Respiratory Buzz Words

Question 1

“Egg shell” calcification in hilar lymph nodes on CXR and concentric collagen rings

Answer 1

Silicosis

Question 2

Golden-brown rods that look like dumbbells

Answer 2

Asbestosis/Mesothelioma

Question 3

Asbestos covered with Ferritin

Answer 3

Ferruginous bodies

Question 4

Unexplained pleural effusion in young woman

Answer 4

SLE

Question 5

Aerospace worker w/ non-caseating granulomas in lung

Answer 5

Beryliosis

Question 6

Young African American female, non-smoker, granulomatous lung lesions, bilateral hilar lymphadenopathy

Answer 6

Sarcoidosis

Question 7

Lung Disease with Weight loss

Answer 7

Lung cancer/ TB

Question 8

Chronic bornchitis, pneumonia, bronchogenic carcinoma, TB, bronchiectasis, aspergilloma

Answer 8

Hemoptysis

Question 9

Ghon complex, caseating necrosis

Answer 9

TB

Question 10

Nasopharyngeal carcinoma

Answer 10

EBV

Question 11

Fluid-filled vesicles in clusters on erythematous base and ulcers around mouth. Tzanck smear, 3 Ms = multinucleated, molding, margination of chromatin

Answer 11

Herpes Stomatitis

Question 12

Keratin pears, intercellular bridges

Answer 12

SqCC

Question 13

Dry mouth and itchy, dry eyes. Anti-SSA/B

Answer 13

Sjogren syndrome

Question 14

Neoplasm in BOTH parotid glands. Bilayered oncocytic

Answer 14

Warthin tumor

Question 15

Parainfluenza virus. Barking cough and biphasic stridor. Steeple sign on CXR

Answer 15

Croup

Question 16

Cough 15-20s, sputum/vomit on final cough. Whoopping cough in paroxysmal stage. Toxin ADP ribosylates Gi

Answer 16

Pertussis

Question 17

Lung infection in person with CF. Alginate/polysaccharide capsule allows biofilm formation. Pigments that cause ROI

Answer 17

Pseudomonas aeruginosa

Question 18

Neonate with atypical pneumonia

Answer 18

Chylamydia trachomatis or RSV

Question 19

Premature baby to DM mother. What do you NOT give baby?

Answer 19

O2–causes blindness. Give aerosolized surfactant and put on CPAP.

Question 20

Prolonged dyspnea (months) and general sx w/o specific exposure. CT reveals cysts and honeycomb pattern.

Answer 20

Idiopathic pulmonary fibrosis

Question 21

Systemic sclerosis patients are susceptable to:

Answer 21

Pulmonary artery HTN (group I) and interstitial lung disease (collagen vascular disease)

Question 22

What asthma drug tx underlying etiology of asthma?

Answer 22

Glucocorticoids = beclomethasone, budesonide, fluticasone (NOT FOR ACUTE)

Question 23

Asthma drugs that increase PTT when on Warfarin?

Answer 23

Zileuton and Zafirlukast

Question 24

Farmer with granulomatous interstital pneumonitis (poorly circumscribed, no lympathic distr. pattern). Caused by thermophilic actinomycetes.

Answer 24

Hypersensitivity pneumonitis (Farmer’s lung)

Question 25

Green sputum

Answer 25

PMN breadown and release of MPO

Question 26

What kills most people who die from influenza virus infections?

Answer 26

Secondary bacterial infxn (often S. aureus, S. pneumo, H. flu)

Question 27

Hoarseness in patient with long hx of chewing tabacco use

Answer 27

Laryngeal SqCC on vocal cords

Question 28

Parotid gland tumor containing mucus and Sq cells. Stains + for mucin, most common malignant salivary gland tumor.

Answer 28

Mucoepidermoid tumor

Question 29

Serous with pink/purple granules

Answer 29

Parotid gland

Question 30

90% serous, 10% mucous (more clear appearance)

Answer 30

Submandibular gland

Question 31

Mucous

Answer 31

Sublingual gland

Question 32

Variable, mixed secretions

Answer 32

Minor salivary glands