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40 Cards in this Set

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A patient has lung disease on the right side. Which side does he prefer to sleep on?
Left side
Good side down
What is the pathogenetic mechanism of bronchiolitis obliterans?
Proliferation of granulation tissue within small airways
What are the x-ray findings of bronciolitis obliterans? (2)
Bibasilar fibrosis
Airspace densities
What is the classic presentation of bronchiolitis obliterans?
Acute illness -> exertional dyspnea
In a patient with PE, what are the findings on cardiac exam?
Loud S2.

You hear a loud S2 with any condition that causes pulmonary HTN.
What is the most common cause of hemoptysis with a normal CXR?
Bronchitis
What breath sounds are heard over the trachea?
Bronchial breath sounds
What breath sounds are heard over the main bronchi?
Bronchovesicular
What breath sounds are heard over the lobes?
Vesicular
What is platypnea?
Dyspnea with sitting up that is relieved in the recumbent position
What is the most common cause of hemoptysis with a normal CXR?
Bronchitis
What breath sounds are heard over the trachea?
Bronchial breath sounds
What breath sounds are heard over the main bronchi?
Bronchovesicular
What breath sounds are heard over the lobes?
Vesicular
What is platypnea?
Dyspnea with sitting up that is relieved in the recumbent position
What condition is platypnea associated with?
Rendu-Osler-Weber disease
What is the pathogenesis of Rendu-Osler-Weber disease?
Hereditary disorder -> telangiectasias in lung, CNS, face, GI tract
What term is given to Legionella infection in the absence of pulmonary findings?
Pontiac fever
Patient has hoarseness and dyspnea after intubation. Dx?
Tracheal stenosis
Which bronchial segments are susceptible to aspiration pneumonia? (3)
Sup. segments of lower lobes

Post. segment of R. upper lobe
What does APGAR stand for?
Appearance
Pulse
Grimace
Activity
Respirations
What information does APGAR provide?
It only tells you about the infant's respiratory effort. IT PROVIDES VIRTUALLY NO INFORMATION ABOUT LONG-TERM OUTCOMES.
When are APGAR measurements taken?
1 min
5 min

10 min (only if score is low at 5 min)
20 yo patient has bilateral hilar adenopathy and diffuse lymphadenopathy w/o fever, weight loss, or sickness. Dx?
Dx: sarcoid
Pt has hypersensitivity pneumonia to sugarcane. Eponym?
Baggosis
Pt has pneumonia of unknown etiology, eosinophilia, and NO history of exposure to helminths. Dx?
Loeffler syndrome
Pt has pneumoconiosis following exposure to a nuclear weapon fashioned from clay that is decorated with flashing fluorescent lights. Diagnosis?
Dx: Berylliosis
CXR finding with berrylliosis?
Bilateral hilar adenopathy
Etiology of Farmer's lung?
Exposure to moldy hay spores
A worker in a textile will develops lung disease. Dx?
Byssinosis
Patient is found unconscious in swimming pool. CXR is abnormal. How do you know if this pt has noncardiogenic pulmonary edema or ARDS?
Edema: pulseox is nmL

ARDS: pulseox low; CXR is worse, having white-out lesions
Causes of clubbing?
-Thyroid
-Liver
-Pancreas
-Heart
-Lung
-Colon
Thyroiditis
Cirrhosis
Cystic Fibrosis
Congenital (At birth) Hrt Dz
Lung Cancer
Colitis
According to PreTest, what are pertinent pulmonary non-causes of clubbing?
Asthma
COPD
Name the anterior mediastinal masses.
Thymomas
Teratomas
Thyroid masses
para-Thyroid masses
The Four T's
Name the posterior mediastinal masses.
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.
Middle mediastinal masses
Cardio: vascular, pericardial cysts

Lungs: pleural cysts, bronchogenic cysts

Lymph: lymphadenopathy, lymphoma.
Associated with heart, lungs, and lymphatics.
An obese patient presents cyanotic, unarousable, and hypoxemic. Dx?
Obesity hypoventilation syndrome
What is cataplexy?
When a strong emotion (eg, laughing, crying) precipitates a sudden loss of muscle tone.
What condition is cataplexy associated with?
Narcolepsy
What is a pharmaceutical treatment of cataplexy?
GHB - also treats narcolepsy.