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26 Cards in this Set
- Front
- Back
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What are the four Centor criteria in dgn acute pharyngitis?
How many need to be met to start empiric abx? |
1) #1 fever
#2 tonsilar exudate #3 painful LN #4 no cough 2) only 3 of 4 are needed |
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What does alpha-1 AT def present as? Any increase risk for inf?
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presents as emphysema and liver damage. No inc in infections.
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What is amiodorone toxicity?
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Pulmonary, presents w/ cough that is worse at night
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In suspected sarcoidosis case of women w/ pulm LN, enlarged parotid glands and EN, what should be bx for dgn?
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Most accessible, ie parotids
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What is the diagnosis if pt starts coughing on expiration?
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Asthma, it indicated airway hyperactivity
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What is better to say patient's relative: "to ask husband" or "I cannot share this information"
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I can't share this info:
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When do you give thrombolitics in pt w/ pulmonary PE?
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Only if pt is getting worse after IVC filter placement OR hemodynamically unstable
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What should be an intervention for pt w/ PE who develops slight fever (<38.9) and leukocytosis
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Continue heparin; it's a common finding in pulm PE. No abx are needed!
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What is the tx for primary pulmonary hypertension?
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Coumadin (b/c they are at increased risk for PE), and Calcium channel blocker
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Untreated pulmonary hypertension can lead to which complication?
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Cor pulmonale
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What type of PE can be fatal?
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Massive - leading to lung infarction; small, wedge shaped (Hampton's hump) are more peripheral and are not fatal
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Can IV theophilin be used in acute asthma exacerbation?
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NO NO NO. Use beta 2 agonist
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If mold infection is suspected in the lungs what should be done first: skin prick test for mold or high resolution CT?
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Skin prick first!
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What is the main tx for pt w/ allergin bronchopulmonary aspergilosis?
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NOT antifungals, but oral prednisone, to prevent further lung damage
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What is the most common allergen associated w/ asthma exacerbation?
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House dust mite
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What is the tx of asymptomatic pulmonary sarcoidosis?
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No therapy, because of a high rate of spontaneous remission
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Does the low probability VQ scan rules out PE?
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NO NO NO
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What is the tx of the asmathic with acute exacerbation?
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O2
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What test should be done first in the pt w/ COPD and low O2?
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ABG
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What test should be done in the pt w/ suspected OSA before sleep apnea?
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Medical workup, to rule out hypothyroidism, etc.
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What test should be done first before bx of the lung nodule?
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CT scan
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What is the best mean to sample lung nodule?
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VATS (video assisted thoracoscopic sx), since FNA is not as sensitive
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Which lung tumor does most commonly causes SIADH?
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Small cell
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What PFT indicator is the most significant prognostic factor?
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FEV < 40= poor prognosis (residual volume although associated w/ COPD, but has no prognostic capacity)
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What is the characteristic radiographic feature found in pt w/ sarcoidosis that are more predictive of dz than ACE levels?
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b/l hilar adenopathy
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At what level of peak flow below the pt's baseline hospitalization is indicated?
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below 40-50%, if it is less, give the pt steroids
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