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Comquest incorrects > resp incorrects > Flashcards

resp incorrects Flashcards

1
Q

treatment for bacterial sinusitis if allergic to penicillin?

A

doxycycline

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2
Q

bacterial sinusitis symptoms?

A

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

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3
Q

acute bronchitis presents as

A

cold like symptoms which turn into cough

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

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4
Q

first line treatment for empyema?

A

thoracostomy

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5
Q

long term therapy for copd?

A

inhaled O2 if o2 less than 88%

inhaled long acting anti muscarinics sometimes with LABA

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6
Q

what will pleural effusion with tuberculosis exudate show?

A

90% lymphocytes, ADA more than 40

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7
Q

first line therapy to quit smoking in patients with depression

A

buproprion, except for people who have seizures

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8
Q

what does silicosis look like in the lungs?

A

calcification in hilar lymph nodes

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9
Q

latent tuberculosis looks like what in the lungs?

A

calcified nodules

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10
Q

sarcoidosis in the lungs?

A

reticular interstitial pattern

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11
Q

anthracosis in the lungs?

A

upper lung nodular opacifications

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12
Q

hyperlucency at lung apices is caused by?

A

copd

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13
Q

hyperlucency at lung bases is caused by?

A

alpha 1 trypsin deficiency

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14
Q

what to do if you have a positive tb test?

A

more than 5 cm for immunocompromised

more than 10 cm for high risk

cxray to confirm

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15
Q

small cell carcinoma of lung causes edema how?

A

superior vena cava syndrome

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16
Q

small cell lung carcinoma presents as

A

central hilar mass with mediastinal widening
edema
hoarseness
siadh

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17
Q

how to confirm influenza?

A

pcr test

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18
Q

treatment of flail chest?

A

pain management

and oxygen

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19
Q

what causes flail chest?

A

blunt trauma to chest

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20
Q

positive pressure ventilation is indication in?

A

respiratory failure

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21
Q

tension pneumothorax treatment?

A

needle decompression

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22
Q

middle aged woman with unexpected shortness of breathe?

A

idiopathic pulmonary arterial HTN

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23
Q

treatment for cystic fibrosis related diabetes?

A

insulin

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24
Q

best treatment for allergic rhinitis?

A

intranasal corticosteroid

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25
Q

how to confirm berylliosis?

A

high resolution ct scan

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26
Q

pulmonary sarcoidosis presents as?

A

cough, dysypnea, chest pain
high calcium
high ACE high CRP

bilateral hilar adenopathy

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27
Q

for prophylaxis, what kind of vaccine with oseltamivir?

A

inactivated

live attenuated cant be used with antivirals

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28
Q

patient with bloody sputum, next best step is?

A

cxray

29
Q

what to do if pneumothorax is small?

A

less than 15%? give O2 and observe

30
Q

patient with chronic cougg, dysynea, hemoptysis?

A

bronchiectasis, usually with history of prior lung infection

31
Q

lung mass less than 6cm?

A

nothing

32
Q

lung mass 6-8 cm

A

ct again in 6-12 months

33
Q

lung mass more than 8 cm

A

pet scan, biopsy

34
Q

treatment for stable copd?

A

smoking cessation

LABA, SABA

35
Q

hypersensivity pneumositis presents as?

A

decreased co diffusion capacity of lungs

36
Q

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

A

amox, azithro, or doxy

37
Q

older than 65, comorbities, how to treat pneumonia?

A

amox/clav +azithro

38
Q

treatment of small cell carcinoma?

A

chemotherapy

39
Q

tretment of non small cell carcinoma?

A

chemotherapy + surgery

40
Q

rsv prophylaxis?

A

palivizumab

41
Q

who should get rsv prophylaxis

A

premies

less than 24 months who are immunocompromised

42
Q

where is histoplasmosis found?

A

in ohio and mississippi river valleys

in caves

43
Q

where is blasto found?

A

south and south eastern us

44
Q

Obs sleep apnea associated with

A

headaches, being tired, depression, impotence, nonrestorative sleep

45
Q

what causes extremely low glucose in pleuritic fluid?

A

malignancy, RA, empyema

46
Q

goodpasture disease is associated

A

with anti basement membrane and ANCA

47
Q

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

A

pft

48
Q

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

A

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

49
Q

idiopathic pulmonary fibrosis presents when?

A

6th or 7th decade of life

50
Q

what does idiopathic pulmonary fibrosis present as?

A

dry cough, dysypnea

dry crackles and honeycombing

51
Q

acute respiratory distress syndrome, how to manage?

A

intubation and peep

52
Q

ards symptoms?

A

decreased breathing rate quickly
hypoxemia
dysypnea
infiltrates on imaging

53
Q

treatment of walking pneumonia via mycoplasma?

A

azithro, doxy, levoflox

54
Q

how to image asbestosis?

A

prussian blue

55
Q

anisakis simplex?

A

eating undercooked fish, burrows inside and blocks small bowel

56
Q

treatment for moderate persistent asthma?

A

imhaled low dose ics
inhaled LABA
prn SABA

57
Q

treatment for mild persistent asthma?

A

inhaledlow dose ics

prn saba

58
Q

treatment for severe persistent asthma?

A

inhaled high dose ics
inhaled laba
prn saba

59
Q

what is low NO indicitive of in pulm pathology?

A

primary ciliary dyskinesia

60
Q

test for amiloride in CF?

A

larger inhibition of nasal potential differnece after amiloride in nose

61
Q

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

A

consumption of polluted water or plants, such as f.buski

n/v abd pain anemia

62
Q

what does silicosis show as? what causes it?

A

nodular opacities upper lobe of lung

eggshell calcifications in lymph nodes

working with glass,sandblaster, miner

63
Q

berylliosis shows as ? what causes it?

A

bilateral hilar adenopathy
fever, night sweats, weight loss

metal worker, electronics worker, jewelery maker

64
Q

asbestosis shows as what ? what causes it?

A

bilateral opacities with pleural plaques, honeycomb pattern

chest pain, cough, difficulty breathing
reduced dlco

shipbuilding, asbestos miners, insulation workers

65
Q

appendix viscerosomatics?

A

t9-t12

66
Q

inhibition to superior mesenteric treats

A

duodenum to 2/3 transverse colon
upper ureters
appendix

67
Q

inhibition to inferior mesenteric treats

A

lower gi tract and lower ureters

68
Q

inhibition to celiac ganglion treats

A 
upper gi tract
stomach
spleen
liver
gallbladder
pancreas

Comquest incorrects (20 decks)

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