Resp

Question 1

pulmonary fibrosis spirometry picture

Answer 1

FEV1/FVC > 80%

TLCO is decreased

Question 2

COPD Tx

Answer 2

1. SAMA/SABA
2. If asthma/steroid responsive features, ICS+LABA
3. If none, LAMA + LABA
4. Next step for both, LABA + LAMA + ICS

Question 3

Lights criteria for exudate effusion

Answer 3

Pleural fluid protein / Serum protein >0.5
Pleural fluid LDH / Serum LDH >0.6
Pleural fluid LDH > 2/3 * Serum LDH upper limit of normal

Question 4

MOA of buproprion

Answer 4

norepinephrine and dopamine reuptake inhibitor, and nicotinic antagonist

Question 5

Mx of PTX

Answer 5

Primary:
If <2cm and SOB, aspirate

Secondary PTX:
If 1-2cm, aspirate
If >2cm OR >50 years old OR SOB, chest drain

Question 6

CURB 65

Answer 6

Confusion
Urea > 7
RR > 30
BP <90sys or 60dias
65y/o