third-MKSAP

Question 1

PET is useful for lung malignancies ____ mm

Answer 1

> 8mm (otherwise not useful)

(PET is radionuceotide that is taken up very much by cancer cells)

Question 2

********first line therapy for asthma NEW GUIDELINES**********

Answer 2

SABA+ICS or Formoterol+Budesonide

(take it 5-20min BEFORE exercise)

Question 3

what is the BEST indicator of COMPLICATED pleural effusion

Answer 3

pH (<7.2 of course)

also: Cx or gram stain positive

Question 4

split s2, think

Answer 4

pulm HTN

Question 5

best first line diagnositic test for pulm HTN? if it shows RH strain then what test after?

Answer 5

TTE—>if positive for cor pulmonale, do V/Q scan to rule out chronic pe as cause–>then RHCath

Question 6

lung cancer associated with cushing

Answer 6

small cell

Question 7

can pulmHTN present with exertional dsypnea?

Answer 7

YES!

Question 8

small cell lung cancer is associated with this region of lung/chest

Answer 8

mediastinum

Question 9

lung cancer that occurs in non-smokers

Answer 9

adenocarcinoma

Question 10

MC non-small cell lung cancer

Answer 10

adenocarcionoma

Question 11

lung cancer associated with encephalomyelitis

Answer 11

small cell

Question 12

2nd MC non-small cell lung cancer

Answer 12

squamous

Question 13

MC location of adenocarcinoma

Answer 13

peripheral lung

Question 14

fibrosing mediastinitus is a complication of

Answer 14

histoplasmosis

Question 15

how and where does Large cell lung cancer present

Answer 15

peripherally and as a prominent necrosis

Question 16

what complications are associated with Small cell lung cancer***

Answer 16

-SIADH
-Lambert Eaton
-Sensory neuropathy & encephalomyelitis
-CUSHING

Question 17

in chylothorax, diagnosis is by triglyceride level of ___

Answer 17

> 110

Question 18

surgeries that can cause chylothroax

Answer 18

Esophagostomy (MC)

mediastinal tumor or lymph node resection

Lower neck surgeries

Question 19

non traumatic causes of chylothorax

Answer 19

obstruction(MC)
-malignancy-lymphoma is MC
-sarcoid
-retrosternl goiter

chylous ascites

bulky lymphadenopahty causing compressive obstruction

Question 20

positive methacholine challenge test is indicated by ____

Answer 20

drop in FEV1

Question 21

prominent venous a wave means

what is the diagnostic test of choice

Answer 21

pulm HTN

Test: TTE

Question 22

ILD tx involves 2 types of meds to lower hospitalizations and exacerbations

Answer 22

tyrosine kinase inhibitor (nintedanib)

antifibrotic (pirfenidone)

Question 23

how to treat PE/DVT in pregnant female

Answer 23

LMWH (NOT EVEN UF!!!!)
-ie lovenox, dalteparin

Question 24

____ is good for upper lobe emphysema

Answer 24

lung volume reduction surgery