Will probs be on final

Question 1

What is the purpose of getting a urinalysis for a carcinoid tumor?

Answer 1

Look for elevated 5-HIAA (5-hydroxyindoleacetic acid)

[main metabolite of serotonin; used to det. serotonin levels in body]

Question 2

Where do you put the needle for thoracentesis, above or below the rib?

Answer 2

Above

Question 3

List the Light criteria to determine the type of pleural effusion

Answer 3

1) Effusion protein:serum protein > 0.5
2) Effusion LDH:serum LDH > 0.6
3) Effusion LDH > 2/3 upper limit of lab’s normal for serum LDH

Question 4

What do you have to go through to get to the right heart?

Answer 4

Vein

Question 5

CXR findings with pulmonary emboli include what 2 things? What does each indicate?

Answer 5

1) Hampton’s hump = peripheral lung infarct
2) Westermark sign = hypovolemic PA beyond clot

Question 6

Long-term Rx for PE includes ____________ therapy for at least ___ months, longer if elevated risk of recurrence

Answer 6

anticoagulant; 3-6

Question 7

What will PFT results be if a pt has pulmonary HTN?

Answer 7

Normal
[bc diffusion is the only problem]

Question 8

A patient presents with acute cough and dyspnea. What is one thing that should be high on your differential list?

Answer 8

Sarcoidosis

Question 9

1) Eggshell calcification of hilar nodes indicates what?
2) What can this progress to?

Answer 9

1) Silicosis
2) Massive pulmonary fibrosis