Resp

Question 1

if patient has high CO2 and given O2….

Answer 1

WORSENS CO2

Question 2

goal oxygen range:

Answer 2

90-93%

Question 3

upper airway cough syndrome

Answer 3

post nasal drip

Question 4

tx of postnasal drip

Answer 4

antihistamines

Question 5

increase RA pressure
increase pulmonary artery pressure
normal PCWP

Answer 5

PE— since non-cardiogenic

Question 6

thickening of distal fingers and convex nail beds=

Answer 6

HPOA

Question 7

pickwickian syndrome

Answer 7

obese
CO2 > 45
nocturnal hypoventilation

Question 8

tx ARDS

Answer 8

PEEP

Question 9

recurrent pneumonia in the same location

Answer 9

lung cancer red flag

Question 10

mcc sudden severe onset SOB

Answer 10

UPPER AIRWAY OBSTRUCTION

Question 11

fixed upper airway obstruction–

Answer 11

flat insp and exp loop (laryngeal edema)

Question 12

empyema with rim

Answer 12

surgery

Question 13

pulmonary HTN

Answer 13

Hot increase >55%

O2

Question 14

exudate

Answer 14

capillary permeability– pneumonia

Question 15

transudate

Answer 15

CHF, cirrhosis

Question 16

worsen resp shunting

Answer 16

positoning

Question 17

peak airway pressure:

Answer 17

resistance pressure + plateau pressure

Question 18

plateu pressure:

Answer 18

elastic pressure (compliance_ + PEEP (calculated by end inspiratory hold maneuver)

Question 19

what type of ventilation in COPD decreases mortality

Answer 19

NPPV

Question 20

pulmonary edema

Answer 20

increases Aa gradient

Question 21

tx of aspirin induced asthma

Answer 21

LTRA and avoid asa

Question 22

normal pH pleural fluid

Answer 22

7.6

Question 23

tx of acute bronchitis

Answer 23

supportive

Question 24

granulation in ear canal

Answer 24

malignant otitis externa
—> pseudomonas: cipro

can lead to osteomyelitis of skull base and destruction of facial nerve

Question 25

first line treatment of menieres

Answer 25

salt resistrction

Question 26

presbycussis

Answer 26

cannot hear in noisy crowded environments

Question 27

dull tympanic membrane

Answer 27

noninfectious effusion= SERROUS OTITIS MEDIA

Question 28

haemorrhagic and serrous blebs in ear….

Answer 28

bullous myringitis= mycoplasma pneumonia

Question 29

massive PE PC:

Answer 29

• hypotensive
• jugular venous distension
• RBBB
• —————-> RV DILATION/ DYSFUNCTION

Question 30

lights criteria for exudate

Answer 30

• pleural fluid protein: serum protein >0.5
• pleural fluid LDH: serum LDH >0.6
• pleural fluid LDH greater than 2/3 of upper limit normal serum LDH

Question 31

pulmonary edema

Answer 31

increase Aa gradient
decrease compliance
hypoxia correctable with oxygen

Question 32

ABG’s for PE

Answer 32

decrease o2
decrease CO2
ph greater than 7.45

Question 33

weighers skin findings:

Answer 33

• nodules
• palpable purpura
• ulcerations

Question 34

which is more nb vaccines or oxygen for decreasing COPD mortality

Answer 34

OXYGEN

Question 35

fungal endemic– wart like lesions, violaceous nodules, skin ulcers

Answer 35

BLASTOMYCOSIS

Question 36

dx of disseminated histoplasmosis

Answer 36

urinary antigen

Question 37

tx of disseminated histoplasmosis

Answer 37

itraconazole