Respiratory Flashcards

1
Q

Viral vs bacterial rhinosinusitis

A

Viral: No fever, early resolution of fever, resolution before 10th day
Bacterial: Fever > 3 days, recurrent fever, persistent symptoms > 10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Primary Ciliary Dyskinesia Triad

A

Dextrocardia, bronchiectasis, sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Early presentation of PCD (in order):

A

• Neonatal TTN > Delayed speech due to recurrent OM > Chronic sinusitis (Bilateral purulent discharge)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Kartagner Syndrome

A
Situs inversus
Recurrent sinusitis
Bronchioectesis
Dextrocardia
Infertility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cystic fibrosis has increased risk of which syndromes?

A

psedobarter syndrome and Distal intestinal obstruction syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cystic Fibrosis mode of inheritance?

A

Autosomal recessive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cystic Fibrosis diagnosis?

A

Typical Sx of CF + CFTR dysfunction:

  1. Sweat chloride ≥ 60 mmol/L on two occasions
  2. OR CFTR gene mutation
  3. OR abnormal nasal potential difference test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk of psedobarter syndrome:

A
  • HypoNa + HypoK + HypoCl + Metabolic alkalosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Distal intestinal obstruction syndrome (DIOS) treatment

A
  • IF no vomiting: electrolytes intestinal lavage solution (GoLYTELY)
  • IF vomiting: Hyperosmolar enema + GoLYTELY
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Distal intestinal obstruction syndrome (DIOS) symptoms

A

Abdominal pain + RLQ mass + stool retention/fluid level in xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most common pathogen for infants with CF and treatment

A

Staph A

IV Vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Foreign body aspiration Most common location

A

Right bronchus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Foreign body aspiration management

A

Rigid bronchoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pediatric obstructive sleep apnea pathophysiology

A

Adenotonsillar hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Daytime symptoms of OSA in children include

A

Inattention, learning difficulties, behavioral problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cholesteatoma is benign growth of

A

Squamous epithelium

17
Q

Cholesteatoma can present with

A

Chronic otorrhea and conductive hearing loss

18
Q

Cholesteatoma examonation

A

Pearly white mass (anterosuperior quadrant of TM)

19
Q

Cholesteatoma Tx

A

Sx excision

20
Q

Otitis externa most common organism

A

 pseudomonas Aeruginosa

21
Q

Otitis externa risk factor

A

Water exposure

22
Q

Otitis externa symptoms

A

Tympanic membrane spared, ear canal erythema and edema

23
Q

Otitis externa Tx

24
Q

When is Topical Ciprofloxacin contraindicated?

A

tympanic membrane perforation

25
Treatment of mastoiditis
Vancomycin
26
Risk factors for acute otitis media
Passive cigarette smoke Pacifier use Bottle feed Day care
27
Acute Otitis Media Tx
Amoxicillin
28
Acute Otitis Media duration of treatment
10 d if 6 m to 2 yrs | 5 days if > 2 yrs
29
Recurrent AOM in less than 30 days / refractory symptoms after 2-3 days Tx
Augmentin
30
Major criteria in asthma predictive illness
Eczema Parent with asthma  positive skin test for aeroallergen
31
Asthma spirometry
* FEV1/FVC < 80% * Reversibility test: FEV1 increase by 12% (200ml) * Exercise/Methacholine challenge test: Worsening FEV1/FVC by 20% * Peak expiratory flow (PEF) diurnal variability 60L/m or 20% from the baseline