Respirology

Question 1

Definition of acute cough

Answer 1

< 3 weeks

Question 2

Definition of chronic cough

Answer 2

> 4-8 weeks

Question 3

consequences of missed FB

Answer 3

recurrent pneumonia, bronchiectasis

Question 4

clinical signs of CF

Answer 4

meconium ileus, hyponatremic hypochloremic metabolic alkalosis, rectal prolapse, resp symptoms, clubbing, bronchiectasis, nasal polyps

Question 5

diagnosis of CF

Answer 5

sweat chloride >= 60 mEq/L

Question 6

Prognostic factors in CF

Answer 6

males do better than females, FEV1, burkholderia cepacia, pneumothorax, nutritional status (growth, diabetes)

Question 7

how do you diagnose PCD?

Answer 7

refer to resp for electron microscopy

Question 8

definition of recurrent pneumonias

Answer 8

>= 2 in 1 year or >=3 in lifetime radiologic clearing between episodes

Question 9

Answer 9

congenital lobar emphysema

Question 10

Side effect of MgSO4 for asthma

Answer 10

hypotension, bradycardia

Question 11

newborn screen for CF tests…

Answer 11

immunoreactive trypsinogen level

Question 12

when and how should you screen for CF related diabetes?

Answer 12

yearly after age 10, by 2hr OGTT

Question 13

PFT pattern in CF?

Answer 13

obstructive

(advanced disease: restrictive)

Question 14

CF patient coughing up brown, rust-colored sputum. What are you worried about?

Answer 14

Allergic bronchopulmonary aspergillosis (ABPA)

Question 15

three causes of post-infectious bronchiectasis?

Answer 15

measles

adenovirus

pertussis

Question 16

most common cause of bronchiectasis

Answer 16

CF