Intro to Pulm
Name that Bug
Lung Cancer
Acid/ Base
Grab Bag
100
These breath sounds are the normal breath sound heard over healthy lung fields.
What is vesicular lung sounds?
100
Patients with COPD often get this type of pneumonia.
What is Haemophilus influenzae?
100
College students often get this type of pneumonia that can also present with bullous myringitis.
What is mycoplasma?
100
pH 7.29 pCO2 37.7 HCO3 19
What is metabolic acidosis?
100
This imaging technique detects smaller effusion, differentiates loculations and empyema from new effusions or scarring.
What is lateral decubitus X-ray?
200
This rapid large volume breathing indicates intense stimulation of respiratory center (metabolic acidosis).
What is Kussmaul breathing?
200
Someone exposed to A/C or aerosolized H2O might have this type of pneumonia
What is Legionella?
200
Asbestosis increases the risk for development of this type of cancer.
What is Broncogenic carcinoma and mesothelioma?
200
pH 7.19 pCO2 36 HCO3 14
What is metabolic acidosis?
200
The common X-ray finding for epiglottitis.
What is thumb-print sign?
300
This high pitched adventitious breath sound is caused by BRONCHOSPASM.
What is wheezing?
300
An alcoholic with currant jelly sputum might have this type of pneumonia.
What is klebsiella pneumonia?
300
A solitary pulmonary nodule is found on a pre-employment screening chest x-ray in a 55 year-old smoking female. There are no films available to compare.  This is the most appropriate next step in the evaluation?
What is CT scan of the chest?
300
pH 7.35 pCO2 39 HCO3 24
What is a normal ABG? :)
300
Name 3 exudative pleural effusion causes.
What is TB, Malignancy, Bacterial pneumonia, PE, Viral infection, Collagen vascular disease?
400

Name the "pattern" seen with the following PFT results:decreased FEV1/FVC ratio BUT increased TLC and increased RV

What is obstructive pattern?

400
You would suspect this fungal infection in a patient who recently traveled to Mexico and is presenting with pneumonia-like symptoms and erythema nodosum with positive culture of C. immitis.
What is coccidioidomycosis?
400
This type of cancer located centrally is associated with cavitary lesions(central necrosis), hypercalcemia and pancoast syndrome.
What is Squamous cell carcinoma?
400
pH 7.31 pCO2 58.5 HCO3 26
What is Respiratory acidosis?
400
A 27-week-old premature male baby was delivered by C-section during the evening, and the delivery staff observed that the child was cyanotic, tacypnic, and had severe retractions. This underlying issue/deficiency is called _______ and could be treated by giving _______ to the mother before the child’s birth to prevent this condition.
What is Lack of surfactant; give mother corticosteroids?
500
In what disease process would you have positive tactile fremitus, bronchophony, whispered pectoriloquy and egophony?
What is pneumonia, lobar consolidation?
500

Name the virus that typically causes croup.

What is Parainfluenza virus?

500
This most common type of lung cancer is often seen peripherally.
What is Adenocarcinoma?
500
pH 7.5 pCO2 28 HCO3 25
What is Respiratory alkalosis?
500

60yo male comes in after a severe MVA with sings of Hypotension, distended neck veins, deceased breath sounds on the left lower lobe, and  hyperresonance to percussion on the left lower lobe.   Pt has undergone severe trauma.  This is the diagnosis.

What is a tension pneumothorax?

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