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PANCE > Pulmonology > Flashcards

Pulmonology Flashcards

1
Q

Which pneumoconiosis has diffuse infiltrates and hilar lymphadenopathy?

A

Berylliosis

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2
Q

Which pneumoconiosis has nodular opacities in the upper lung fields on chest X-ray?

A

Black lung from coal mining

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3
Q

Which pneumoconiosis has egg shell calcification on chest X-ray?

A

Silicosis

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4
Q

Lofgren’s syndrome may present like sarcoid. What major difference separates these diseases?

A

Lofgren’s syndrome is short term and spontaneously resolves - Sarcoid is chronic

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5
Q

A DVT in what location is the most common source of pulmonary embolism?

A

Lower extremity above the knee

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6
Q

What disorder should be considered in a young patient (20-30 years old) with severe emphysema?

A

Alpha 1 antitrypsin deficiency

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7
Q

What medication must all asthma patients have regardless of the severity of their disease?

A

All asthma patients must have a short acting beta agonist (albuterol) as a rescue medication

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8
Q

What should be considered with a diffuse ground glass appearance and no pulmonary nodules on chest X-ray?

A

Infiltrative lung disease

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9
Q

What should be considered with a localized ground glass appearance and a pulmonary nodule on chest X-ray?

A

Lung cancer

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10
Q

What should be considered in a patient with pneumonia who was exposed to bird or bat droppings in the Mississippi to the Ohio river area?

A

Histoplasma capsulatum

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11
Q

List three classes of antibiotics which may be used for Klebsiella pneumonia

A

Cephalosporins - Aminoglycosides - Fluoroquinolones

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12
Q

What two antibiotic classes may be considered to treat legionella pneumonia?

A

Macrolides and fluoroquinolones

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13
Q

What other bacterial pneumonia are patients who have pseudomonas pneumonia prone to get?

A

S. aureus pneumonia shares similar risk factors specifically nosocomial

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14
Q

What are the combinations of antibiotics which may be used for pseudomonas pneumonia?

A

Anti pseudomonal beta-lactam PLUS an anti- pseudomonal quinolone or aminoglycoside - Anti pseudomonal quinolone PLUS an aminoglycoside

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15
Q

At least how many antibiotics should be used at the same time for pseudomonas pneumonia?

A

Always treat with at least two antibiotics

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16
Q

What are the antibiotics which may be used for MRSA pneumonia?

A

Vancomycin or linezolid + Levofloxacin or ciprofloxacin

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17
Q

List the antibiotics classes for inpatient ICU treatment in a patient with a pneumonia caused by Strep pneumoniae or non MRSA staph.

A

Beta-lactam + macrolide or fluoroquinolone

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18
Q

List the antibiotics classes for inpatient non ICU treatment in a patient with a pneumonia caused by Strep pneumoniae or non MRSA staph.

A

Beta-lactam PLUS a macrolide

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19
Q

List the antibiotics classes for outpatient treatment in a patient with comorbidities and a pneumonia caused by Strep pneumoniae or non MRSA staph.

A

Fluoroquinolone doxycycline or macrolide PLUS a beta lactam

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20
Q

List the antibiotics classes for outpatient treatment in a healthy patient with pneumonia caused by S. pneumoniae or non MRSA staph.

A

Fluoroquinolone doxycycline or macrolide

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21
Q

What must be considered with a young patient who has been exposed to rodent feces and has a “CHF like” presentation?

A

Hanta virus

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22
Q

What situations predispose an infant to developing type 2 IRDS?

A

C-section or diabetic mother

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23
Q

What type of Infant respiratory distress syndrome (IRDS) occurs in a near or full term infant?

A

Type 2 IRDS

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24
Q

What type of Infant respiratory distress syndrome (IRDS) occurs in a pre-term infant? (usually born before 30 weeks)

A

Type 1 IRDS

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25
Q

Incomplete lung development due to congenital malformation?

A

Pulmonary hypoplasia

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26
Q

Long term inflammation and eventual scarring after episodes of severe respiratory distress and mechanical ventilation?

A

Broncho-pulmonary dysplasia

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27
Q

What antibiotic is most strongly associated with hypertrophic pyloric stenosis?

A

Clarithromycin (Note all macrolides can cause hypertrophic pyloric stenosis)

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28
Q

What is laryngotracheo-bronchitis also known as?

A

Croup

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29
Q

Where does the cancer associated with asbestosis tend to locate in the lung?

A

Mesothelioma locates to the pleural lining at the base of the lung

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30
Q

What is the Dx? Looks like CHF on chest X-ray but pulmonary wedge pressure in normal.

A

Acute respiratory distress syndrome (ARDS)

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31
Q

What is the Dx? Nuclear plant worker with shortness of breath?

A

Berylliosis

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32
Q

What lab is elevated in sarcoidosis?

A

Angiotensin converting enzyme levels 4x higher than normal - Elevated ESR

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33
Q

Bilateral hilar adenopathy?

A

Sarcoidosis

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34
Q

What is the most likely Dx? 1 week post partum has syncopal episode and is now tachycardic and short of breath.

A

Pulmonary embolism

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35
Q

What is the treatment for sarcoidosis?

A

Steroids

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36
Q

Class 5 pulmonary HTN cause?

A

Sarcoidosis

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37
Q

Class 4 pulmonary HTN cause?

A

Pulmonary embolism

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38
Q

Class 3 pulmonary HTN cause?

A

COPD

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39
Q

Class 2 pulmonary HTN causes?

A

Mitral stenosis - Aortic stenosis -Left ventricular hypertrophy - Left heart failure

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40
Q

Class 1 pulmonary HTN causes?

A

Ventricular septal defect -Atrial septal defect -Patent ductus arteriosus

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41
Q

Patients with Virchows triad have an increased risk for what pulmonary disorder?

A

Pulmonary embolism

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42
Q

Virchow triad?

A

Stasis - Hypercoagulable - Trauma

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43
Q

Right heart failure caused by long term COPD history?

A

Cor pulmonale

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44
Q

Is chronic bronchitis or emphysema associated with an elevated hemoglobin?

A

Chronic bronchitis

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45
Q

Pink Puffer?

A

Emphysema

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46
Q

Blue bloater?

A

Chronic bronchitis

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47
Q

Only medication that improves morbidity and mortality in COPD?

A

Oxygen

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48
Q

Agent of choice for COPD exacerbation?

A

Ipratropium

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49
Q

First line agent of choice for acute asthma attack?

A

Albuterol

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50
Q

What is the likely Dx? Solitary pulmonary nodule of 2 cm in size found on chest X-ray incidentally

A

Lung cancer

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51
Q

What is a bloody pleural effusion concerning for?

A

Malignancy

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52
Q

What criteria determine transudate from exudate?

A

Light’s criteria

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53
Q

What is the most common type of lung cancer in smokers?

A

Squamous cell

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54
Q

Most aggressive lung cancer?

A

Small cell

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55
Q

What is the most common type of lung cancer in non-smokers?

A

Adenocarcinoma

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56
Q

What does a positive whisper pectoriloquy represent?

A

Pulmonary consolidation

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57
Q

How many millimeters of induration is considered positive when reading a PPD result in an HIV positive patient?

A

> 5 mm

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58
Q

What is the most likely Dx? Smoker with hemoptysis weight loss and new DVT?

A

Lung cancer

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59
Q

A “cinnamon breath smell” is associated with what pulmonary infection?”

A

Tuberculosis

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60
Q

Red orange urine occurs with which tuberculosis medication?

A

Rifampin

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61
Q

Ethambutol side effect?

A

Optic neuritis

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62
Q

What is given to prevent neuropathy in a patient receiving isoniazid (INH) therapy?

A

B6 (pyridoxine)

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63
Q

Where will older pulmonary lesions from tuberculosis be found?

A

Lower lobes

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64
Q

Where will newer pulmonary lesions from tuberculosis be found?

A

Upper lobe cavitary lesion

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65
Q

What lab is elevated in PJP pneumonia?

A

LDH

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66
Q

What is the most likely Dx? Young IV drug user with fever severe hypoxia and diffuse infiltrates on X-ray?

A

PJP pneumonia

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67
Q

What pneumonia is associated with air conditioning vents and spas?

A

Legionella

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68
Q

Most common ventilator associated bacterial infection?

A

Pseudomonas

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69
Q

Bacterial pneumonia which occurs in a young patient after flu is most likely caused by what organism?

A

Staph aureus

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70
Q

Rusty sputum?

A

Strep pneumoniae pneumonia

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71
Q

What pneumonia associated with diarrhea and low sodium levels?

A

Legionella

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72
Q

Flu + aspirin in children can cause what condition?

A

Reye syndrome

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73
Q

Flu can be treated with oseltamivir within how many hours of onset of symptoms?

A

48 hours

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74
Q

Wet cough and foul smelling sputum in a child?

A

Bronchiectasis

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75
Q

First episode of wheezing in child?

A

Bronchiolitis

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76
Q

Chronic aspiration in kids leads to plate like atelectasis on X-ray and what condition?

A

Bronchiectasis

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77
Q

Salty baby?

A

Cystic fibrosis

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78
Q

Treatment for Berylliosis?

A

Chronic steroids

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79
Q

How high does pulmonary pressure need to be to diagnose pulmonary HTN?

A

25 mmHg at rest

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80
Q

What cancer is a patient with asbestos exposure at increased risk for.

A

Mesothelioma

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81
Q

What is the Dx? Patient worked with insulation. Chest X-ray shows thickened pleura and basilar lesions.

A

Asbestosis

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82
Q

What is the Dx? Pulmonary fibrosis in a patient who was a sandblaster. Chest X-ray shows egg shell calcifications.

A

Silicosis

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83
Q

What is the Dx? Chronic dry cough dyspnea fatigue and clubbing. Chest X-ray shows fibrosis and CT chest shows honeycombing.

A

Idiopathic pulmonary fibrosis

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84
Q

Does patient with sarcoidosis tend to have high or low serum calcium levels?

A

High (hypercalcemia)

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85
Q

What is the Dx? Chest X-ray shows bilateral hilar adenopathy and non caseating granulomas?

A

Sarcoidosis

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86
Q

Gold standard test used to diagnose Pulmonary HTN?

A

Right heart cardiac catheterization

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87
Q

Treatment for acute respiratory distress syndrome (ARDS)?

A

Supportive care/ventilatory support - Find and treat underlying cause

88
Q

Right sided heart failure due to pulmonary HTN?

A

Cor Pulmonale

89
Q

Initial Treatment for pulmonary embolism?

A

Heparin

90
Q

What is the Dx? Young healthy female smoker on oral contraception with acute chest pain and SOB?

A

Pulmonary embolus

91
Q

Initial treatment for all pneumothorax patients?

A

100% oxygen

92
Q

What is the Dx? Thin young healthy male runner who develops acute onset of chest pain and dyspnea?

A

Spontaneous pneumothorax

93
Q

What are the chest X-ray findings with acute respiratory distress syndrome (ARDS)?

A

Bilateral infiltrates/white out (may look like CHF)

94
Q

What type of COPD is associated with hyperventilation flat diaphragm on CXR and a normal Hgb/HCT?

A

Emphysema

95
Q

What are the two types of COPD?

A

Chronic bronchitis and emphysema

96
Q

Most common cause of acute bronchitis?

A

Viral

97
Q

Types of asthma classifications?

A

Intermittent - Mild persistent - Moderate persistent - Severe persistent

98
Q

In a patients with asthma the FEV1 to FVC will be

A

FEV1 to FVC < 75% = diagnosis of asthma in pt with chronic wheezing/cough

99
Q

In a patient with malignancy is the pleural effusion transudative or exudative?

A

Exudative

100
Q

In a patient with CHF is the pleural effusion transudative or exudative?

A

Transudative

101
Q

What conditions is a right sided pleural effusion often associated with?

A

CHF or cirrhosis

102
Q

What is the main treatment for a pleural effusion?

A

Thoracentesis

103
Q

Name 3 types of non small cell (bronchogenic) cancers.

A

Squamous cell - Adenocarcinoma - Large cell

104
Q

What is a Hallmark sign seen with carcinoid tumors?

A

Cutaneous Flushing

105
Q

Name the commonly used meds to treat active tuberculosis infection.

A

RIPE: Rifampin - isoniazid (INH) - Pyrazinamide - Ethambutol

106
Q

Which vitamin should be given along with isoniazid (INH) therapy?

A

Vitamin B6 (pyridoxine)

107
Q

What is the recommended treatment for a healthcare worker with a first time positive PPD?

A

Isoniazid (INH) for 6 months

108
Q

What is the sputum test for tuberculosis?

A

AFB smear and cultures

109
Q

What is the Dx? Recent international travel now with fever night sweats cough hemoptysis SOB and weight loss.

A

Tuberculosis

110
Q

Treatment for PJC pneumonia?

A

Trimethoprim-sulfamethoxazole or pentamidine

111
Q

Pneumonia seen in HIV patients with low CD4 counts?

A

PJC= Pneumocystis jiroveci (formerly called PCP)

112
Q

Treatment for Histoplasma pneumonia?

A

Amphotericin B

113
Q

Pneumonia associated with inhalation of bat or bird droppings?

A

Histoplasma

114
Q

Treatment for immunocompromised patient with fungal pneumonia?

A

Itraconazole or fluconazole

115
Q

Chest X-ray shows RUL abscess. Most likely organism?

A

Klebsiella (often associated with aspiration)

116
Q

Pt with suspected pneumonia has “currant jelly colored” sputum. Most likely organism?

A

Klebsiella

117
Q

What organism os associated with positive cold agglutinins?

A

Mycoplasma

118
Q

What is the preferred treatment for atypical or “walking pneumonia”?

A

Macrolides

119
Q

Name 2 antibiotics you can use to treat Legionella.

A

Macrolide or Fluoroquinolone

120
Q

Chest X-ray shows lobar pneumonia. Most likely organism?

A

Strep pneumoniae

121
Q

What medications are recommended for MRSA pneumonia?

A

Vancomycin or linezolid + levofloxacin or ciprofloxacin

122
Q

Organism causing pneumonia spread by contaminated water?

A

Legionella pneumonia

123
Q

Pneumonia often related to post intubation, ventilator or hospital?

A

Pseudomonas pneumonia

124
Q

Pt with suspected pneumonia/URI has salmon/pink colored sputum. Most likely organism?

A

Staph aureus

125
Q

Pt with suspected pneumonia/URI has rusty colored sputum. Most likely organism?

A

Strep pneumoniae

126
Q

Which virus can lead to pneumonia after URI and also often causes diarrheal illness/GI symptoms?

A

Adenovirus

127
Q

Virus causing pneumonia after exposure to rodent feces (Western states)?

A

Hanta Virus

128
Q

Most common cause of viral pneumonia in adults?

A

Influenza

129
Q

Name the organisms that cause typical pneumonia

A

Strep pneumoniae - Staph aureus - Group A Strep

130
Q

Organisms responsible for atypical pneumonia?

A

Mycoplasma pneumoniae- Chlamydia pneumoniae- Legionella

131
Q

Organism usually causing pneumonia after aspiration?

A

Klebsiella

132
Q

Should normal percussion over the lung fields sound dull or resonant?

A

Resonant

133
Q

What does positive egophony on auscultation in a patient with pneumonia mean?

A

When listening over the area of consolidation, patient will say “eee” and it sounds like “aaa”

134
Q

What is the Dx? Previously healthy patient with abrupt onset of fever headache malaise occurring in the winter months.

A

Influenza

135
Q

What condition is bronchiectasis often associated with?

A

Cystic fibrosis

136
Q

Child with chronic persistent productive cough foul smelling sputum?

A

Bronchiectasis

137
Q

Treatment for infant with Hyaline membrane disease (AKA: infant respiratory distress syndrome - IRDS)?

A

Respiratory support - Ventilatory support - Exogenous surfactant

138
Q

Treatment to prevent Hyaline membrane disease in the newborn?

A

Give antenatal corticosteroids

139
Q

What is the cause of hyaline membrane disease in infants?

A

Surfactant deficiency

140
Q

What childhood vaccine protects children from pertussis?

A

DTaP

141
Q

Preferred treatment for pertussis?

A

Clarithromycin or azithromycin

142
Q

Organism that causes whooping cough?

A

Bordetella pertussis

143
Q

Steeple sign on a frontal chest X-ray showing tracheal narrowing?

A

Croup

144
Q

Virus that causes croup?

A

Parainfluenza virus type 1

145
Q

Child has barking cough and stridor?

A

Croup

146
Q

What is the Dx? Child presents with dysphagia, drooling and respiratory distress. Lateral neck X-ray shows “thumbprint sign”.

A

Acute Epiglottitis

147
Q

How is RSV diagnosed?

A

Analysis/culture of Respiratory secretions

148
Q

Most common cause of acute bronchiolitis in an infant?

A

Respiratory syncytial virus (RSV)

149
Q

What dermatologic condition is associated with sarcoidosis?

A

Erythema nodosum

150
Q

A 30 year old female presents with a dry cough. Her chest X-ray shows bilateral hilar adenopathy with non-caseating granulomas. What is your suspected diagnosis?

A

Sarcoidosis

151
Q

How will idiopathic pulmonary fibrosis present on CT scan?

A

Diffuse patchy fibrosis with pleural-based honeycombing

152
Q

Which of the pneumoconiosis have an increased risk of contracting tuberculosis?

A

Silicosis

153
Q

What is the diagnosis if a patient presents with pulmonary fibrosis and an extensive history and workup does not reveal a cause?

A

Idiopathic pulmonary fibrosis

154
Q

Which pneumoconiosis has an eggshell calcification look on chest x-ray?

A

Silicosis

155
Q

`What pneumoconiosis presents like sarcoidosis and is due to a work environment in ceramics, nuclear power or as a tool maker?

A

Berylliosis

156
Q

Where does mesothelioma appear in the lung?

A

It appears at the pleural base

157
Q

What lung cancer is associated with asbestosis?

A

Mesothelioma

158
Q

What is a normal blood pressure in the lungs?

A

15/5 mmHg - Compared to systemic arterial blood pressure of 120/80

159
Q

What two classes of pulmonary hypertension are treated with warfarin?

A

Group 1 and group 4

160
Q

What medication is the mainstay of long-term treatment for group 4 pulmonary hypertension or pulmonary embolus?

A

Warfarin

161
Q

What is the recommended treatment for preventing pulmonary hypertension due to severe Mitral Stenosis?

A

Early surgical repair or replacement of the valve

162
Q

A 42 year old female develops severe pulmonary hypertension due to an unrepaired ASD and subsequent right heart failure. What syndrome has she acquired?

A

Cor pulmonale - Since it is due to a congenital unrepaired ASD it is called Eisenmenger syndrome

163
Q

Acute respiratory distress syndrome will have what x-ray findings?

A

Findings similar to congestive heart failure due to the leaky capillaries but the patient is not volume overloaded

164
Q

A patient in a car accident presents with a tension pneumothorax. Which way will the trachea deviate?

A

Toward the good lung

165
Q

What is the diagnostic test of choice to evaluate cor pulmonale?

A

Right heart catheterization

166
Q

What is Cor Pulmonale?

A

Right heart failure due to severe pulmonary hypertension

167
Q

What is the diagnostic modality of choice for suspected pulmonary embolus in a pregnant woman?

A

VQ scan

168
Q

What treatment of choice do all sizes of pneumothorax have in common?

A

Oxygen

169
Q

Tall thin males, patients with cystic fibrosis and emphysema patients all have what potential complication in common?

A

Spontaneous pneumothorax

170
Q

What is the most common cause of acute respiratory distress syndrome?

A

Sepsis

171
Q

Can salmeterol ,a long acting beta agonist, be used as solo therapy in a patient with asthma?

A

Never - At minimum, a short acting beta agonist is required is required as a rescue inhaler. LABAs may only be used in combination with inhaled corticosteroids

172
Q

Deficiency in what enzyme can lead to early emphysema-like condition in young non-smokers?

A

Alpha-1 antitrypsin deficiency

173
Q

Which of the COPD disease states will be found to have an elevated hematocrit on CBC, due to chronic hypoxic state

A

Chronic bronchitis

174
Q

A child has daily asthma attacks and two to three night time attacks per week. What is the recommended addition to his albuterol inhaler therapy?

A

Inhaled corticosteroids

175
Q

A patient presents to your office afebrile with a nonproductive cough for five days. What is the suspected disease process?

A

Bronchitis

176
Q

In addition to steroids, albuterol plus ipratropium treatment and oxygen, what additional medication should be given to all acute COPD exacerbations?

A

Antibiotics

177
Q

Which COPD is considered reversible?

A

Asthma is considered reversible

178
Q

What are the three types of COPD?

A

Asthma - Chronic bronchitis - Emphysema

179
Q

What is the only medicine that will improve mortality and morbidity of a COPD patient?

A

Oxygen

180
Q

What is the preferred inhaled agent for emphysema?

A

Ipratropium bromide inhaler

181
Q

What is the preferred inhaled agent for an acute asthma exacerbation?

A

Albuterol inhaler

182
Q

Which of the lung cancers is nonsurgical and is only treated with chemotherapy?

A

Small cell carcinoma

183
Q

When performing a lung exam, you have the patient whisper and the sound is heard clearly. What do you suspect?

A

Consolidation

184
Q

A patient undergoes thoracentesis for a large right pleural effusion. The fluid is noted to be bloody. What is the suspected etiology?

A

Malignancy or pulmonary infarct

185
Q

A 60 year smoker presents to your office with hemoptysis. On chest X-ray you see a large central solitary tumor. What type of lung cancer do you suspect?

A

Squamous cell carcinoma

186
Q

What is the most common cause of a transudative pleural effusion?

A

Congestive heart failure

187
Q

Which lung cancer is commonly found incidentally in non-smokers in the peripheral lung fields?

A

Adenocarcinoma

188
Q

What are two types of lung cancer commonly associated with smoking?

A

Squamous cell carcinoma and small cell carcinoma

189
Q

What type of cancer is suspected in a patient who has cutaneous flushing, diarrhea, wheezing and low blood pressure?

A

Carcinoid tumor with metastasis

190
Q

You note an isolated 1 cm pulmonary nodule with a ground glass appearance on a chest X-ray. What do you suspect?

A

Lung cancer

191
Q

What is considered a positive PPD result in patient with HIV?

A

5 mm or greater (Note: measure the wheal not the redness)

192
Q

What vitamin supplement can help prevent peripheral neuropathy in a patient taking isoniazid?

A

Pyridoxine (Vitamin B6)

193
Q

Which tuberculosis medication can cause red orange urine?

A

Rifampin

194
Q

Which tuberculosis medication can cause optic neuritis?

A

Ethambutol

195
Q

Which tuberculosis medication can lead to peripheral neuropathy?

A

Isoniazid (INH)

196
Q

What is the recommended treatment for PJP if the patient is allergic to sulfa drugs?

A

Pentamidine

197
Q

Which of the fungal pneumonias is most likely to lead to meningitis in an immunocompromised patient?

A

Cryptococcus

198
Q

What medication is used to treat Histoplasma capsulatum pneumonia?

A

Amphotericin B

199
Q

While living in the Mississippi River Valley, you treat a 15 year old boy with a cough. Chest X-ray reveals bilateral hilar adenopathy. What is the suspected etiology?

A

Histoplasma capsulatum

200
Q

Hantavirus is acquired through what vector?

A

Dried rodent feces

201
Q

What pneumonia is associated with positive cold agglutinins?

A

Mycoplasma pneumonia (aka walking pneumonia)

202
Q

Aspiration pneumonia in alcoholics and nursing home patients is most commonly caused by what organism?

A

Klebsiella pneumonia

203
Q

A patient in the ICU on a ventilator develops hypotension and rapidly goes into septic shock. What is the suspected etiology?

A

Pseudomonas aeruginosa

204
Q

Which pneumonia is associated with diarrhea, very high fevers, and hyponatremia?

A

Legionella pneumonia

205
Q

An 18 year old post flu returns to your office with fever and productive sputum. Chest x-ray demonstrates a large infiltrate. What is the suspected etiology?

A

Staphylococcus aureus

206
Q

An outbreak of flu like symptoms associated with nausea and diarrhea occurs in a group of military recruits in boot camp. You suspect what etiology?

A

Adenovirus

207
Q

What pneumonia is commonly associated with patients that are post splenectomy?

A

Streptococcus pneumonia

208
Q

What is the most common cause of viral pneumonia?

A

Influenza

209
Q

What x-ray findings are expected in a patient with cystic fibrosis?

A

Dilated thickened airways or plate like atelectasis

210
Q

Bronchiectasis is commonly associated with what genetic disease?

A

Cystic fibrosis

211
Q

A “steeple sign” seen on chest x-ray is associated with what condition?

A

Croup

212
Q

A premature delivery of an infant before 30 weeks gestation is treated with corticosteroids and exogenous surfactant to prevent what complication?

A

Infant respiratory distress syndrome

213
Q

A child presents to the hospital with pertussis and is placed on a macrolide antibiotic. What is the gold standard testing used to diagnose the pertussis?

A

Nasopharyngeal secretions remains the current

214
Q

A school age child presents with a cough and is suspected of having croup. What is the etiology of the disease?

A

Parainfluenza virus

215
Q

What is the most likely causative organism in a patient with epiglottitis?

A

Haemophilus influenza type B

216
Q

A child in the ER is in acute respiratory distress, he is leaning forward and drooling. What is the expected finding on the lateral x-ray of the neck?

A

Thumb print sign

217
Q

A 14 month old has a runny nose, fever and wheezing. She states she thought it was a cold but now the child is short of breath. What is the suspected etiology?

A

Respiratory Syncytial Virus (RSV)

PANCE (9 decks)

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