Challenge Bowl - Pulmonology

Front 1

Most common symptom associated with a pulmonary embolism?

Back 1

Dyspnea

Front 2

What is the term for cycles of central apnea followed by regular crescendo-decrescendo breathing?

Back 2

Cheyne-stokes respirations

Front 3

What is the term for the most common congenital deformity of the anterior chest wall, causing an appearance of a pigeon chest?

Back 3

Pectus excavatum

Front 4

What pulmonary condition causes a "honeycomb" lung appearance on chest x-ray?

Back 4

Interstitial Fibrosis

Front 5

How many breaths per minute indicates tachypnea?

Back 5

>20 breaths/min

Front 6

What is the most common cause of mortality due to infectious disease?

Back 6

Pneumonia

Front 7

What is the term used to describe a wedge-shaped opacification at the distal edges of the lung fields?

Back 7

Hampton's Hump

Front 8

What is the maximum amount of air a person can expel from the lungs after a maximum inspiration?

Back 8

Forced vital capacity (measured by a spirometer; normal 3-5 liters)

Front 9

What is the treatment of choice for streptococcal pharyngitis?

Back 9

Penicillin

Front 10

What is the most common organism (overall) involved in bacterial pneumonia?

Back 10

Strep pneumonia

Front 11

Name the respiratory disorder associated with a barrel chest.

Back 11

Chronic Obstructive Pulmonary Disease (COPD)

Front 12

The inferior angle of the scapula is located at which rib?

Back 12

7th Rib

Front 13

What type of abnormality is signified by an "ee" to "ay" change in egophony?

Back 13

Lobar consolidation

Front 14

To be classified as hospital-acquired pneumonia, symptoms must begin at least how many hours after admission?

Back 14

48 hours

Front 15

What is the dosage of Amoxicillin for acute otitis media in a pediatric patient?

Back 15

80-90 mg/kg/day

Front 16

A barking cough is indicative of what condition?

Back 16

Croup

Front 17

What is the most common organism involved in acute bronchiolitis?

Back 17

RSV

Front 18

What is another name for costochondritis?

Back 18

Tietze Syndrome

Front 19

What pulmonary condition causes tram-track lung markings on chest x-ray and and thickened bronchial walls with dilated airways on chest CT?

Back 19

Bronchiectasis

Front 20

What is the name of the lung sounds with a low pitch & snoring quality?

Back 20

Rhonchi

Front 21

What is the term for predisposition to asthma, allergies, and dermatitis?

Back 21

Atopy

Front 22

A young child presents with a unilateral wheeze, what is the most likely diagnosis?

Back 22

Foreign body aspiration

Front 23

A patient has a history of repeated episodes of pneumonia and sinusitis. She is a caucasion female of small stature and her productive cough never completely clears between episodes of infection. Physical exam reveals clubbing of the fingers and labs reveal a positive sweat chloride test. What is the most likely diagnosis?

Back 23

Cystic Fibrosis

Front 24

What is the term for a harsh, high-pitched sound during respiration?

Back 24

Stridor

Front 25

A pulmonary catheter wedge pressure (PCWP) greater than what number is indicative of volume overload?

Back 25

>20 mmHg

Front 26

What lung disease is has the following findings: Decreased FEV to FVC ratio and normal or increased total lung capacity?

Back 26

Chronic Obstructive Pulmonary Disease (COPD)

Front 27

95% of pulmonary emboli originate in what part of the body?

Back 27

Leg (DVT)

Front 28

What are the components of Virchow's triad (involving PE)?

Back 28

Endothelial cell trauma, stasis, hypercoagulability

Front 29

"Hampton's Hump" on chest x-ray is indicative of what condition?

Back 29

Pulmonary Embolism

Front 30

Name the most likely causative pathogen of pneumonia in a patient presenting with:

1. Low grade fever, cough, bullous myringitis, and positive cold agglutinins

2. Slow symptom onset in an immunocompromised patient with physical exam showing more hypoxemia that would be predicted by the chest xray.

3. Chronic cardiac or respiratory disease and hyponatremia.

4. Symptoms include rigors and rust-colored sputum.

5. Longer prodrome of illness, sore throat & hoarseness.

Back 30

1. Mycoplasma pneumoniae.
2. Pneumocysitis jirovei (carinii).
3. Legionella pneumoniae.
4. Strep. pneumoniae.
5. Chlamydia pneumoniae

Front 31

Name the most likely pathogen to cause pneumonia in the following patient types:
1. Alcohol abusers.
2. COPD.
3. Cystic Fibrosis.
4. Young adults, college setting.
5. Airconditioning/aerosolized water.
6. Post-splenectomy.
7. Leukemia, lymphoma.
8. Pediatrics < 1 yoa

Back 31

1. Klebsiella pneumoniae.
2. Haemopilus pneumoniae.
3. Pseudomonas sp.
4. Mycoplasma.
5. Legionella pneumoniae.
6. Encapsulated organisms, strep, Haemophilus.
7. Fungus.
8. Respiratory Synctial virus

Front 32

Most common cause of atypical pneumonia?

Back 32

Mycoplasma pneumonia

Front 33

Name the tuberculosis medication that may cause orange discoloration of body fluids?

Back 33

Rifampin

Front 34

What size of reaction to the PPD test is considered positive in a patient with
No risk factors?
HIV negative IV Drug abusers?
HIV positive patients?

Back 34

>15 mm
> 10 mm
>5 mm

Front 35

What is the number 1 risk factor for bronchogenic carcinoma?

Back 35

Smoking

Front 36

What is the strongest predisposing factor to asthma?

Back 36

Atopy

Front 37

Name the components of the atopic triad:

Back 37

Wheeze, eczema, seasonal rhinitis

Front 38

Name the drug/substance may be used in the diagnosis of asthma.

Back 38

Methocholine

Front 39

A patient with susupected asthma is administered a short acting beta agonist, what percentage of improvement of FEV1 would support this diagnosis?

Back 39

0-12%