Respiratory

Question 1

how long to wait to drive while taking antihistamines

Answer 1

> 12hr

Question 2

DQ

Answer 2

FEV1<65% or pCO2>45
SPO2<92%
OSA untx
Alveolar hypoventilation syndrome
Restless leg with somnolence
Use of O2
CNS Hypersomnolence

Question 3

Can you drive with CF

Answer 3

Yes if cleared by pulm

Question 4

Who needs spirometry

Answer 4

> 35yo smoker

Question 5

What must PFT include

Answer 5

FEV1>65
FVC>60
Ratio>65

Question 6

Who requires PFT

Answer 6

COPD
Hx of lung dz
SOB, cough, chest tightness, wheezing
>35yo and smoking
chronic resp. failure

Question 7

What ABG certifies

Answer 7

PCO2<45%
PO2>65 at sea level
PO2>60 at 5000ft

Question 8

Who gets CXR

Answer 8

mitral stenosis
significant respiratory issues
hypersensitivity pneumonitis
\+PPD
Spontaneous pneumothorax

Question 9

Who needs pulse ox/ABG

Answer 9

PFT/Ratio<65
FVC<60
pulse ox<92=ABG

Question 10

Cert COPD

Answer 10

2 year

Question 11

Wait for allergic rhinitis

Answer 11

no

Question 12

Certify allergic rhinitis

Answer 12

2 year

Question 13

DQ allergic rhinitis

Answer 13

can’t keep eyes open, continuous sneezing, photophobia, severe headache, antihistamines <12h

Question 14

Asthma wait and certify

Answer 14

no wait, 2 years

Question 15

Pulm HTN certify

Answer 15

1 year

Question 16

DQ Pulm HTN

Answer 16

PaO2<65 or sx

Question 17

PTX certify

Answer 17

2 years

Question 18

Wait for PTX

Answer 18

none

Question 19

DQ PTX

Answer 19

air in pleural space/mediastinum

>/=2 PTX on same side without surgery

Question 20

Requirements for TB certify

Answer 20

treated with streptomycin, annual neg CXR, non-contagious

Question 21

Certify TB

Answer 21

2 years

Question 22

Wait for TB

Answer 22

None, just not contagious

Question 23

Ptn has PTX once and then a second spontaneous one. Can they be certified?

Answer 23

No because there has been no surgery/medical change to fix the problem