resp.

Question 1

LDH and protein low in effusion, transudate or exudate?

Answer 1

transudate

Question 2

glucose level in exudative effusion

Answer 2

less than 60

Question 3

hx COPD, now cough, headache, diarrhea, fever, failed tx with augmentin - dx?

Answer 3

legionella pna

Question 4

pulmonary capillary wedge pressure is ________ in ARDS

Answer 4

normal

Question 5

PaO2: FiO2 in ARDS pt

Answer 5

<300

Question 6

ARDS vent settings

Answer 6

lung protective - volume control, lower tidal volumes

Question 7

the greater the elevation of what in PJP pneumonia means worse prognosis

Answer 7

LDH

Question 8

cardiogenic pulmonary edema will have capillary wedge pressure greater than what?

Answer 8

18

Question 9

CD4 ct less than 200, pna tx

Answer 9

bactrim and steroids

Question 10

antibiotic contraindicated in G6PD

Answer 10

bactrim

Question 11

illicit drug leading to noncardiogenic pulmonary edema

Answer 11

PCP, opiates, naloxone, mepbrobate, salicylates

Question 12

MCCs community acquired pna in 6-8 yo

Answer 12

mycoplasma p, chlamydia p, strep p, NTHi

Question 13

test with the highest sensitivity for PE

Answer 13

V/Q scan

Question 14

hospital acquired pna tx

Answer 14

2 anti-pseudomonal tx plus vanc

Question 15

beta 2 agonists promote bronchodilation by

Answer 15

increasing cyclic amp

Question 16

anticholinergic agents promote bronchodilation by

Answer 16

decreasing cyclic gmp

Question 17

type 1 respiratory failure v type 2

Answer 17

type 1 is hypoxemia. type 2 is hypercapnea

Question 18

MC organism cultured from tracheal secretions of CF pt?

Answer 18

pseudomonas

Question 19

give albuterol in bronchiolitis?

Answer 19

no

Question 20

CAP in pt with comorbidities, tx

Answer 20

fluoroquinolone or doxy +macrolide

Question 21

aspiration pna tx

Answer 21

rocephin + azithro

Question 22

MC organism on culture in bacterial tracheitis

Answer 22

staph aureus

Question 23

abx to cover pseudomonas

Answer 23

cipro

Question 24

septic shock pt with hx pulm htn, dont give

Answer 24

full fluid bolus

Question 25

phosgene exposure, minimal irritation to mucosa, next steps

Answer 25

24 hour obs

Question 26

HIV pt even with CD4 100, most likely cause of lobar pna

Answer 26

strep pneumo

Question 27

rust colored sputum

Answer 27

strep pneumo

Question 28

bleach and ammonia mix make

Answer 28

chloramine, dangerous cause of pulmonary edema

Question 29

back pack worn on one shoulder can precipitate

Answer 29

costochondritis

Question 30

drug resistant TB treatment

Answer 30

isoniazid, rifampin, pyrazinamide, levofloxacin, and bedaquiline

Question 31

when do you use steroids in PCP pna?

Answer 31

PaO2 <70 or A-a gradient >35, give steroids first then treat with bactrim

Question 32

severe extrapulmonary features of COPD

Answer 32

Right heart failure

Question 33

how to confirm diagnosis of fat embolism syndrome

Answer 33

clinical diagnosis

Question 34

XR that most likely detects pleural effusion

Answer 34

lateral decubitus, affected side down