My Pance Pulm

Front 1

CO2 acts as acid/base?

Back 1

acid

Front 2

tactile fremitus ("99") inc in ____ and dec in ___

Back 2

inc in pneumonia
dec in COPD

Front 3

main cause of pneumonia in cystic fibrosis

Back 3

pseudomonas

Front 4

#1 cause of bronchiectasis

Back 4

cystic fibrosis

Front 5

meconium ileus pathonomic of

Back 5

cystic fibrosis

Front 6

"popcorn lesion" on CXR

Back 6

hamartoma

Front 7

what type of lung ca is associated with SIADH

Back 7

small cell carcinoma

Front 8

what is Horder's Spots?

Back 8

macular rash on face; due to C. psittaci pneumonia (Psittacosis)---spread via birds

Front 9

currant jelly sputum

Back 9

klebsiella pneumonia (seen in alcoholics)

Front 10

how does one get pneumonia due to francisella tularensis (tularemia)

Back 10

rabbit exposure

Front 11

apical infiltrate on CXR indicates

Back 11

TB

Front 12

TB of spine aka

Back 12

pott's disease

Front 13

bx of lung infiltrate comes back as "caseating granuloma" dx?

Back 13

TB

Front 14

if no known risks, diameter of induration on PPD is pos for TB

Back 14

>= 15mm
(only has to be 5mm if have HIV, CXR shows previous inactive TB, or contact c case)

Front 15

lung bx: caseating granuloma vs. noncaseating granuloma

Back 15

caseating granuloma: TB
noncaseating granuloma: sarcoidosis

Front 16

what is erythema nodosum and what is it a sign of

Back 16

painful red nodules on anterior lower leg; sign of sarcoidosis

Front 17

asthma with marked eosinophilia is what dx

Back 17

churg strauss syndrome (vasculitis of small/med arteries)

Front 18

what is findings on CXR of pt c Coal Worker's Pneumoconiosis

Back 18

diffuse small opacities in upper lung fields

Front 19

Westermarks sign and Hamptons hump on CXR indicate

Back 19

PE

Front 20

gold standard to dx DVT

Back 20

venography

Front 21

gold standard to dx PE

Back 21

pulmonary angiography

Front 22

goal PTT if on heparin

Back 22

50-70

Front 23

most common cause of ARDS

Back 23

sepsis

Front 24

CXR of ARDS shows pulm infiltrates that spare?

Back 24

costophrenic angles

Front 25

most common cause of bronchiolitis

Back 25

RSV

Front 26

antiviral that can be used in RSV

Back 26

ribavirin

Front 27

3 most common bacterial pathogens of acute exacerbation of chronic bronchitis

Back 27

H. influenzae
Strep Pneumo
M. cattarhalis

Front 28

need 2 of 3 symptoms to meet criteria of acute exacerbation of chronic bronchitis,,, what are the 3 symptoms

Back 28

1) inc SOB
2) inc sputum vol
3) inc sputum purulence

Front 29

in pleurisy, the pain of pleural inflamm is due to irritation of which pleural lining

Back 29

parietal pleura

Front 30

sarcoidosis in adults predominantly affects what race/gender

Back 30

african american females

Front 31

---tactile fremitus & ___percussion in pleural effusion

Back 31

decrease tactile fremitus and dull to percussion

Front 32

in atelectasis how is percussion and tactile fremitus

Back 32

dull to percussion and decr tactile fremitus

Front 33

whats drug of choice for tx of mycoplasma pneumonia

Back 33

erythromycin or tetracycline

Front 34

pt with HIV dx'd with legionella. what should you treat him with

Back 34

levaquin (if he wasnt immunocompromised then you can tx c doxy or erythromycin)

Front 35

what is characterisitc prodome of acute pneumonia caused by chlamydia

Back 35

HA and sore throat (just like prodrome of mycoplasma pneumonia)

Front 36

7y/o c asthma has nocturnal cough q night c daily exacerbations of wheezing & SOB. how to classify asthma?

Back 36

severe persistent

Front 37

large bronchiole disorder that characterized by destruction of bronchial walls that is commonly found in pts with cystic fibrosis

Back 37

bronchiectasis

Front 38

tx of choice for early stage pertussis

Back 38

erthyromycin

Front 39

influenza immunization can only be given to kids after what age

Back 39

must be >6 months of age

Front 40

the live version of the influenza vaccine (ie the nasal spray) cannot be given to children under the age of

Back 40

5 yrs

Front 41

3 signs/symptoms of Horners syndrome (the syndrome that can be presenting sign of lung cancer)

Back 41

ipsilateral ptosis, miosis, and anhidrosis

Front 42

if pt has croup with stridor at rest, first thing to give when pt presents to ER

Back 42

nebulized epinephrine

Front 43

what pulm function parameter is most helpful in predicting postop complications (ie inability to wean from vent)

Back 43

FEV/1
(if < 1 then bad)

Front 44

regular, cyclic increasing and decreasing respirations alternating with periods of apnea describe what resp pattern

Back 44

Cheyne-Stokes respirations

Front 45

most common causes of hemoptysis

Back 45

acute and chronic bronchitis

Front 46

oxygen device of choice for max percentages of inspired oxygen in conscious patients is

Back 46

non rebreather mask

Front 47

how to assess quantity of medication in MDI

Back 47

see how high it floats in water

Front 48

when are thee sounds heard: systole or diastole?
opening snap of mitral stenosis?
clicks?
ejection sounds?

Back 48

opening snap of mitral stenosis: diastole
clicks and ejection sounds: systole

Front 49

intrinsic firing rate of AV node

Back 49

40-60

Front 50

normal PR interval

Back 50

0.12-0.20

Front 51

diastole murmurs

Back 51

MS/TS
AR/PR

(MS. AR)