QUESTIONS 10-20

Question 1

GOLD INITIATIVE QUESTION 10

Answer 1

BASED ON CAT SCORE AND FEV1

Question 2

SECONDARY HYPOGAMMAGLOBULINEMIA WITH ALTERED T CELL FUNCTION

QUESTION 11

Answer 2

DUE TO RITUXIMAB FOR RA
RITUXIMAB IS IG G AGAINST CD20
USED FOR TREATMENT OF B CELL MALIGNANCIES AND RA, SJOGRENS, PEMPHIGUS
DEPLETES B CELLS DURING INFUSION
THIS CAN ALSO ALTER T CELL IMMUNITY BUT NOT T CELL DEPLETION

Question 3

CHRONIC ENDOBRONCHIAL PSEUDOMONAL INFECTION IN CF

QUESTION 12

Answer 3

INDEPENDENT RISK FACTOR FOR MORBIDITY/PFT LOSS
WHEN NEW PA INFN BECOMES CHRONIC: MUCOID
GRADE A: 28 DAYS OF TOBRA INHALATION
REGARDLESS OF SXS, STABILITY

Question 4

DAH FOLLOWING BMT QUESTION 13

Answer 4

ONE OF FEW COMPLICATIONS THAT AFFECTS
AUTOLOGOUS TRANSPLANTS MORE
RISK FACTORS: AGE, RENAL , RADIATION
PRESENTS WITHIN FIRST 2-4 WEEKS
DX:  BAL
GETS BLOODIER RETURNS
TX: STEROIDS   PX: IS POOR

Question 5

OSA AND SURGERY QUESTION 14

Answer 5

OSA INCREASES PERIOPERATIVE RISK OF BOTH PULMONARY AND CARDIAC PATIENTS
INCREASES ARDS, PULM EDEMA, AND MI, CARDIAC ARREST AND ARRYTHMIAS

Question 6

STOP=BANG QUESTION

Answer 6

SNORING, TIREDNESS, OBSERVED APNEA, BP, BMI, AGE, NECK CIRCUMFERENCE, GENDER
SCORE OF 5 OR MORE IS HIGH LIKELIHOOD OF OSA

Question 7

APRV QUESTION 15

Answer 7

LESS USE OF DEEP SEDATION AND PARALYSIS
USES 2 LEVELS OF AIRWAY PRESSURER PHIGH AND PLOW.
VENTILATOR CYCLES BETWEEN THE 2 PRESSURES.

ALLOWS THE PATIENT TO BREATHE SPONTANEOUSLY

Question 8

ZOSYN AND KIDNEYS QUESTION 16

Answer 8

COMBINATION OF VANCO AND ZOSYN IS
ASSOCIATED WITH ACUTE KIDNEY INJURY

MORE THAN VANCO/CEFEPIME

Question 9

HYDROGEN SULFIDE QUESTION 17

Answer 9

COLORLESS GAS SMELLS LIKE ROTTEN EGGS
KNOCK DOWN GAS: HIGH CONCENTRATIONS CAN KNOCK YOU OUT. 
USED IN PETROLEUM INDUSTRY
CAUSES BRONCHIOLITIS OBLITERANS
CAN CAUSE PERMANENT NERVE DAMAGE
DISCOLORATION OF NAIL BEDS

Question 10

TOLUENE DIISOCYANATE

Answer 10

USED IN COATINGS, ADHESIVES, PAINTS AND SEALANTS
TDI CAUSES SKIN AND LUNG SENSITIZATION
ASTHMA, LUNG DAMAGE

Question 11

CADMIUM POISONING

Answer 11

CADMIUM CAN CAUSE COPD, EMPHYSEMA

CHANGES OCCUR GRADUALLY.

Question 12

BRONCHIAL GRANULAR TUMORS QUESTION 18

Answer 12

BENIGN

S100, VIMENTIN AND PAS POSITIVE SHOWING NEURAL ORIGIN

Question 13

VAP TREATMENT QUESTION 19

Answer 13

7 DAY COURSE FOR VAP RECOMMENDED BY IDSA

USE OF PROCALCITONIN IS USED IN ADDITION TO CLINICAL CRITERIA TO GUIDE DISCONTINUATION OF TX

Question 14

NEUROMUSCULAR PFT

Answer 14

REDUCED FVC, AND FEV1, NORMAL FEV1/FVC,
REDUCED FVC RELATIVE TO TLC AND INCREASED RV/TLC

SUPPORTED BY DECREASED MIP AND MVV
IF EXPIRATORY MUSCLES INVOLVED, DECREASE IN ERV LEADS TO INCREASE IN RV
INSPIRATORY MUSCLE WEAKNESS LEADS TO DECREASED TLC

Question 15

EXTREME OBESITY PFT

Answer 15

BMI> 40, RESTRICTION WITH RELATIVELY PRESERVED RV BECAUSE OF REDUCTION IN ERV
DLCO MAY BE NORMAL OR INCREASED IN OBESE PTS.

Question 16

PULMONARY VASCULAR PFT

Answer 16

REDUCED DLCO BUT NORMAL SPIROMETRY AND LUNG VOLUMES