Respiratory

Question 1

Causes of acute decompensation of COPD include: 4?

Answer 1

infection
continued smoking
not compliant with meds
lack of oxygen therapy

Question 2

3 chest x ray findings for COPD?

Answer 2

hyperinflation, increased AP diameter, and flattening of the diaphragm

Question 3

Typical Pneumonias and their symptoms
Streptococcus pneumoniae –
Haemophilus influenzae –
Klebsiella pneumoniae –

Answer 3

bloody or rust-colored sputum, single episode of shaking chills
fever, muscle pain, fatigue, history of COPD, smoker
currant jelly sputum, bulging minor fissure, often right upper lobe. Alcoholics, diabetics, and COPD patients are at risk.

Question 4

What two pathogens more commonly cause lobar pneumonia?

What two pathogens more commonly cause multi lobar pneumonia?

Answer 4

strep pneumonia and klebsiella

staph and pseudo

Question 5

outpatient treatment of pneumonia?
inpatient?
pseudo?
staph?

Answer 5

azithromycin
ceftriaxone or flouro like moxy
pip tazo, meropenem
vanco or linezolid

Question 6

What to give for aspirated pneumonia?

Answer 6

amp and sulbactam or amox and clav

Question 7

What is the progression of tension pneumothroax that we are worried about?

Answer 7

as it expands not only will it collapse the lung but all the vasculature and eventually block venous return causing an obstrutive shock.

Question 8

patients recieving TNF inhibitors should be screened for what

Answer 8

TB. they can be so immunocompromised that they can get latent TB

Question 9

2 biggest things we can do to improve morbidiity in COPD patients?

Answer 9

o2 and stop smoking

Question 10

2 step image process for penetrating trauma to the abdomen?

Answer 10

do a FAST assessment first and if it is positive then go to surgery. if it is negative, it isn’t specific enough so need to do CT to rule out.

Question 11

patient presents with epigastric pain and has a mass there with a recent history of pancreatitis. What is the most likely complicaiton?

Answer 11

pseudocyst of the pancreas

Question 12

Calcium gluconate is used to treat what two things?

Answer 12

hypocalicum and severe hyperkalemia

Question 13

two risk factors to always remember for toxic megacolon?

Answer 13

inflammatory bowel disease and recent c diff infection

Question 14

What test should be done to see if more rhogam needs to be given?

Answer 14

Kleihauer Betke

Question 15

What is the most common complication of shingles

Answer 15

postherpetic neuralgia

Question 16

what is the most common cause of osteoblastic bone metastasis in men?

Answer 16

prostate cancer