Respiratory

Question 1

Rx for pulmonary AH

Answer 1

bosentan

Question 2

Bosentan MOA

Answer 2

competitive antagonist of endothelin-1 receptor

Question 3

Methacholine vs

Answer 3

ipratropium (M3 receptor blocker)

Question 4

thoracocentesis rules

Answer 4

above 7, 9, 11

Question 5

cyanosis, chocolate colored blood, dusky skin

Answer 5

methhemoglobinema

Question 6

cyanosis happens when deoxy Hb is

Answer 6

mt 5g/dl

Question 7

normal A-a gradient

Answer 7

10-15 mm Hg

Question 8

conditions of hypoxemia with nl A-a gradient

Answer 8

alveolar hypoventillation (high altitude and opioid use)

Question 9

life threating epistaxis which A

Answer 9

sphenopalatine A (branch of maxillary)

Question 10

lines of Zahn is seen if thrombi are formed ….

Answer 10

before death

Question 11

pulmonary emboli blood picture

Answer 11

resp alkalosis
Increased pH
Decreased PO2 and PCO2

Question 12

mech of rash in fat emboli

Answer 12

thrombocytopenia leading to petcheial rash

Question 13

obstructive characteristic

Answer 13

decreased FEV1/FVC ratio

Question 14

4 drugs causing restrictive lung disease

Answer 14

bleomycin, busulfan, amiodarone and MTX

Question 15

reticulo nodular opacitiy in CXR

Answer 15

interstitial lung disease (honey coomb lung )

Question 16

only one body in pneumoconiosis

Answer 16

asbestos body (ferruginous) golden brown looks like dumbells

Question 17

pathognomonic of asbestosis

Answer 17

pleural plaques

Question 18

berylliosis

Answer 18

airplane granuloma

Question 19

coal worker

Answer 19

black lung

Question 20

Berryliosis risk

Answer 20

TB and Cancer

Question 21

lobe predilection for pneumoconiosis

Answer 21

asbestosis - lower lobe (all else upper lobe)

Question 22

gold std for asbestosis

Answer 22

EM (asbestosis fibres)

Question 23

acid base in neonatal RDS

Answer 23

metabolic acidosis

Question 24

in obesity, even at walking hours, PaCO2 is ….

Answer 24

increased (retention)

Question 25

Rx for idiopathic PAH

Answer 25

bosentan (endothelin receptor antagonist)

Lung transplantation

Question 26

extended consumption of fenfluramine is associated with

Answer 26

PAH

Question 27

fremitus increased only in

Answer 27

consolidation

Question 28

secondary spont pneumothorax due to

Answer 28

diseased lung or mech vn

Question 29

cold agglutinin pneumonia

Answer 29

mycoplasma

Question 30

lung abscess rx

Answer 30

clindamycin

Question 31

paraneoplastic cerebellar degeneration

Answer 31

small cell ca

Question 32

squamous and small cell ca are

Answer 32

central and smokers

Question 33

Rx for small lung ca

Answer 33

chemotherapy (always)

Question 34

mucin + lung ca

Answer 34

adenoca (copious secretion)

Question 35

ca of non-smokers

Answer 35

adenoca (MC ovaerall)

Question 36

large cell ca secrete

Answer 36

beta hCG (large breast and galactorrhoea)

Question 37

2nd gen anti-histamine cause less sedation because

Answer 37

don’t cross BBB

Question 38

mucous thinners

Answer 38

quaifenesin & NAC

Question 39

omalizumab receptor

Answer 39

IgE

Question 40

toxicity of theophylline and Rx

Answer 40

cardio and neuro (give beta blockers)

Question 41

bronchiolitis obliterans

Answer 41

c/c transplant rejection