resp incorrects

Question 1

treatment for bacterial sinusitis if allergic to penicillin?

Answer 1

doxycycline

Question 2

bacterial sinusitis symptoms?

Answer 2

sick for more than 10 days, gets better than worse
sinus symptoms
headache

Question 3

acute bronchitis presents as

Answer 3

cold like symptoms which turn into cough

cough may or may not produce sputum, 1-3 weeks

Question 4

first line treatment for empyema?

Answer 4

thoracostomy

Question 5

long term therapy for copd?

Answer 5

inhaled O2 if o2 less than 88%

inhaled long acting anti muscarinics sometimes with LABA

Question 6

what will pleural effusion with tuberculosis exudate show?

Answer 6

90% lymphocytes, ADA more than 40

Question 7

first line therapy to quit smoking in patients with depression

Answer 7

buproprion, except for people who have seizures

Question 8

what does silicosis look like in the lungs?

Answer 8

calcification in hilar lymph nodes

Question 9

latent tuberculosis looks like what in the lungs?

Answer 9

calcified nodules

Question 10

sarcoidosis in the lungs?

Answer 10

reticular interstitial pattern

Question 11

anthracosis in the lungs?

Answer 11

upper lung nodular opacifications

Question 12

hyperlucency at lung apices is caused by?

Answer 12

copd

Question 13

hyperlucency at lung bases is caused by?

Answer 13

alpha 1 trypsin deficiency

Question 14

what to do if you have a positive tb test?

Answer 14

more than 5 cm for immunocompromised

more than 10 cm for high risk

cxray to confirm

Question 15

small cell carcinoma of lung causes edema how?

Answer 15

superior vena cava syndrome

Question 16

small cell lung carcinoma presents as

Answer 16

central hilar mass with mediastinal widening
edema
hoarseness
siadh

Question 17

how to confirm influenza?

Answer 17

pcr test

Question 18

treatment of flail chest?

Answer 18

pain management

and oxygen

Question 19

what causes flail chest?

Answer 19

blunt trauma to chest

Question 20

positive pressure ventilation is indication in?

Answer 20

respiratory failure

Question 21

tension pneumothorax treatment?

Answer 21

needle decompression

Question 22

middle aged woman with unexpected shortness of breathe?

Answer 22

idiopathic pulmonary arterial HTN

Question 23

treatment for cystic fibrosis related diabetes?

Answer 23

insulin

Question 24

best treatment for allergic rhinitis?

Answer 24

intranasal corticosteroid

Question 25

how to confirm berylliosis?

Answer 25

high resolution ct scan

Question 26

pulmonary sarcoidosis presents as?

Answer 26

cough, dysypnea, chest pain high calcium high ACE high CRP bilateral hilar adenopathy

Question 27

for prophylaxis, what kind of vaccine with oseltamivir?

Answer 27

inactivated live attenuated cant be used with antivirals

Question 28

patient with bloody sputum, next best step is?

Answer 28

cxray

Question 29

what to do if pneumothorax is small?

Answer 29

less than 15%? give O2 and observe

Question 30

patient with chronic cougg, dysynea, hemoptysis?

Answer 30

bronchiectasis, usually with history of prior lung infection

Question 31

lung mass less than 6cm?

Answer 31

nothing

Question 32

lung mass 6-8 cm

Answer 32

ct again in 6-12 months

Question 33

lung mass more than 8 cm

Answer 33

pet scan, biopsy

Question 34

treatment for stable copd?

Answer 34

smoking cessation | LABA, SABA

Question 35

hypersensivity pneumositis presents as?

Answer 35

decreased co diffusion capacity of lungs

Question 36

younger than 65, no comorbities, how to treat pneumonia?

Answer 36

amox, azithro, or doxy

Question 37

older than 65, comorbities, how to treat pneumonia?

Answer 37

amox/clav +azithro

Question 38

treatment of small cell carcinoma?

Answer 38

chemotherapy

Question 39

tretment of non small cell carcinoma?

Answer 39

chemotherapy + surgery

Question 40

rsv prophylaxis?

Answer 40

palivizumab

Question 41

who should get rsv prophylaxis

Answer 41

premies | less than 24 months who are immunocompromised

Question 42

where is histoplasmosis found?

Answer 42

in ohio and mississippi river valleys in caves

Question 43

where is blasto found?

Answer 43

south and south eastern us

Question 44

Obs sleep apnea associated with

Answer 44

headaches, being tired, depression, impotence, nonrestorative sleep

Question 45

what causes extremely low glucose in pleuritic fluid?

Answer 45

malignancy, RA, empyema

Question 46

goodpasture disease is associated

Answer 46

with anti basement membrane and ANCA

Question 47

what is the test for asthma that is not exercise induced?

Answer 47

pft

Question 48

what is the goal O2 level for COPD pts? why not higher

Answer 48

88-92%, decreased respiratory drive can cause CO2 retaining

Question 49

idiopathic pulmonary fibrosis presents when?

Answer 49

6th or 7th decade of life

Question 50

what does idiopathic pulmonary fibrosis present as?

Answer 50

dry cough, dysypnea | dry crackles and honeycombing

Question 51

acute respiratory distress syndrome, how to manage?

Answer 51

intubation and peep

Question 52

ards symptoms?

Answer 52

decreased breathing rate quickly hypoxemia dysypnea infiltrates on imaging

Question 53

treatment of walking pneumonia via mycoplasma?

Answer 53

azithro, doxy, levoflox

Question 54

how to image asbestosis?

Answer 54

prussian blue

Question 55

anisakis simplex?

Answer 55

eating undercooked fish, burrows inside and blocks small bowel

Question 56

treatment for moderate persistent asthma?

Answer 56

imhaled low dose ics inhaled LABA prn SABA

Question 57

treatment for mild persistent asthma?

Answer 57

inhaledlow dose ics | prn saba

Question 58

treatment for severe persistent asthma?

Answer 58

inhaled high dose ics inhaled laba prn saba

Question 59

what is low NO indicitive of in pulm pathology?

Answer 59

primary ciliary dyskinesia

Question 60

test for amiloride in CF?

Answer 60

larger inhibition of nasal potential differnece after amiloride in nose

Question 61

intestinal flukes are associated with what? give an ex of one

Answer 61

consumption of polluted water or plants, such as f.buski n/v abd pain anemia

Question 62

what does silicosis show as? what causes it?

Answer 62

nodular opacities upper lobe of lung eggshell calcifications in lymph nodes working with glass,sandblaster, miner

Question 63

berylliosis shows as ? what causes it?

Answer 63

bilateral hilar adenopathy fever, night sweats, weight loss metal worker, electronics worker, jewelery maker

Question 64

asbestosis shows as what ? what causes it?

Answer 64

bilateral opacities with pleural plaques, honeycomb pattern chest pain, cough, difficulty breathing reduced dlco shipbuilding, asbestos miners, insulation workers

Question 65

appendix viscerosomatics?

Answer 65

t9-t12

Question 66

inhibition to superior mesenteric treats

Answer 66

duodenum to 2/3 transverse colon upper ureters appendix

Question 67

inhibition to inferior mesenteric treats

Answer 67

lower gi tract and lower ureters

Question 68

inhibition to celiac ganglion treats

Answer 68

``` upper gi tract stomach spleen liver gallbladder pancreas ```