IPF
Histopathologic pattern seen in IPF
UIP
Traction bronchiectasis, homogenous lung involvement, basal predominant, sub-pleural sparing
Four radiographic stages of sarcoidosis
1 hilar lymphadenopathy
2 hilar lymphadenopathy and opacities
3 opacities only
4 fibrosis
Most common radiographic pattern in most CTD
NSIP
Xerotrachea which is loss of mucous secretion in the trachea is seen in which autoimmune disease
Sjogren
Which musician designed Dr. Ahmed's favorite sneakers
Kanye West
What is used to estimate survival
Gap index
Hamman Rich Syndrome is another name for which idiopathic interstitial pneumonia
Acute interstitial pneumonia
Therapy for sarcoidosis use in acute disease
steroids
This medication contributes to scleroderma renal crisis
steroids
Histopathologic pattern found in Acute idiopathic pneumonia
Diffuse alveolar damage
Who was the last person to play Elvis's guitar prior to the last several years
Paul McCartney
Describe three HRCT findings in IPF
Peripheral (subpleural), basal distribution, reticulations, honeycombing, traction bronchiectasis, absence of ground-glass
Most common cell count on BAL in OP
Lymphocytic
Name at least two para-sarcoidosis syndromes
fatigue, small fiber neuropathy, pain syndromes, depression, cognitive impairment, Lofgren syndrome, vitamin D dysregulation
Lung manifestations of rheumatoid arthritis include IPF and at least two additional manifestations
Nodules, OP, OB, FB, bronchiectasis, vasculitis, pleural disease, LIP, drug induced
Name at least 3 BAL cell counts with lymphocyte predominance
Sarcoidosis, hypersensitivity pneumonitis, LIP, COOP, pulmonary lymphoma, drug related ILD, CTD-ILD, chronic beryllium disease
Which famous rock start from the 80's did not participate in the "we are the world soundtrack" given a feud with Michael Jackson
Prince
In transplanted patients the length of " " may be associated with worse survival and short time to CLAD
Telomeres
In diagnosing idiopathic interstitial pneumonia, name at least 3 labs to check
rheumatoid factor, anti-ccp and ANA
This historical test involved intradermal inoculation of a suspension of splenic tissue from spleen that was involved with sarcoidosis
Kveim test
Name at least one agent known to produce a scleroderma like disorder
d-penicillamine, tryptophan, bleomycin, pentazocine, vinyl chloride, benzene, toulene, trichloroethylene
silica exposure
toxic oil syndrome (contains rapeseed oil)
Normal BAL eosinophil count
<2%
How many songs did Elvis Presley write?
Zero
Pirfenidone and Nintedanib slow rate of decline of FVC by what percent in one year (answer must be within 10%)
50% with about 60% chance for adverse GI affects
Name 1 infection and two autoimmune diseases associated with lymphocytic interstitial pneumonia
Sjogren, PBC, hashimoto, pernicious anemia, AHA, SLE
HIV, EBV, HTLV1, legionella, TB
Name at least two clinical presentations of sarcoidosis which may not require tissue confirmation
Lupus pernio, Lofgren syndrome, heerfordt syndrome
Antibody associated with poor prognosis and rapidly progressive ILD in PM/DM
Anti-MDA5
How is it possible to have relatively normal PFT's in the setting of emphysema
PFT's are more reflective of disease in the large airways
This famous group won a grammy in the late 80's even though they never sang a word with hits such as "girl you know it's true"
Milli Vanilli