Pulmonology

Question 1

Treatment of acute hypersensitivity pneumonitis

Answer 1

1. remove offending agent
2. steroids if severe
   * no data of inhaled glucocorticoids

Question 2

Lymphangioleiomyomatosis

Answer 2

cystic lung diseaseA/w Tuberous sclerosis

2. infiltration of smooth muscle cells into pulmonary parenchyma

Question 3

Treatment of lymphangioleiomyomatosis

Answer 3

Sirolimu - inhibition of mTOR

Question 4

symptoms a/w lymphangioleomyomatosis

Answer 4

1. dypsna
2. sptx
3. angiomyolipomas
4. chylous pleural effusions

Question 5

Role of long term use of chronic management of COPD

Answer 5

None

Question 6

used to reduce exacerbations in moderate and severe copd

Answer 6

macrolides

Question 7

used to reduce exacerbations in severe copd

Answer 7

romiflulast

Question 8

Management after tx of secondary PTX

Answer 8

mechanical or chemical pleurodesis after first occurrence

Question 9

indication for hyperbaric oxygen in cn poisoning

Answer 9

> 25%

Question 10

induction for methylene blue

Answer 10

methemoglobin of 20% or higher

Question 11

second line tx of cn toxicity

Answer 11

sodium thiosulfate

Question 12

chronic abx choice for CF

Answer 12

macrolides

Question 13

things to r/o before consideration of sacroid

Answer 13

lymphoma a and infection

Question 14

which is more SE culture or gram Stain?

Answer 14

gram stain

Question 15

Dx of empyema

Answer 15

Frank pus on fluid or positive gram stain (positive culture not required)

Question 16

Causes of low glucose in pleural fluid

Answer 16

1. Either increased utilization in fluid (bacteria, malignant cells)
2. decreased transport into the pleural space (rheumatoid)

Question 17

Management of uncomplicated parapneumonic effusion

Answer 17

Expectant; typically resolve with abx therapy alone

Question 18

Definitive tx for CTEPH

Answer 18

thromboendarterectomy

Question 19

Diagnostic criteria for CTPEH

Answer 19

1. mean PAP >= 25mmHg by RHC

2. imaging compatible chronic thromboembolism