WESTERN INTERNAL MEDICINE - LUNG DISEASES

Question 1

COPD definition

Answer 1

chronic or persistent limited airflow

Question 2

Major physical sign of COPD

Answer 2

barrel chest

Question 3

Other signs of COPD

Answer 3

cough with sputum, SOB, dyspnea, wheezing, weak inspiration, prolonged expiration, low breathing sounds

Question 4

Early stage COPD clinical level

Answer 4

over 80%

Question 5

Common COPD clinical level

Answer 5

50-80%

Question 6

Respiratory failure COPD clinical level

Answer 6

30-50%

Question 7

Critical level COPD (breathing assistance needed) clinical level

Answer 7

less than 30%

Question 8

Main risk factor for COPD

Answer 8

smoking (also air pollution, weather)

Question 9

Standard treatment for COPD

Answer 9

stop smoking, vaccinations, home oxygen therapy, combination of prescription medication, surgery

Question 10

COPD blood test

Answer 10

pH

Question 11

Pulmonary heart disease definition

Answer 11

A lung disease affecting the heart causing spasm of the pulmonary artery. This decreases the blood flow and increases the blood pressure

Question 12

Later stage symptoms of Pulmonary heart disease

Answer 12

Blue lips/fingers, lower leg edema

Question 13

Additional symptoms of pulmonary heart disease

Answer 13

Productive cough, SOB< tachypnea, dyspnea at night, fatigue after exertion, palpitations and chest pain, syncope

Question 14

Pulmonary heart disease mechanism of change

Answer 14

Right cardiac ventricle hypertrophy/congestive heart failure

Question 15

Pulmonary heart disease ECG P wave characteristics

Answer 15

0.11s

Question 16

Pulmonary heart disease ECG P-R wave

Answer 16

0.12-0.2s

Question 17

Pulmonary heart disease ECG S-T wave

Answer 17

less than 0.45s

Question 18

Pulmonary heart disease blood gas test

Answer 18

increased carbon dioxide, decreased oygen

Question 19

Pulmonary heart disease diagnosis key

Answer 19

skin color changes, jugular vein distention

Question 20

Asthma type coughing

Answer 20

Productive cough with white bubbley sputum

Question 21

Asthma auscultation

Answer 21

wheezing sound during expiration, prolonged expiration

Question 22

Pneumonia lab test

Answer 22

MP antibody, IgM antibody positive

Question 23

Immune reactive lung diseases

Answer 23

1. Pneumococcus pneumonia

2. Mycoplasma pneumonia

Question 24

How long will breathing stop during sleep related breathing disorders?

Answer 24

10 seconds

Question 25

Risk factors for pulmonary embolism

Answer 25

stroke, prolonged bed rest/sitting, fractures in extremities, obesity, venous insufficiency, trauma, post operative injury, cancer

Question 26

Nasal CPAP

Answer 26

mask for sleep related breathing disorders

Question 27

Irreversible lung diseases

Answer 27

1. COPD
2. Bronchiectasis
3. Allergic/hypersensitive pneumonitis
4. Pulmonary heart disease
5. Lung cancer

Question 28

Pneumothorax can occur with what types of chest injuries?

Answer 28

Penetrating AND nonpenetrating

Question 29

Only ___ pneumothorax should be treated

Answer 29

large

Question 30

clubbed fingers are observed in

Answer 30

Bronchiectasis and lung cancer

Question 31

Pulmonary embolism definition

Answer 31

One of the most common causes of preventible deaths in hospitals. Recognized by leg swelling and pain in the calf. Always suspect PE if patient suddenly collapses 1-2 weeks after surgery

Question 32

Lung tb test

Answer 32

TB test positive

Question 33

Horner’s symptoms

Answer 33

one sided facial changes

Question 34

Lung cancer

Answer 34

stage II affects the lymph nodes, can block the superior vena cava, can cause pancreatitis or jaundice