Slocum Day 3

Question 1

Drugs that cause interstitial lung disease

Answer 1

• chemo
• Amiodarone (cardiac anti-arythmic
• Nitrofurantoin (anti biotic used for UTI)

Question 2

2 places we see asbestos

Answer 2

• hot water heater in old homes

- big truck brakes

Question 3

go to drug for hypersensitivity pneumonitis

Answer 3

prednisone

Question 4

What test to order in person with low probability of PE but presents with acute shortness of breath with normal physical exam?

Answer 4

1: D-dimer

Question 5

What test do you jump to in a person that has an obviously high index of suspicion of a PE?

Answer 5

chest CTA

Question 6

Classic feature of pulmonary HTN in a PFT?

Answer 6

reduction of DLCO

Question 7

Group 1 for Pulmonary HTN

Answer 7

idiopathic and connective tissue disease

Question 8

Group 2 for pulmonary HTN

Answer 8

Heart

Question 9

Group 3 for pulmonary HTN

Answer 9

Lung

Question 10

Group 4 for pulmonary HTN

Answer 10

Pulmonary emboli

Question 11

Group 5 for pulmonary HTN

Answer 11

All others

Question 12

Differentiate pulmonary HTN from ischemic heart disease in terms of heart sounds

Answer 12

Pulmonary HTN: increased second heart sounds

Question 13

Most common causes of cough?

Answer 13

• smoking
• postnasal drip
• GERD
• asthma
• inducible laryngeal obstruction

Question 14

what is the likely diagnosis of a transudative pleural effusion

Answer 14

heart failure

Question 15

if 1 of the following exists then you have an exudative effusion

Answer 15

• pleural protein/serum protein >.5
• Pleural LDH/serum LDH >.6
• Pleural fluid > 2/3 upper limits of serum level in the lob doing the measurement