Respiratory

Question 1

What is the predominant sx of asthma?

Answer 1

Coughing

Question 2

What is the biggest decider of severity in asthma?

Answer 2

FEV1

Question 3

Asthma is diagnosed with:

Answer 3

PFT

Question 4

COPD is diagnosed with:

Answer 4

Spirometry

Question 5

What 3 things affect PFTs?

Answer 5

H- Height
A- Age
G- gender

Question 6

COPD is diagnosed with an FEV1/FVC ration of:

Answer 6

Less than 0.70

Question 7

What will a COPD patient look like?

Answer 7

Barrel chest, clubbing of fingers, chronic cough

Question 8

What sound would you hear on percussion of COPD patient?

Answer 8

Hyperresonance

Question 9

COPD patient is at greater risk of?

Answer 9

Lung cancer

Question 10

This is common in coal miners.

Answer 10

Pneumoconiosis

Question 11

Pneumonia s/s:

Answer 11

Cough, fever, chills, rhonchi, wheezing, and increased tactile fremitus

Question 12

Treatment of pneumonia in patient with no comorbidities and no antibiotics in the last 30 days?

Answer 12

Macrolide, amoxicillin, doxy (MAD lung)

Question 13

Treatment of pneumonia in a patient with comorbidities and/or antibiotics in the last 30 days?

Answer 13

Levaquin (resp. fluoroquinolone)

Question 14

What is CURB-65?

Answer 14

Used with elderly with pneumonia for admission to the hospital:
C- Confusion
U- BUN >19
R- RR >20 or 30
B- BP < 90/60
greater than of equal to 65 years of age
1 point for each, once over 2 points patient needs to be admitted

Question 15

This is caused by RSV and patient will present with cough and wheezing.

Answer 15

Bronchiolitis

Question 16

Treatment for bronchiolitis?

Answer 16

Supportive care

Question 17

TB screening results:

Answer 17

general public positive >15mm
immigrants/health care workers positive >10mm
HIV/immunosuppressed positive >5mm

Question 18

HIV turns to AIDs with a CD4 count of?

Answer 18

Less than 200

Question 19

We confirm TB with?

Answer 19

Sputum cultures

Question 20

Strep treatment?

Answer 20

PCN

Question 21

Mono treatment?

Answer 21

Supportive care- can go back to sports once spleen is no longer enlarged- confirmed with US

Question 22

If patient has both mono and strep how do we treat?

Answer 22

PCN VK, cephalosporin, or a macrolide

Cannot use amoxicillin with both d/t PCN with mono causing an ampicillin rash

Question 23

Nagging cough possibly with sputum, 95% cases are viral

Answer 23

Acute bronchitis

Question 24

When do we treat acute bronchitis with antibiotics?

Answer 24

When it is pertussis, will decrease how contagious they are.

Question 25

How do we treat sinusitis?

Answer 25

Augmentin to prevent periorbital cellulitis

Question 26

What occurs with chronic sinusitis?

Answer 26

Nasal polyps

Question 27

Treatment for allergic rhinitis?

Answer 27

1. Avoid triggers
2. Intranasal corticosteroids- Flonase
3. Antihistamines (Anticholinergic- avoid in elderly.)