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Multisystem 2 > Respiratory System Review > Flashcards

Respiratory System Review Flashcards

1
Q

old woman, nursing home

hx of fever, cough w foul smelling sputu, crackles in lung

inc neutrophil, cavitary lesion

dx is

A

aspiration of gastic contents

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2
Q

old woman, 2w off fatigue/N/V, dec appetite

PM of tb, scleral icterus
elevated AST/ALT

drug causing problems

A

isoniazid

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3
Q

4YOB, SOB, high RR, wheezing in all lung fields

dx is ___
tx is ____

A

asthma

albuterol

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4
Q

6YOB, fever/HA/cough with foul sputum also leaving from nose

repeated episodes, dilated/thickened airways, cardiac apex down towards the right

dx is ___
mehanism is dysfuction in ___

A

kartagener syndrome

ciliated columnar epithelial cell

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5
Q

MA woman, 3m of SOB/nonproductive cough

thickening of skin, rales in lung fields, TLC is dec

DX is ____
lung biopsy should show __

A

systemic sclerosis

diffuse interstitial fibrosis

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6
Q

older man, SOB/cough, rales, dec TLC

dx is _____
T1P will be __
T2P will be ____
fibroblasts will be ____

A

IPF

dec
inc
inc

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7
Q

stab wound to chest, compressed lung with air/fluid level

dx is __

A

hemopneumothorax

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8
Q

MA woman, 2d history of SOB/chest pain, inc HR/RR

post cholecystectomy

dx is ____
clinical finding is ___

A

PHTN

loud P2

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9
Q

infant, 2d hx of runny nose/dry cough, very high RR

wheezing/hyperexpansion

dx is _____

transmission into ____

A

RSV

mucous membranes

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10
Q

older man, progressive SOB/chest pain, WL

palpable mass on left chest wall
low Hb

pleural effusion is exudative/hemorrhagic

dx is ___
pt exposed to ____

A

asbestosis

asbestos

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11
Q

young woman, hemoptysis, epistaxis/sinusitis, crackles, urinalysis w protein/RBC

dx is ____

antiboy

A

GPA

cANCA

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12
Q

older woman, 2m of nonproductiv cough

left lower lobe mass

type of cell from which mas arose

A

Type 2 pneumocyte

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13
Q

tightening of skin, ringers turned white, shiny plaques on skin around mouth/knees/elbows/hands

dx is ___
crackles indicate ____

FVC is 
FEV1 is
FEV1/FVC is 
TLC Is 
DLCO is \_\_\_
A

CREST
IPF

dec
dec
normal
dec
dec
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14
Q

older male, cough/progressive SOB, unintentional wl, hypoxic, low grade fever

diffuse white patches on buccal mucosa/tongue

xray shows interstitial infiltrates

dx is ___

A

pneumocystis

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15
Q

young girl, 3 day worsening cough/RDS

high RR, low SpO2

dx is ___

A

RSV

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16
Q

older male, worseing RD and hypoxi

mech ventilation, low SpO2\
diffuse bilateral crackles on lung exam

XRay shows diffuse, parallel white coverings

dx is ____

mechanism

A

ARDS

immune mediated diffuse alveolar injury

17
Q

multiple pt present w lightheadedness, HA, nausea and difficulty concentrating

coming from hunting cabin, high SpO2, confusion

dx is _____
dx test is ___

A

CO poisoning

carboxyhemoglobin level

18
Q

middle age fever, knee/ankle pain bilteral involvement

reduced range of motion, nodular rash on both shins

dx is ____
mechanism __ activation resulting in ____

A

sarcoidosis

T cell, noncaseatng granuloma formation

19
Q

air that can still be breathed in after normal inspiration

A

IRV

20
Q

air that moves into lung w each quiet respiration

normal is 500mL

A

tidal volume

21
Q

air that can still be breathed out after noraml expiration

A

ERV

22
Q

air in lung after maximal exhalation

cannot be measued via __

A

RV

spirometry

23
Q

air that can be breathed in after normal exhalation

sum of __ and ___

A

Inspiratory capacity

IRV+ TV

24
Q

volume of gas in lungs after normal expiration

sum of __ and ___

can not be measued ___

A

FRC

RV + ERV

by spirometry

25
Q

maximum volume of gas that can be expired after maximum inspiration

sum of __ and __ and __

A

vital capacity

TV+IRV+ERV

26
Q

volume of gas present in lungs after maximal inspiration

sum of __ and __ and __ and ___

A

Total lung capacity

IRV+TV+ERV+RV

Multisystem 2 (14 decks)

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