Infectious Diseases
Obstructive Diseases
Symptom to Diagnosis
Respiratory Pharmacology
Diagnostics
100
Presents like acute bronchitis with persistent cough > 2 weeks, occurs in epidemics, transmitted through aerosolized droplets or direct contact with infected person. Treated with macrolide. Seen in children and adults
What is pertussis?
100
A modifiable risk factor that is associated with both asthma and COPD
What is smoking?
100
Cough up to 10 weeks, substernal burning pain with inspiration, low grade fever with otherwise normal vital signs
What is acute bronchitis?
100
Standard treatment for community acquired pneumonia in areas without high incidence of DRSP.
What is a macrolide? (Azithromycin, Clarithromycin) OR doxycyline)
100
Test indicated for patient with fever 102, cough, dyspnea tachycardia X 3 days with normal heart and lung exam
What is a chest X-ray?
200
Presents with dyspnea, cough, hemoptysis, night sweats and fever, fatigue and bronchial breath sounds in upper lobes of lungs
What is tuberculosis?
200
Medication that is associated with increased mortality when used alone in asthma treatment
What is a LABA?
200
Patient presents with chest pain, dysphagia, heartburn and cough
What is GERD?
200
Medication added to low dose ICS and short acting beta agonist when these meds do not control asthma symptoms
What is a LABA?
200
Diagnostic test for asthma and COPD
What is spirometry?
300
Treatment for aspiration pneumonia
What is clindamycin or Augmentin or Amox + Metronidazole
300
FEV1/FVC < 70%; FEV1 56% non-reversible with beta-adrenergic treatment
What is moderate (Stage 2) COPD?
300
Patient with COPD presents with acute onset chest pain and dyspnea. Auscultation of the lung reveals absent breath sounds over right middle lobe with hyperresonance to percussion
What is a secondary pneumothorax?
300
Treatment for a 78 year old man with COPD who smokes and has a chest X-ray which indicates a left, lower lobe pneumonia.
What is HD Amox + macrolide or levofloxacin.
300
Definitive test for diagnosing pulmonary artery hypertension.
What is a right heart catheterization with measurement of pulmonary artery pressure?
400
3 options for treatment of a 26 year old male who is in graduate school as a foreign student from Cambodia who tested positive for TB with TST and had a negative CXR
What is Isoniazid X 9 mos or Rifampin X 4 mos or Isoniazid +Rifapentine weekly X 3 mos
400
Standard treatment for COPD exacerbation
What are O2, oral corticosteroids, antibiotics (if purulent sputum), beta adrenergic agents
400
Most likely diagnosis for a patient with long history untreated obstructive sleep apnea who now presents with dyspnea, fatigue and markedly decreased exercise tolerance.
What is Pulmonary hypertension?
400
A once-daily, oral drug used for COPD that breaks down cAMP and reduces inflammation and is never used as monotherapy
What is roflumilast (Daliresp), a PDE-4 inhibitor?
400
Action to take after you administer a PPD intradermally to a patient who returns 48 hrs later and has a 6 mm area of induration where the test was administered. This patient is not currently ill, has a medical history significant for diabetes mellitus, HTN and hyperlipidemia. She has had no known contact with anyone with tuberculosis. The best action to take would be:
What is "Do nothing"?
500
List the components of the CURB 65 score
What are Confusion BUN >19 mg/dL Respiratory rate > 30 BP < 90/60 Age > 65
500
4 Questions used to indicate asthma control
In the past 4 weeks: Daytime sx > 2/week Nighttime awakening Rescue inhaler use > 2Xs/week Activity limitation due to asthma
500
Likely diagnosis for a patient with a several month history of dyspnea on exertion and chronic non-productive cough which began insidiously, decreased FVC on spirometry and a history of work as a furniture stripper and cigarette smoking
What is interstitial lung disease?
500
CDC recommendations for pneumonia prophylaxis for patients > 65 y/o
What is PCV13 and PPSV23? Now recommended for all adults 65 years or older-- If not previously vaccinated, administer PCV13 first; give PPSV23 6-12 months after. If previously received PPSV23, administer PCV13 ≥12 months after.
500
Should be screened annually with low dose CT.
Who are men and women 55-74 years of age with a 30+ pack year history of smoking who either currently smoke or have quit smoking < 15 years ago.
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