Block 57: Lung

Question 1

one way to differenciate asthma from COPD

Answer 1

spirometry before and after administration of bronchodilator

Question 2

primary long term drug for asthma

Answer 2

inhaled corticosteroids

Question 3

primary long term drug for COPD

Answer 3

long-acting anticholinergic inhaler

Question 4

bronchial thickening and dilation due to recurrent infection and inflammation

Answer 4

bronchiectasis

Question 5

how do you diagnose bronchiectasis

Answer 5

CT chest

Question 6

Chest-Xray for bronchiectasis

Answer 6

linear atelectasis
dilated and thickened airways
irregular peripheral opacities

Question 7

First step in evaluation of solitary pulmonary nodules is

Answer 7

obtain pervious radiographic lung image

• if not, get CT
• no growth for 2-3 years rules out malignancy

Question 8

chest X-ray for histoplasma

Answer 8

Hilar lymphadenopathy

reticulonodular

Question 9

bronchobiospy for histoplasma shows

Answer 9

granulomas with yeast forms

Question 10

what does lung abcess look like on Chest X-ray

Answer 10

cavity with air fluid level

Question 11

mainstay symptom management for COPD

Answer 11

inhaled anti-muscarinic agent

ipratropium

Question 12

what is the well’s criterai? how does D-dimer play a role

Answer 12

asses pretest probability for Pulmonary embolism

• low criteria and negative D-dimer can exempt PE
• high criteria and positive D-dimer,more tests

Question 13

hypoxia, hypocapnia, respiratory alkalosis,

CHF or COPD?

Answer 13

CHF

Question 14

what is found in an empyema

Answer 14

low [glucose] due to high metabolic activity of leukocytosis and bacteria within pleural fluid