Pulm

Question 1

Legionella pneumo

Answer 1

Fever, cough, diarrhea, confusion
Hyponatremia
urine AG test
Azithromycin

Question 2

PCP pneumo

Answer 2

ground glass

Bat wing

Question 3

bronchiolitis tx

Answer 3

nasal suction, humidified O2, antipyretics

Question 4

emphysema

Answer 4

DOE, minimal cough, barrel chest

Question 5

acute bronchitis

Answer 5

cough preceeded by URI, no signs of pneumonia

Question 6

nodular pneumonia

Answer 6

fungal

Question 7

PCV 13 schedule

Answer 7

2/4/6/15-18

give to adults >65 then PCV23 1 year later

Question 8

how long till considered HAP

Answer 8

72 hours

Question 9

bronchiectasis

Answer 9

repeated lung infection leading to tissue breakdown
a/w cystic fibrosis
confirm with CT

Question 10

gold standard for PE

Answer 10

pulm angiography

spiral CT is best

Question 11

MCC secondary PHTN

Answer 11

COPD

Question 12

MCC acute cor pulmonale

Answer 12

PE

Question 13

non-small cell lung cancer

Answer 13

squamous-central/upper lobe cavitary lesion, tx w/surgery, hypercalcemia
adeno-MC, seen in non-smokers, peripheral

Question 14

small cell lung cancer

Answer 14

most aggressive, only tx is chemo

paraneoplastic syndrome

Question 15

solitary pulmonary nodue

Answer 15

<3 cm nodule
>3 cm mass
>0.8 cm do a bx

Question 16

pneumoconiosis

Answer 16

all are restrictive except for coal workers are obstructive

Question 17

ARDS

Answer 17

looks like HF w/o any evidence, increasing O2 with no response
CXR-diffuse b/l patchy infiltrates

Question 18

when to initiate home O2

Answer 18

PaO2<55 or O2sat <88

Question 19

A1AT def

Answer 19

panlobular emphysema that effects the lower lobes

Question 20

what will a PE show hemodynamically?

Answer 20

increased CVP, SVR

decreased CO

Question 21

a PE may cause a

Answer 21

pleural effusion

Question 22

normal AG

Answer 22

10-14