Pulmonary

Question 1

characteristics of asthma

Answer 1

• bronchoconstriction
• inflammation
• obstructive
• IgE

Question 2

A syndrome

Answer 2

asthma, atopy and allergies, response to triggers

Question 3

omnius asthma signs

Answer 3

decreased lung sounds, hyperresonance

Question 4

drug induces asthma

Answer 4

methycholine

Question 5

asthma stabilizers

Answer 5

cromolyn (athletic asthma)

Question 6

order of asmtha treatment

Answer 6

1. SABA
2. inhaled steroid
3. LABA
4. increase steroid
5. PO steroid

Question 7

med you must use with LABA

Answer 7

inhaled corticosteroid

Question 8

asthma exacerbation treatment

Answer 8

1. oxygen
2. duonebs
3. steroids
4. measure PEFR

Question 9

home asthma exacerbation

Answer 9

no o2, no wheeze, PEFR >70%

Question 10

asthma salvage therapy

Answer 10

• racemic epi

- subq epi

Question 11

suspect lung cancer with neg xray could be…..

Answer 11

paraneoplastic

Question 12

stage lung cancer with…..

Answer 12

PET-CT

Question 13

lung cancer work up

Answer 13

1. stage
2. PFTs
3. surgery

Question 14

screening for lung cancer

Answer 14

low dose CT scan

Question 15

who gets lung cancer screening

Answer 15

• 55-80
• 30 py
• 15 years ago quit

Question 16

good signs of pulmonary nodule

Answer 16

• less than 8mm
• smooth
• no smoking
• younger than 45
• calcified

Question 17

first step of pulmonary nodule

Answer 17

look at old films, no change in 2 years, stop

Question 18

small cell lung cancer

Answer 18

• smoking
• centrally located
• ACTH
• SIADH
• chemo/radiation

Question 19

squamous cell lung cancer

Answer 19

• smoking
• central
• PTHrP - calcium

Question 20

adenocarcinoma

Answer 20

• non smokers
• mesothelioma
• peripheral
• pleura
• puckering

Question 21

carcinoid cancer

Answer 21

• serotonin syndrome
• left side gets fibrosed
• 5HIAA in urine

Question 22

prolonged expiration

Answer 22

emphysema

Question 23

emphysema

Answer 23

• CO2 retention
• no cyanosis
• AP diameter increase
• prolonged expiration
• pursed lips

Question 24

bronchitis

Answer 24

• cyanosis
• pulmonary HTM
• CHF
• edema

Question 25

diagnosis of COPD

Answer 25

PFTs

Question 26

treatment of COPD order

Answer 26

1. SABA 2. long acting muscarinic antagonist 3. LABA 4. inhaled steroids 5. PDE4 inhibtors

Question 27

mnemonic for COPD treatment

Answer 27

``` Corticosteroids Oxygen (<88%) Prevention (vaccines/smoking) Dialators Experimental Rehab ```

Question 28

COPDers are driven by what to breath

Answer 28

hypoxic drive, CO2 drive is gone

Question 29

improving mortality in COPD

Answer 29

only O2 and smoking cessation

Question 30

treatment for COPD exacerbation

Answer 30

- Antibiotics - doxy/azythro - bronchodilators - steroids - oxygen

Question 31

ventilator in ARDS

Answer 31

- RR high, tidal volume low | - use PEEP for O2

Question 32

PEEP in ARDS

Answer 32

keeps the alveoli open

Question 33

best diagnostic for DPLD

Answer 33

high res CT