Thoracic CORE - Sheet1 Flashcards
1
Q
AIDS + lung cysts
A
LIP
2
Q
AIDS + lung cysts + ground glass + ptx
A
PCP
3
Q
hypervascular Nodes
A
Castlemans or Kaposi
4
Q
Most common airspace opacity (AIDS)
A
Strep Pneumonia
5
Q
Flame Shaped Perihilar opacity
A
Kaposi Sarcoma
6
Q
Persistent Opacities + AIDS
A
lymphoma
7
Q
> 200 CD4
A
Bacterial Infections, TB
8
Q
< 200 CD4
A
PCP, Atypical Mycobacterial
9
Q
< 100 CD4
A
CMV, Disseminated Fungal, Mycobacterial
10
Q
Frozen Hemithorax
A
mesothelioma; lack of contralateral mediastinal shift in association with massive pleural effusion
11
Q
RA in the shoulders on Frontal CXR
A
Lower Lobe UIP Pattern
12
Q
Ankylosing Spondylitis on Lateral CXR
A
Upper Lobe Fibrobullous Disease
13
Q
Dilated Esophagus on CT
A
Scleroderma with NSIP lungs
14
Q
GG nodule on PET: HOT
A
infection
15
Q
GG nodule on PET: COLD
A
BAC
16
Q
obliteration of Raider’s Triangle
A
aberrant right subclavian
17
Q
flat waist sign
A
left lower lobe collapse
18
Q
terrorist + mediastinal widening
A
Anthrax
19
Q
bulging fissure
A
Klebsiella
20
Q
dental procedure gone bad, now with jaw osteo and pneumonia
A
Actinomycosis
21
Q
culture negative pleural effusion, 3 months later with airspace opacity
A
TB
22
Q
hot-tub
A
Hypersensitivity Pneumonitis
23
Q
halo sign
A
Fungal Pneumonia- Invasive Aspergillus
24
Q
reverse halo or atoll sign
A
COP
25
finger in glove
ABPA
26
ABPA
asthma
27
Lemierre bacteria
Fusobacterium Necrophorum
28
Paraneoplatic syndromes with SIADH
Small Cell Lung CA
29
Parancoplatic syndromes with PTH
Squamous Cell CA
30
Small Cell Lung CA + Proximal Weakness
Lambert Eaton
31
Cavity fills with air, post pneumonectomy
Bronchopleural Fistula
32
malignant bronchial tumor
carcinoid
33
malignant tracheal tumor
Adenoid Cystic
34
AIDS + lung nodules + pleural effusion + lymphadenopathy
lymphoma
35
Gallium Negative
Kaposi
36
Thallium Negative
PCP
37
Macroscopic fat and popcorn calcifications
Hamartoma
38
Bizarre shaped cysts
LCH
39
Lung Cysts in a TS patient
LAM
40
Pan lobular Emphysema- NOT Alpha I
Ritalin Lung
41
Honeycombing
UIP
42
"The histology was heterogeneous"
UIP
43
Ground Glass with Subpleural Sparing
NSIP
44
UIP Lungs+ Parietal Pleural Thickening
Asbetosis
45
Cavitation in the setting of silicosis
TB
46
Air trapping seen 6 months after lung transplant
Chronic Rejection/Bronchiolitis Obliterans Syndrome
47
Crazy paving
PAP
48
History of constipation
lipoid pneumonia
49
UIP + air trapping
Chronic Hypersensitivity Pneumonitis
50
Dilated Esophagus+ ILD
Scleroderma (with NS IP)
51
Shortness of breath when sitting up
Hepatopulmonary syndrome
52
Episodic hypoglycemia
solitary fibrous tumor of the pleura
53
Pulmonary HTN with Normal Wedge Pressure
pulmonary veno-occlusive disease
54
yellow nail syndrome
edema + chylous pleural effusions
55
persistent fluid collection after pleural drain/tube placement
Extrapleural Hematoma
56
Displaced extrapleural fat
Extrapleural Hematoma
57
Massive air leak, in the setting of trauma
bronchial or tracheal injury
58
Hot on PET - around the periphery
pulmonary infarct
59
Multi-lobar collapse
sarcoid
60
classic bronchial infection
TB
61
panbronchiolitis (nodular pattern)
tree-in-bud (not centrilobular or random nodules)
62
bronchorrhea
Mucinous BAC
63
most anterior heart valve
tricuspid
64
most superior heart valve
pulmonic
65
how many segments on right?
10
66
how many segments on left?
8
67
cervicothoracic sign
if it goes above the clavicles, it's in the posterior mediastinum
68
how many layers of pleura in azygos lobe?
4
69
most common pulmonary vein variant?
separate vein draining the right middle lobe
70
most common pneumonia in AIDS
strep
71
Aspergillus: normal immune patient
Aspergilloma
72
Aspergillus: immune-compromised patient
invasive aspergillus
73
most common opportunistic infection in AIDS
PCP
74
most suspicious calcification pattern in SPN
eccentric
75
most suspicious type of SPN
part solid nodule
76
most common lung cancer presentation
solitary nodule
77
what stage lung cancer is unresectable
3B (contralateral nodal involvement ; ipsilateral or contralateral scalene or supraclavicular nodal involvement, tumor in different lobes).
78
most common cause of unilateral lymphangetic carcinomatosis
bronchogenic carcinoma lung cancer invading the lymphatics
79
what is the latency between initial exposure and development of lung cancer or pleural mesothelioma?
20 years
80
earliest and most common finding with absestos exposure
pleural effusion
81
how does silicosis affect your risk of TB
raises it 3-fold
82
Silo Filler's Disease
Nitrogen Dioxide exposure gives you a pulmonary edema pattern
83
first finding of UIP on CXR
Reticular pattern in the posterior costophrenic angle
84
most common recurrent primary disease after lung transplant
sarcoidosis
85
pleural plaques from abstesosis typically spare...
costophrenic angles
86
most common manifestation of pleural mets
pleural effusion
87
Klinefelter syndrome association
mature teratomas
88
what does an injury close to the carina cause?
pneumomediastinum (not ptx)
89
best imaging modality for superior sulcus tumors?
MRI (brachial plexus)
90
most common benign esophageal tumor
Leiomyoma
91
Esophageal Leiomyomatosis syndrome association
Alport's Syndrome
92
best modality for evaluating bronchial/tracheal injury
bronchoscopy
93
if you say COP, you also say
HP
94
if you say BAC, you also say
lymphoma
95
classic location for bronchial atresia
LUL
96
pericardial cysts: simple or complex?
simple (bronchogenic can be complex) (Seth: can be intermediate or bright signal on T1 weighted imaging due to proteinaceous material)
97
typical response of PAP to treatment
rule of 1/3s: 1/3 better, 1/3 doesn't, 1/3 progresses to fibrosis
98
Carcinoid: hot or cold on PET
COLD
99
what's the new name for Wegener's?
Granulomatosis with Polyangiitis
100
hilum overlay sign
see the normal PA through the mass
101
most likely cause of air-trapping on expiratory HRCT
Constrictive bronchiolitis
102
most common interstitial fibrosis pattern with RA?
UIP
103
majority of left superior venae cavae drain into the
coronary sinus
104
most common radiologic manifestation of cryptococcosis
multiple cavitary nodules and masses
105
signet ring sign
cystic bronchiectasis
106
ground-glass centrilobular micronodules
respiratory bronchiolitis (in a smoker)
107
most common imaging manifestations of Goodpasture syndrome on CT
bilateral ground-glass opacities/nodules and consolidations
108
Cicatricial atelectasis
air-containing patent bronchi in an otherwise airless lung
109
adhesive atelectasis
surfactant defiency
110
3 functional zones of the lung
conducting zone (gas conduction), the respiratory zone (respiration), and the transitional zone (both gas conduction and respiration)
111
alcoholism + currant jelly sputum
klebsiella pneumonia
112
what kind of effusion is an empyema?
exudate
113
what is always MOST common?
mets (for goodness sake stop giving other answers)
114
what's the "dark hole" on lateral view
left upper lobe bronchus
115
pacemakers wires go through which valve?
tricupsid valve (lead terminates in the right ventricle)
116
superior on lateral view: right or left major fissure?
right major fissure is above the left one
117
who gets H. flu?
COPDers and people without a spleen
118
Immune Reconstitution Inflammatory Syndrome:
patient with TB and AlDS started on HAART now doing worse
119
Ghon Lesion
Calcified TB Granuloma; sequela of primary TB
120
Ranke Complex
Ghon lesion (calcified TB granuloma) + calcified ipsilateral hilar node
121
Lady Windermere
Middle Lobe and Lingula, bronchiectasis and tree in bud
122
Aspergillus: hyper-immune
ABPA
123
multi-centric lung tumor staging
2 in the same lobe is T3, 2 in different ipsilateral lobes is T4, 2 in different lungs is M1a
124
Swyer-James
post infectious obliterative bronchiolitis - unilateral lucent lung
125
Birt Hogg Dube
thin walled oval shaped cysts
126
When I say LIP
Sjogren and HIV
127
LIP in a kid
HIV
128
Saber Sheath Trachea -
Diffuse coronal narrowing of' the trachea = COPD
129
Vanishing Lung Syndrome:
idiopathic cause of giant bullous emphysema, resulting from avascular necrosis of the lung parenchyma and hyperinflation
130
pleural rind
malignant mesothelioma
131
MRI : Cancer vs PMF
Cancer = T2 Bright; PMF = T2 Dark
132
Perilymphatic nodule pattern (3)
Sarcoid (90%) lymphangitic spread, silicosis
133
random nodule pattern (3)
miliary TB, mets, fungus
134
centrilobular nodule pattern (3)
infection, RB-ILD, HP (ground glass)
135
end-stage RB-ILD
Desquamative interstitial pneumonia
136
CT findings of Chronic Eosinophilic Pneumonia
Peripheral GGO or consolidation. Upper lobes tend to be favored.
137
airways diseases that spare the posterior membrane
Relapsing Polychondritis and Trachcobronchopathia Osteochondroplastica (TBO)
138
airways diseases that do NOT spare the posterior membrane
Amyloid and Wegeners
139
Williams Campbell
congenital cystic bronchiectasis from cartilage deficiency in the 4th-6th order bronchi
140
Mounier-Kuhn
Tracheobronchomegaly
141
small airways dz seen in RA and Sjogrens
Follicular Bronchiolitis
142
"Shrinking Lung"
progressive loss or lung volume in both lungs seen in patients with Lupus
