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CORE Thoracic > Thoracic CORE - Sheet1 > Flashcards

Thoracic CORE - Sheet1 Flashcards

1
Q

AIDS + lung cysts

A

LIP

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2
Q

AIDS + lung cysts + ground glass + ptx

A

PCP

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3
Q

hypervascular Nodes

A

Castlemans or Kaposi

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4
Q

Most common airspace opacity (AIDS)

A

Strep Pneumonia

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5
Q

Flame Shaped Perihilar opacity

A

Kaposi Sarcoma

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6
Q

Persistent Opacities + AIDS

A

lymphoma

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7
Q

> 200 CD4

A

Bacterial Infections, TB

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8
Q

< 200 CD4

A

PCP, Atypical Mycobacterial

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9
Q

< 100 CD4

A

CMV, Disseminated Fungal, Mycobacterial

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10
Q

Frozen Hemithorax

A

mesothelioma; lack of contralateral mediastinal shift in association with massive pleural effusion

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11
Q

RA in the shoulders on Frontal CXR

A

Lower Lobe UIP Pattern

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12
Q

Ankylosing Spondylitis on Lateral CXR

A

Upper Lobe Fibrobullous Disease

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13
Q

Dilated Esophagus on CT

A

Scleroderma with NSIP lungs

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14
Q

GG nodule on PET: HOT

A

infection

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15
Q

GG nodule on PET: COLD

A

BAC

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16
Q

obliteration of Raider’s Triangle

A

aberrant right subclavian

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17
Q

flat waist sign

A

left lower lobe collapse

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18
Q

terrorist + mediastinal widening

A

Anthrax

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19
Q

bulging fissure

A

Klebsiella

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20
Q

dental procedure gone bad, now with jaw osteo and pneumonia

A

Actinomycosis

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21
Q

culture negative pleural effusion, 3 months later with airspace opacity

A

TB

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22
Q

hot-tub

A

Hypersensitivity Pneumonitis

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23
Q

halo sign

A

Fungal Pneumonia- Invasive Aspergillus

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24
Q

reverse halo or atoll sign

A

COP

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25
Q

finger in glove

A

ABPA

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26
Q

ABPA

A

asthma

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27
Q

Lemierre bacteria

A

Fusobacterium Necrophorum

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28
Q

Paraneoplatic syndromes with SIADH

A

Small Cell Lung CA

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29
Q

Parancoplatic syndromes with PTH

A

Squamous Cell CA

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30
Q

Small Cell Lung CA + Proximal Weakness

A

Lambert Eaton

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31
Q

Cavity fills with air, post pneumonectomy

A

Bronchopleural Fistula

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32
Q

malignant bronchial tumor

A

carcinoid

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33
Q

malignant tracheal tumor

A

Adenoid Cystic

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34
Q

AIDS + lung nodules + pleural effusion + lymphadenopathy

A

lymphoma

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35
Q

Gallium Negative

A

Kaposi

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36
Q

Thallium Negative

A

PCP

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37
Q

Macroscopic fat and popcorn calcifications

A

Hamartoma

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38
Q

Bizarre shaped cysts

A

LCH

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39
Q

Lung Cysts in a TS patient

A

LAM

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40
Q

Pan lobular Emphysema- NOT Alpha I

A

Ritalin Lung

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41
Q

Honeycombing

A

UIP

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42
Q

“The histology was heterogeneous”

A

UIP

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43
Q

Ground Glass with Subpleural Sparing

A

NSIP

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44
Q

UIP Lungs+ Parietal Pleural Thickening

A

Asbetosis

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45
Q

Cavitation in the setting of silicosis

A

TB

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46
Q

Air trapping seen 6 months after lung transplant

A

Chronic Rejection/Bronchiolitis Obliterans Syndrome

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47
Q

Crazy paving

A

PAP

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48
Q

History of constipation

A

lipoid pneumonia

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49
Q

UIP + air trapping

A

Chronic Hypersensitivity Pneumonitis

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50
Q

Dilated Esophagus+ ILD

A

Scleroderma (with NS IP)

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51
Q

Shortness of breath when sitting up

A

Hepatopulmonary syndrome

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52
Q

Episodic hypoglycemia

A

solitary fibrous tumor of the pleura

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53
Q

Pulmonary HTN with Normal Wedge Pressure

A

pulmonary veno-occlusive disease

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54
Q

yellow nail syndrome

A

edema + chylous pleural effusions

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55
Q

persistent fluid collection after pleural drain/tube placement

A

Extrapleural Hematoma

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56
Q

Displaced extrapleural fat

A

Extrapleural Hematoma

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57
Q

Massive air leak, in the setting of trauma

A

bronchial or tracheal injury

58
Q

Hot on PET - around the periphery

A

pulmonary infarct

59
Q

Multi-lobar collapse

A

sarcoid

60
Q

classic bronchial infection

A

TB

61
Q

panbronchiolitis (nodular pattern)

A

tree-in-bud (not centrilobular or random nodules)

62
Q

bronchorrhea

A

Mucinous BAC

63
Q

most anterior heart valve

A

tricuspid

64
Q

most superior heart valve

A

pulmonic

65
Q

how many segments on right?

A

10

66
Q

how many segments on left?

A

8

67
Q

cervicothoracic sign

A

if it goes above the clavicles, it’s in the posterior mediastinum

68
Q

how many layers of pleura in azygos lobe?

A

4

69
Q

most common pulmonary vein variant?

A

separate vein draining the right middle lobe

70
Q

most common pneumonia in AIDS

A

strep

71
Q

Aspergillus: normal immune patient

A

Aspergilloma

72
Q

Aspergillus: immune-compromised patient

A

invasive aspergillus

73
Q

most common opportunistic infection in AIDS

A

PCP

74
Q

most suspicious calcification pattern in SPN

A

eccentric

75
Q

most suspicious type of SPN

A

part solid nodule

76
Q

most common lung cancer presentation

A

solitary nodule

77
Q

what stage lung cancer is unresectable

A

3B (contralateral nodal involvement ; ipsilateral or contralateral scalene or supraclavicular nodal involvement, tumor in different lobes).

78
Q

most common cause of unilateral lymphangetic carcinomatosis

A

bronchogenic carcinoma lung cancer invading the lymphatics

79
Q

what is the latency between initial exposure and development of lung cancer or pleural mesothelioma?

A

20 years

80
Q

earliest and most common finding with absestos exposure

A

pleural effusion

81
Q

how does silicosis affect your risk of TB

A

raises it 3-fold

82
Q

Silo Filler’s Disease

A

Nitrogen Dioxide exposure gives you a pulmonary edema pattern

83
Q

first finding of UIP on CXR

A

Reticular pattern in the posterior costophrenic angle

84
Q

most common recurrent primary disease after lung transplant

A

sarcoidosis

85
Q

pleural plaques from abstesosis typically spare…

A

costophrenic angles

86
Q

most common manifestation of pleural mets

A

pleural effusion

87
Q

Klinefelter syndrome association

A

mature teratomas

88
Q

what does an injury close to the carina cause?

A

pneumomediastinum (not ptx)

89
Q

best imaging modality for superior sulcus tumors?

A

MRI (brachial plexus)

90
Q

most common benign esophageal tumor

A

Leiomyoma

91
Q

Esophageal Leiomyomatosis syndrome association

A

Alport’s Syndrome

92
Q

best modality for evaluating bronchial/tracheal injury

A

bronchoscopy

93
Q

if you say COP, you also say

A

HP

94
Q

if you say BAC, you also say

A

lymphoma

95
Q

classic location for bronchial atresia

A

LUL

96
Q

pericardial cysts: simple or complex?

A

simple (bronchogenic can be complex) (Seth: can be intermediate or bright signal on T1 weighted imaging due to proteinaceous material)

97
Q

typical response of PAP to treatment

A

rule of 1/3s: 1/3 better, 1/3 doesn’t, 1/3 progresses to fibrosis

98
Q

Carcinoid: hot or cold on PET

A

COLD

99
Q

what’s the new name for Wegener’s?

A

Granulomatosis with Polyangiitis

100
Q

hilum overlay sign

A

see the normal PA through the mass

101
Q

most likely cause of air-trapping on expiratory HRCT

A

Constrictive bronchiolitis

102
Q

most common interstitial fibrosis pattern with RA?

A

UIP

103
Q

majority of left superior venae cavae drain into the

A

coronary sinus

104
Q

most common radiologic manifestation of cryptococcosis

A

multiple cavitary nodules and masses

105
Q

signet ring sign

A

cystic bronchiectasis

106
Q

ground-glass centrilobular micronodules

A

respiratory bronchiolitis (in a smoker)

107
Q

most common imaging manifestations of Goodpasture syndrome on CT

A

bilateral ground-glass opacities/nodules and consolidations

108
Q

Cicatricial atelectasis

A

air-containing patent bronchi in an otherwise airless lung

109
Q

adhesive atelectasis

A

surfactant defiency

110
Q

3 functional zones of the lung

A

conducting zone (gas conduction), the respiratory zone (respiration), and the transitional zone (both gas conduction and respiration)

111
Q

alcoholism + currant jelly sputum

A

klebsiella pneumonia

112
Q

what kind of effusion is an empyema?

A

exudate

113
Q

what is always MOST common?

A

mets (for goodness sake stop giving other answers)

114
Q

what’s the “dark hole” on lateral view

A

left upper lobe bronchus

115
Q

pacemakers wires go through which valve?

A

tricupsid valve (lead terminates in the right ventricle)

116
Q

superior on lateral view: right or left major fissure?

A

right major fissure is above the left one

117
Q

who gets H. flu?

A

COPDers and people without a spleen

118
Q

Immune Reconstitution Inflammatory Syndrome:

A

patient with TB and AlDS started on HAART now doing worse

119
Q

Ghon Lesion

A

Calcified TB Granuloma; sequela of primary TB

120
Q

Ranke Complex

A

Ghon lesion (calcified TB granuloma) + calcified ipsilateral hilar node

121
Q

Lady Windermere

A

Middle Lobe and Lingula, bronchiectasis and tree in bud

122
Q

Aspergillus: hyper-immune

A

ABPA

123
Q

multi-centric lung tumor staging

A

2 in the same lobe is T3, 2 in different ipsilateral lobes is T4, 2 in different lungs is M1a

124
Q

Swyer-James

A

post infectious obliterative bronchiolitis - unilateral lucent lung

125
Q

Birt Hogg Dube

A

thin walled oval shaped cysts

126
Q

When I say LIP

A

Sjogren and HIV

127
Q

LIP in a kid

A

HIV

128
Q

Saber Sheath Trachea -

A

Diffuse coronal narrowing of’ the trachea = COPD

129
Q

Vanishing Lung Syndrome:

A

idiopathic cause of giant bullous emphysema, resulting from avascular necrosis of the lung parenchyma and hyperinflation

130
Q

pleural rind

A

malignant mesothelioma

131
Q

MRI : Cancer vs PMF

A

Cancer = T2 Bright; PMF = T2 Dark

132
Q

Perilymphatic nodule pattern (3)

A

Sarcoid (90%) lymphangitic spread, silicosis

133
Q

random nodule pattern (3)

A

miliary TB, mets, fungus

134
Q

centrilobular nodule pattern (3)

A

infection, RB-ILD, HP (ground glass)

135
Q

end-stage RB-ILD

A

Desquamative interstitial pneumonia

136
Q

CT findings of Chronic Eosinophilic Pneumonia

A

Peripheral GGO or consolidation. Upper lobes tend to be favored.

137
Q

airways diseases that spare the posterior membrane

A

Relapsing Polychondritis and Trachcobronchopathia Osteochondroplastica (TBO)

138
Q

airways diseases that do NOT spare the posterior membrane

A

Amyloid and Wegeners

139
Q

Williams Campbell

A

congenital cystic bronchiectasis from cartilage deficiency in the 4th-6th order bronchi

140
Q

Mounier-Kuhn

A

Tracheobronchomegaly

141
Q

small airways dz seen in RA and Sjogrens

A

Follicular Bronchiolitis

142
Q

“Shrinking Lung”

A

progressive loss or lung volume in both lungs seen in patients with Lupus

CORE Thoracic (1 decks)

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