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3 Cards in this Set
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1. What is a normal range for the A-a gradient?Answer: 5 - 15 mmHg2. A patient brings her child into your office with complaint of sore throat and runny nose. What is likely not thecause of this patient's symptoms?Answer: Not likely pharynitigis because of running nose3. What are the feared complications of untreated streptococcal pharyngitis ?Answer: Glomernephritis or rhematic fever4. What are the signs of peritonsillar abscess? (SU2 p34)Answer: severe sore throat, Fever, Ulvula deviation, Muffled "hot potato" voice, difficulty opening the mouth5. What is a helpful symptom to differentiate a common cold from the flu?Answer: Myalgias and arthralgias
1. If A surgical patient has had a nasogastric tube in place for two weeks due to gastroparesis. He has had apersistent fever and elevated WBC count without an identified source. Urine analysis, cultures, and CXRs arenegative and the wound is healing well without signs of infection. He has no abdominal pain or symptoms toindicate intra-abdominal catastrophe. What study might reveal the source of this fever?Answer: CT of sinuses2. What are classical CXR findings in atypical pneumonia?Answer: interstial infiltrates3. What organism is associated with the following:1. Associated with atypical pneumonia in young adults Answer: mycoplasma2. Associated with atypical pneumonia in the elderly and very youngAnswer: Chyamydia3. Most common pneumonia in children (infant to 5 years old)Answer: Viral4. Most common cause of pneumonia in neonatesAnswer: Group B strep5. A hospital has multiple admissions of elderly patients presenting with atypical pneumonia. All were present atthe grand re-opening of an old bingo establishment that has an indoor waterfall. What is the likely causalorganism?Answer: Legionella5. What is the treatment for atypical pneumonia? (SU2 p38)Answer: Macrolides6. Cystic fibrosis patients are at risk for acquiring pneumonia from which organism?Answer: Pseudomonas7. What is the typical time frame after which acute bacterial sinusitis is the cause of purulent nasal discharge?Answer: 7 days or more |
1. A friend tells you that he was hospitalized for fungal pneumonia after a trip to the deserts of New Mexico.What medication did he mostly likely receive in the hospital to treat his pneumonia?Answer: Amphotercin B2. What are the 2 most common treatment options for PCP (Pneumocystis carinii pneumonia)?Answer: TMP-SX . Pentamidine73. Fill in the table of criteria used to determine when a PPD is considered positive:Induration Size Considered Positive in these Situations5mm1. HIV2. Close contact with TB infected patients3. Signs of TB on CXR10mm1. Homeless4. Chronically ill patients2. immigrant from developing country 5. Health care worker3. IVDA patients6. Patient with recent incarcination15mmAlways considered positive4) Why is pyridoxine (vitamin B6) given to patients on RIPE therapy?Answer: To prevent peripheral neuritis5. What is the PaOz:FiO2 ratio in ARDS?Answer:<2006. Which method of Oz delivery can be used to give the patient the most O2 without putting them on a ventilator?Answer:PEEP |
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1. What does an asthma patient who has asthma attacks about 4 times per week need for her medicationregimen? Answer: 1. Inhaled short acting B2 agonist (albuterol)2. Low dose inhaled steriod (Flovent)3. +/- Singulair (montecast), +/- cromdyin 2. What is the most effective treatment for COPD?Answer: 1. inhaled short acting B2 agonist (albuterol)2. smoking cessation3. low inhaled anticholingerics (atrovent)4. Supplemental O2
6. At vhat point do patients with chronic COPD qualify for home 02?Answer: Resting pulse oximetry (SaO2) of <or - 88% 4. What treatment is proven to decrease morbidity and mortality in a COPD patient?Answer: Supplement 02
5. What are the requirements to diagnose chronic bronchitis?Answer: 3 month of productive cough for a consective 2 years 6. The common form of emphysema has what kind of distribution? Answer: centrilobular 7. What is the hallmark sign of COPD?Answer: 1. Flat diaphragm2. Hyperinflated lungs3. Decreased FEV1/FVC |
1.Which lung cancers are more common in smokers, and where are they found?Answer:1. Squamous cell: central2. Small cell carcinoma: central2. A 60-year-old smoker presents with the complaint of paresthesias and pain in the left upper extremity exam he has left eyelid drooping and miosis, which he says are new. What is the name of this syndromeWhat is the disease?Answer: Pancoast's syndrome3. How might a patient with superior vena cava syndrome present?Answer:Head swelling and CNS symptoms4. HTQ: What is the initial treatment for small cell lung cancer? (SU2 045)Answer: Chemotherapy5. What is the classic symptom of laryngeal cancer?Answer: Hoarseness that worsens with time6. Wegener's granulomatosis and Goodpasture's syndrome can have similar presentations with hemoptysis,dyspnea, and hematuria. What are some key differences to help distinguish the two?Answer: Wegener's -Ulceration of nasopharynxGoodpasture's -Anti-GBM antibodies7.) What findings make a solitary pulmonary nodule more likely to be malignant? (SU2 p43)Answer: 1. Smoker2. > 45 yr old3. New or progressing lesion4. No calcifications or irregular calcifications5. > 2 cm6. Irregular margins |
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