Pulmonology

Question 1

Severe asthma exacerbation

Answer 1

• inc RR
• hypoxia
• respiratory acidosis
• decrease in peak flow
• no wheezing

Question 2

Order for all! SOB patient

Answer 2

CXR
Continuous ox
Oxygen
ABG

Question 3

DLco
High res CT
Pre and post bronchodilator
Tests good for …

Answer 3

ILD

ILD And bronchiectasis

Question 4

Asthma

- what to order on ccs screen

Answer 4

• inhaled bronchodilator ( albuterol)
• steroid blolus ( methyl prednisolone
• ipratropium
  _ oxygen
• magnesium

Respiratory acidosis/ with co2 retention —> icu

Persistent respiratory acidosis—> intubation And m.v.

Question 5

CAP

Answer 5

Ceftriaxone + azithro

Question 6

COPD ccs blue

Answer 6

Mild respiratory acidosis —> CPAP Or BiPAP + move clock forward 30-60 minutes

Severe respiratory acidosis , drop in pH—> intubation

Question 7

Drug that causes lung fibrosis

Answer 7

Nitrofurantoin ( macrobid)

Question 8

Right heart strain

Answer 8

Right heart strain + hypotension= thrombolytics

Question 9

Allergic bronchopulmonary aspergillosis (ABPA)

Answer 9

Asthmatic
- cough up brown mucus plugs with recurrent infiltrate

Dx with

• Aspergillus skin text
• IgE level
• circulating precipitims
• A fumigates specific Ab

Tx
- —> oral corticosteroids
Refractory—> itracanozole

Question 10

Pulmonary hypertension parameters

Answer 10

Decreased co
Increased SVR
Decreased wedge
Increased rap