes associated with small cell lung cancer?
- ACTH –> bushings
- ADH –> SIADH
- Lambert-Eaton Syndrome
Most common lung cancer which often affects non-smokers?
Adenocarcinoma
Which 2 lung cancers are more likely found in the periphery?
Adenocarcinoma and large cell carcinoma
What is the primary treatment for small cell lung cancer?
Chemotherapy
“eggshell” calcifications of mylar lymph nodes? Increases the risk for what?
- Silicosis
- Increases risk for TB and lung cancer
Symptoms of sarcoidosis?
“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
Medications for Idiopathic pulmonary fibrosis?
- Pirefenidone
- Nintedanib
Noncaseating granulomas and associated with aerospace manufacturing?
Berylliosis
ILD associated with sandblasting?
Silicosis
ILD causes chronic bronchitis but no increased risk of lung cancer?
Coal Workers pneumoconiosis
What kind of defect will a PE have on a V/Q scan?
Perfusion defect!
What size pneumothorax requires chest tube placement?
> 15%
Tx of influenza?
Osetamivir or zanamivir within the first 48 hours of symptoms
Midline throat cyst that moves with swallowing and often contains ectopic thyroid tissue?
Thyroglossal duct cyst
Hot potato voice and trismus (lockjaw)?
Peritonsillar abscess
+ heterophil antibodies?
Mononucleosis (EBV)
-risk of splenic rupture
Tx of influenza?
Osetamivir or zanamivir
Tx of CAP in a healthy individual who has not received ABX in the past 3 months?
Azithromycin or doxycycline
CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?
PCP
-Tx: Bactrim
Tx of latent TB?
-Isoniazid x 9 months
OR
-Rifapantine + INH x 3 months
PNA in a patient who recently to Arizona?
Coccidiodes immitis
PNA sx + skin lesions?
Blastomyces dermatitidis
-Amphotericin B or Itraconazole
CXR showing diffuse, bilateral interstitial infiltrates and an elevated LDH in a pt with AIDS?
PCP
Tx of latent TB?
-Isoniazid x 9 months
OR
-Rifapantine + INH x 3 months
PNA in a patient who recently travelled to Arizona?
Coccidiodes immitis
What medication is given prior to intubation in head injury patients?
Lidocaine
In a patient with pulmonary edema, how can you tell ARDS from cariogenic edema?
ARDS (or non-cardiogenic) PCWP
ARDS diagnostic criteria?
- acute onset respiratory distress
- PaO2: FiO2
