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Internal Medicine > Pulmonology > Flashcards

Pulmonology Flashcards

1
Q

Common cause of wheezing in children younger than age 2 yrs?

A

RSV

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2
Q

Rule of thumb of when to intubate:

A

PaCO2 > 50

Pa02

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3
Q

If you have a solitary pulmonary nodule on chest XR what do you do first?

A

Compare current film to an older one

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4
Q

Solitary pulmonary nodule + immigrant

A

Think TB, do skin test

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5
Q

Solitary pulmonary nodule + Southwest (Texas, Arizona)

A

Think Coccidiodies

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6
Q

Solitary pulmonary nodule + cave explorer being pooped on in Midwest

A

Think Histoplasmosis

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7
Q

Solitary pulmonary nodule +

A

Think Hamartoma

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8
Q

Most common cause of postoperative fever in first 24hrs?

A

Atelectasis

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9
Q

Pneumonia in college student, dx?

A

Mycoplasma: look for cold agglutinins

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10
Q

Pneumonia in alcoholic, dx?

A

Klebsiella: currant jelly sputum
Staph aureus
Enteric bugs 2/2 aspiration

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11
Q

Pneumonia in CF, dx?

A

Pseudomonas sp. or Staph aureus

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12
Q

Pneumonia in immigrant, dx?

A

TB

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13
Q

Pneumonia in COPD, dx?

A

H influenzae, Moraxella

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14
Q

Pneumonia in TB pt w/ cavitary lesion, dx?

A

Aspergillus sp.

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15
Q

Pneumonia with silicosis, dx?

A

TB patient who works in metal, granite, pottery workers; affects the upper lobes

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16
Q

Pneumonia in pt who works in roof insulation, dx?

A

Asbestosis; affects the lower lung lobes

17
Q

Pneumonia after exposure to air conditioner or aerosolized air, dx?

A

Legionella sp.

18
Q

Pneumonia in HIV/AIDs pt, dx?

A

Pneumocystis jiroveci or CMV

19
Q

Pneumonia in pt exposed to bird droppings, dx?

A

Chlamydia psittaci or histoplasmosis

20
Q

Pneumonia in children 2-5, dx?

A

Parainfluenza (croup)

21
Q

Cause of infant respiratory distress syndrome?

A

Deficiency in surfactant in premature infants and infants of diabetic mothers

22
Q

Tests used to assess fetal lung maturity?

A

Lecithin : Sphingomyelin ratio 2:1

Phosphatidylglycerol in amniotic fluis

23
Q

Scaphoid abdomen with bowel sounds in chest

A

Diaphragmatic hernia

24
Q

Obstructive azoospermia + absence of vas deferens

A

Cystic Fibrosis and reasons for infertility

25
Q

Pleural effusion with low glucose, high protein content?

A

Most likely secondary to infection, empyema?

26
Q

Pleural effusion with amylase + widened mediastinum after harsh vomiting?

A

Boerhaave syndrome, esophageal rupture

27
Q

Pleural effusion with amylase

A

Pancreatitis

28
Q

Second-hand smoke and cancer

A

Second hand smoke has been proven to be a risk factor for lung cancer and other lung diseases

29
Q

Buerger disease

A

Vasculitis in young male smokers that causes Raynaud sxs, which can be reduced with smoking cessation

30
Q

Best way to decrease risk of postoperative pulmonary complications?

A

Cessation of smoking at least 8 weeks before surgery

Internal Medicine (12 decks)

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