Clinical Medicine – Pulmonology || Already Graded A+.
Fatigue, weight loss, fever, night sweats, productive cough, hemoptysis correct answers TB
Apical pulmonary opacities? correct answers TB
Caseating granuloma? correct answers TB
Dullness to percussion and decreased breath sounds over a particular lung area? correct answers Pleural Effusion
When you hear transudative pleural effusion, you think what? correct answers Congestive Heart Failure
When you hear exudative pleural effusion, you think what? correct answers Pneumonia or cancer
What is the most deadly disease in USA? correct answers Community acquired pnuemonia
Bronchial breath sounds or inspiratory crackles on chest auscultation? correct answers Pnuemonia
CXR findings for pneumonia? correct answers parenchymal pulmonary opacity
Symptoms of pneumonia? correct answers Fever, tachypnea, cough (w/ or w/out sputum), dyspnea, chest discomfort, sweats and/or rigors
#1 causative agent of pneumonia? correct answers Strept. pneumoniae
Bacteria that is common in smokers or COPD patients with pneumonia? correct answers H.influenzae
Bacteria that is more common in younger, healthier patients with pneumonia? correct answers Mycoplasma pneumonia
Most common bacterial species for nosocomial pneumonia? correct answers Psuedomonas and Staph aureus
Non-caseating granulomas? correct answers Sarcoidosis
African american female, first thought? correct answers Sarcoidosis
Multi nucleated giant cells? correct answers Sarcoidosis
Patient has symptoms related to lung, skin, eyes, peripheral nerves, liver, kidney, heart and other tissues correct answers Sarcoidosis Bilateral hilar lymphadenopathy correct answers Sarcoidosis
Diagnostic tool for sarcoidosis? correct answers Biopsy
First line of treatment for sarcoidosis? correct answers steroids
Tall, thin male (basketball player), first thought? correct answers Pneumothorax
Unilateral chest pain and dyspnea? correct answers Pneumothorax
Patient w/ tachycardia and hypotension along with unilateral chest pain? correct answers Tension
pneumothorax
In pneumothorax, the trachea deviates (towards/away) from the side of the pneumothorax? correct answers AWAY
Bibasilar inspiratory crackles (sounds like velcro)? correct answers Idiopathic Pulmonary Fibrosis AND Asbestosis
"honeycombing" on the HRCT? correct answers Idiopathic Pulmonary Fibrosis
In which area of the lungs does silicosis favor? correct answers upper/middle lobes
In which area of the lungs does coal workers pneumoconiosis favor? correct answers upper/middle lobes
In which area of the lungs does asbestosis favor? correct answers base of the lungs
Whats the classic CT finding in silicosis? correct answers small parenchymal nodules and pulmonary fibrosis (bilateral upper lobes)
Hilar lymphadenopathy w/ "eggshell" calcifications? correct answers silocosis
Which pneumoconiosis do you have a greater risk of TB due to impaired macrophage function? correct answers Silicosis
If you see cavitating lesions in silicosis, what does this suggest? correct answers TB infection
What other disease has similar findings on the HRCT and CXR compared to silicosis? correct answers Coal workers pneumoconiosis
Which disease did we cover that had "digital clubbing" as a sign? correct answers Idiopathic pulmonary fibrosis
Occupation- mining, sand blasting, stone cutting, ceramic work, quarrying correct answers Silicosis Occupation - underground coal minor correct answers coal workers pneumoconiosis
occupation - worked in textiles, cement, ship building, brake work, pipe cutters correct answers Asbestos related
What are the most common causes for a chronic cough? correct answers Asthma, Post nasal drip,
GERD
Also - post viral cough, chronic bronchitis, ACEI drug induced cough
What are the most common causes for an acute cough? correct answers Viral/bacterial URTI, pneumonia, CHF, COPD exacerbation, foreign body, PE
Tx for Asthma: Mild intermittent correct answers SABA (prn)
Tx for Asthma: Mild persistent correct answers SABA (prn) + low dose ICS (daily)
Tx for Asthma: Moderate persistent correct answers SABA (prn) + medium dose ICS (daily)+ LABA (daily)
Tx for Asthma: Severe persistent correct answers SABA (prn) + high does ICS (daily) + LABA (daily) + Systemic Steroid
Which COPD tx has been shown to increase survival in patients? correct answers oxygen therapy
COPD classification: patient has >80% FEV1
Treatment? correct answers Mild
Tx: smoking cessation, flu vaccine, bronchodilator (prn)
COPD classification: patient has 50-79% FEV1
Treatment? correct answers Moderate
Tx:Smoking cessation, flue vaccine, regular tx w/ one or more bronchodilators, consider ICS/LABA if FEV1<65%
Consider anticholinergic
Rehab
COPD classification: patient has 30-49% FEV1 correct answers Severe
Tx:Smoking cessation, flu vaccine, regular tx w/ one or more bronchodilators, consider ICS/LABA if FEV1<65%
Consider anticholinergic
Rehab
