Respiratory 3

Question 1

TB is caused by what bacteria

Answer 1

mycobacterium tuberculosis

Question 2

CBC recommended drugs for TB
3

Answer 2

isoniazid
rifapentine
rifampin

Question 3

Gold standard for dx pulmonary TB infection (can take up to 8 weeks to grow)

Answer 3

sputum C/S

Question 4

classic findings of TB on chest x ray

Answer 4

pulmonary nodules and/or cavitations (round black holes) on the upper lobes w/ or w/o fibrotic changes/scares

Question 5

if you suspect allergic asthma, check was lab

Answer 5

serum immunoglobulin G allergy panels

Question 6

which forms of TB require tx

Answer 6

both active and latent forms

Question 7

restrictive lung diseases include
3

Answer 7

pulmonary fibrosis
pleural disease
diaphragm obstruction

Question 8

obstructive lung diseases include
3

Answer 8

asthma
COPD
bronchiectasis

Question 9

sound heard over normal lung tissue filled with air

Answer 9

resonance

Question 10

normally heard over solid areas such as bones

Answer 10

flatness

Question 11

first line abx for pertussis

Answer 11

azithromycin

Question 12

group E COPD patients tx

Answer 12

LABA and LAMA together

Question 13

a patient with TB infection has

Answer 13

no symptoms, cannot spread TB to others, usually has a positive TB skin test or blood test, and may develop TB disease if they do not receive tx

Question 14

the best method to assess the severity of an asthma attack is

Answer 14

measurement of maximal expiratory airflow w/ a peak flow meter

Question 15

which vaccine can cause false positive TB skin reaction

Answer 15

BCG vaccine

Question 16

BCG vaccine can show false positive for how long

Answer 16

up to three months

Question 17

per CBC guidelines, for adults 65 years and older who have received PPSV23 - what should be administered for PNA

Answer 17

one dose of PCV15 or PCV20 at least 1 year after the most recent PPSV23

Question 18

the CDC recommends pneumococcal vaccine for adults 19-64 with certain medical conditions - which vaccines can they get

Answer 18

one dose of PCV 15 or PCV 20; if they get PCV15 they then need PPSV23 1 year later

Question 19

most sensitive tool to detect TB and gold standard for dx drug resistant TB

Answer 19

sputum C/S

Question 20

most rapid and inexpensive TB dx method

Answer 20

sputum acid-fast bacilli smear

Question 21

COPD group A med

Answer 21

long acting bronchodilator e.g. LAMA is preferred over a short acting bronchodilator alone

Question 22

COPD group B med

Answer 22

dual bronchodilator therapy LAMA-LABA

Question 23

asthma step 1 GINA

Answer 23

low dose ICS and rapid onset LABA

Question 24

asthma step 1 NAEPP

Answer 24

SABA prn

Question 25

people with COPD or emphysema and those who smoke are more likely to have PNA from what organisms
2

Answer 25

H. influenzae as the predominant organism along with S. pneumoniae

Question 26

options for treating PNA in older adult (65 +) with comorbidities

Answer 26

risk factors for this patient are for H. influenzae infection (gram neg) and also assume the presence of S. pneumoniae (gram pos) because it is the most common bacteria in CAP; treat with beta-lactams plus a macrolide or doxy… OR monotherapy with a respiratory fluoroquinolone

Question 27

major risk factors for fatal asthma include
3

Answer 27

multiple hospital admissions in the past year
ICU admission and/or intubation
recent history of poorly controlled asthma

Question 28

preferred reliever medication for asthma GINA guidelines

Answer 28

low dose ICS w/ formoterol (which is a rapid onset LABA) or an ICS-LABA combo