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51 Cards in this Set
- Front
- Back
CO2 acts as acid/base?
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acid
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tactile fremitus ("99") inc in ____ and dec in ___
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inc in pneumonia
dec in COPD |
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main cause of pneumonia in cystic fibrosis
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pseudomonas
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#1 cause of bronchiectasis
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cystic fibrosis
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meconium ileus pathonomic of
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cystic fibrosis
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"popcorn lesion" on CXR
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hamartoma
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what type of lung ca is associated with SIADH
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small cell carcinoma
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what is Horder's Spots?
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macular rash on face; due to C. psittaci pneumonia (Psittacosis)---spread via birds
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currant jelly sputum
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klebsiella pneumonia (seen in alcoholics)
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how does one get pneumonia due to francisella tularensis (tularemia)
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rabbit exposure
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apical infiltrate on CXR indicates
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TB
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TB of spine aka
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pott's disease
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bx of lung infiltrate comes back as "caseating granuloma" dx?
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TB
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if no known risks, diameter of induration on PPD is pos for TB
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>= 15mm
(only has to be 5mm if have HIV, CXR shows previous inactive TB, or contact c case) |
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lung bx: caseating granuloma vs. noncaseating granuloma
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caseating granuloma: TB
noncaseating granuloma: sarcoidosis |
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what is erythema nodosum and what is it a sign of
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painful red nodules on anterior lower leg; sign of sarcoidosis
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asthma with marked eosinophilia is what dx
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churg strauss syndrome (vasculitis of small/med arteries)
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what is findings on CXR of pt c Coal Worker's Pneumoconiosis
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diffuse small opacities in upper lung fields
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Westermarks sign and Hamptons hump on CXR indicate
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PE
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gold standard to dx DVT
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venography
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gold standard to dx PE
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pulmonary angiography
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goal PTT if on heparin
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50-70
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most common cause of ARDS
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sepsis
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CXR of ARDS shows pulm infiltrates that spare?
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costophrenic angles
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most common cause of bronchiolitis
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RSV
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antiviral that can be used in RSV
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ribavirin
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3 most common bacterial pathogens of acute exacerbation of chronic bronchitis
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H. influenzae
Strep Pneumo M. cattarhalis |
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need 2 of 3 symptoms to meet criteria of acute exacerbation of chronic bronchitis,,, what are the 3 symptoms
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1) inc SOB
2) inc sputum vol 3) inc sputum purulence |
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in pleurisy, the pain of pleural inflamm is due to irritation of which pleural lining
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parietal pleura
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sarcoidosis in adults predominantly affects what race/gender
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african american females
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---tactile fremitus & ___percussion in pleural effusion
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decrease tactile fremitus and dull to percussion
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in atelectasis how is percussion and tactile fremitus
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dull to percussion and decr tactile fremitus
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whats drug of choice for tx of mycoplasma pneumonia
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erythromycin or tetracycline
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pt with HIV dx'd with legionella. what should you treat him with
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levaquin (if he wasnt immunocompromised then you can tx c doxy or erythromycin)
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what is characterisitc prodome of acute pneumonia caused by chlamydia
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HA and sore throat (just like prodrome of mycoplasma pneumonia)
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7y/o c asthma has nocturnal cough q night c daily exacerbations of wheezing & SOB. how to classify asthma?
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severe persistent
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large bronchiole disorder that characterized by destruction of bronchial walls that is commonly found in pts with cystic fibrosis
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bronchiectasis
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tx of choice for early stage pertussis
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erthyromycin
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influenza immunization can only be given to kids after what age
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must be >6 months of age
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the live version of the influenza vaccine (ie the nasal spray) cannot be given to children under the age of
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5 yrs
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3 signs/symptoms of Horners syndrome (the syndrome that can be presenting sign of lung cancer)
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ipsilateral ptosis, miosis, and anhidrosis
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if pt has croup with stridor at rest, first thing to give when pt presents to ER
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nebulized epinephrine
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what pulm function parameter is most helpful in predicting postop complications (ie inability to wean from vent)
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FEV/1
(if < 1 then bad) |
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regular, cyclic increasing and decreasing respirations alternating with periods of apnea describe what resp pattern
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Cheyne-Stokes respirations
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most common causes of hemoptysis
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acute and chronic bronchitis
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oxygen device of choice for max percentages of inspired oxygen in conscious patients is
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non rebreather mask
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how to assess quantity of medication in MDI
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see how high it floats in water
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when are thee sounds heard: systole or diastole?
opening snap of mitral stenosis? clicks? ejection sounds? |
opening snap of mitral stenosis: diastole
clicks and ejection sounds: systole |
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intrinsic firing rate of AV node
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40-60
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normal PR interval
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0.12-0.20
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diastole murmurs
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MS/TS
AR/PR (MS. AR) |