Pulmonology

Question 1

Patchy infiltrate and ragged tracheal column

Answer 1

Bacterial tracheitis

Tx: antibiotics

Question 2

Thumb’s sign

Answer 2

Acute epiglottitis

if vaccinated, S. aureus, if unvaccinated, Hib

Question 3

Subglottic narrowing

Steeple sign

Answer 3

Croup or laryngotracheobrongitis

Tx: Dexamethasone (if mod to sever + racemic epi)

Question 4

Air trapping on the right lung with mediastinal shift towards the right lung

Answer 4

Foreign body airway obstruction

Tx: bronchoscopy

Question 5

Hx of viral infection among the family, patient is 2yo

Answer 5

Bronchiolitis

Question 6

Hx of atopy in the family, recurrent wheezing after mild viral infection or after exercise

Answer 6

Bronchial asthma

Question 7

Wheezes are heard loudest over the trachea. Persistent wheezing never seems to go away

Answer 7

Chondromalacia

Question 8

absent breath sounds on right lung, patient is 3 yo

Answer 8

Foreign body airway obstruction

Question 9

Hx of URTI, fever, ill family member, barking cough, stridor

Answer 9

LTB

Question 10

High fever, patient in distress, acutely ill, brassy cough, copious purulent sputum

Answer 10

Bacterial tracheitis

Question 11

Staccato cough

Answer 11

Chlamydia

Question 12

Brassy cough

Answer 12

Staphylococcus

Question 13

Barking seal

Answer 13

Parainfluenza

Question 14

Whooping/post tussive vomiting

Answer 14

Bordetella

Question 15

Cat I TB regimen

Answer 15

2HRZE/4HR

Question 16

Cat Ia TB regimen

Answer 16

2HRZE/10HR

Question 17

Cat II TB regimen

Answer 17

2HRZES/ 1 HRZE/ 5 HRE

Question 18

Cat IIa TB regimen

Answer 18

2HRZES/ 1 HRZE/ 9 HRE

Question 19

Difference of PCAP A and B

Answer 19

presence of mild DHN in CAP B

Question 20

Difference of PCAP C and D

Answer 20

PCAP D: G-A-S (grunting, apnea, sensory changes)

Question 21

drooling, neck held in hyperextension, bulging of posterior pharyngeal wall, neck pain, muffled voice, resp distress

Answer 21

Retropharyngeal abscess