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40 Cards in this Set
- Front
- Back
- 3rd side (hint)
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A patient has lung disease on the right side. Which side does he prefer to sleep on?
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Left side
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Good side down
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What is the pathogenetic mechanism of bronchiolitis obliterans?
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Proliferation of granulation tissue within small airways
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What are the x-ray findings of bronciolitis obliterans? (2)
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Bibasilar fibrosis
Airspace densities |
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What is the classic presentation of bronchiolitis obliterans?
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Acute illness -> exertional dyspnea
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In a patient with PE, what are the findings on cardiac exam?
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Loud S2.
You hear a loud S2 with any condition that causes pulmonary HTN. |
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What is the most common cause of hemoptysis with a normal CXR?
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Bronchitis
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What breath sounds are heard over the trachea?
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Bronchial breath sounds
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What breath sounds are heard over the main bronchi?
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Bronchovesicular
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What breath sounds are heard over the lobes?
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Vesicular
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What is platypnea?
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Dyspnea with sitting up that is relieved in the recumbent position
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What is the most common cause of hemoptysis with a normal CXR?
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Bronchitis
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What breath sounds are heard over the trachea?
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Bronchial breath sounds
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What breath sounds are heard over the main bronchi?
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Bronchovesicular
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What breath sounds are heard over the lobes?
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Vesicular
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What is platypnea?
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Dyspnea with sitting up that is relieved in the recumbent position
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What condition is platypnea associated with?
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Rendu-Osler-Weber disease
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What is the pathogenesis of Rendu-Osler-Weber disease?
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Hereditary disorder -> telangiectasias in lung, CNS, face, GI tract
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What term is given to Legionella infection in the absence of pulmonary findings?
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Pontiac fever
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Patient has hoarseness and dyspnea after intubation. Dx?
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Tracheal stenosis
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Which bronchial segments are susceptible to aspiration pneumonia? (3)
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Sup. segments of lower lobes
Post. segment of R. upper lobe |
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What does APGAR stand for?
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Appearance
Pulse Grimace Activity Respirations |
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What information does APGAR provide?
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It only tells you about the infant's respiratory effort. IT PROVIDES VIRTUALLY NO INFORMATION ABOUT LONG-TERM OUTCOMES.
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When are APGAR measurements taken?
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1 min
5 min 10 min (only if score is low at 5 min) |
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20 yo patient has bilateral hilar adenopathy and diffuse lymphadenopathy w/o fever, weight loss, or sickness. Dx?
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Dx: sarcoid
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Pt has hypersensitivity pneumonia to sugarcane. Eponym?
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Baggosis
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Pt has pneumonia of unknown etiology, eosinophilia, and NO history of exposure to helminths. Dx?
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Loeffler syndrome
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Pt has pneumoconiosis following exposure to a nuclear weapon fashioned from clay that is decorated with flashing fluorescent lights. Diagnosis?
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Dx: Berylliosis
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CXR finding with berrylliosis?
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Bilateral hilar adenopathy
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Etiology of Farmer's lung?
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Exposure to moldy hay spores
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A worker in a textile will develops lung disease. Dx?
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Byssinosis
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Patient is found unconscious in swimming pool. CXR is abnormal. How do you know if this pt has noncardiogenic pulmonary edema or ARDS?
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Edema: pulseox is nmL
ARDS: pulseox low; CXR is worse, having white-out lesions |
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Causes of clubbing?
-Thyroid -Liver -Pancreas -Heart -Lung -Colon |
Thyroiditis
Cirrhosis Cystic Fibrosis Congenital (At birth) Hrt Dz Lung Cancer Colitis |
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According to PreTest, what are pertinent pulmonary non-causes of clubbing?
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Asthma
COPD |
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Name the anterior mediastinal masses.
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Thymomas
Teratomas Thyroid masses para-Thyroid masses |
The Four T's
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Name the posterior mediastinal masses.
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Random: lymphoma
Neuro: pheochromocytomas, myelomas, meningoceles, meningonyeloceles, neurogenic tumors GI: Gastroenteric cysts, diverticula |
Associated w/ spinal cord and esophagus, as well as one random mass.
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Middle mediastinal masses
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Cardio: vascular, pericardial cysts
Lungs: pleural cysts, bronchogenic cysts Lymph: lymphadenopathy, lymphoma. |
Associated with heart, lungs, and lymphatics.
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An obese patient presents cyanotic, unarousable, and hypoxemic. Dx?
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Obesity hypoventilation syndrome
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What is cataplexy?
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When a strong emotion (eg, laughing, crying) precipitates a sudden loss of muscle tone.
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What condition is cataplexy associated with?
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Narcolepsy
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What is a pharmaceutical treatment of cataplexy?
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GHB - also treats narcolepsy.
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