Restrictive Lung Diseases

Question 1

FEV1/FVC ratio >/= 80%

Answer 1

Restrictive lung disease

Question 2

hyaline memrane disease

Answer 2

neonatal respiratory distress syndrome

Question 3

BL hilar lymphadenopathy, noncaseating granuloma; increase ACE and Calcium

Answer 3

Sarcoidosis

Question 4

Drugs that cause pulmonary fibrosis

Answer 4

Bleomycin, busulfan, amiodarone, methotrexate

Question 5

Type III/IV HS rxn to environmental allergen; usually seen in farmers and those exposed to birds

Answer 5

Hypersensitivity Pneumonitis

Question 6

Rheumatoid arthritis and pneumoconioses with intrapulmonary nodules

Answer 6

Caplan Syndrome

Question 7

“ivory white” calcified pleural plaques

Answer 7

Asbestosis

Question 8

Ferruginous bodies

Answer 8

gold brown fusiform rods resembling dumbbells - asbestos

Question 9

Part of lung asbestos affects

Answer 9

Lower Lobes

Question 10

Part of lung silica and coal affect

Answer 10

Upper lobes

Question 11

Black Lung Disease

Answer 11

Coal Workers’ Pneumoconiosis

Question 12

Asymptomatic condition found in urban dwellers exposed to sooty air

Answer 12

Anthracosis

Question 13

Macrophages laden with carbon leading to inflammation and fibrosis

Answer 13

Coal Workers’ pneumoconiosis

Question 14

Foundries, Sandblasting, and mines

Answer 14

Silicosis

Question 15

“eggshell” calcification of hilar LN

Answer 15

Silicosis

Question 16

Silicosis increases the susceptibility to

Answer 16

TB & bronchogenic carcinoma

Question 17

Risk factors of neonatal respiratory distress syndrome

Answer 17

prematurity, maternal diabetes (because insulin inhibits surfactant). C-section decreases release of fetal glucocorticoids

Question 18

Tx of Neonatal respiratory distress syndrome

Answer 18

Maternal steroids before birth; artifical surfactant for infant

Question 19

Surfactant deficiency

Answer 19

Neonatal respiratory distress syndrome

Question 20

intra-alveolar hyaline membrane

Answer 20

Acute Respiratory Distress Syndrome

Question 21

Cause of ARDS

Answer 21

trauma, sepsis, shock, gastric aspiration, uremia, acute pancreatitis, or amniotic fluid embolism

Question 22

Tx of ARDS

Answer 22

tx underlying cause; ventilatoin with positive end-expiratory pressure (PEEP)

Question 23

Near-complete opacification of the lungs with obscured cardiomediastinal silhouette

Answer 23

ARDS