Category A
This condition can often co – exist with obstructive sleep apnea and is characterized with by elevated daytime arterial PCO2 levels.
Obesity hypoventilation syndrome
This mediastinal mass is most commonly associated with myasthenia gravis and removal of mass can potentially be curative of myasthenia gravis.
Thymoma
Tidal volume recommended for ARDS
4 – 8 mL/ kg predicted body weight
The concerning life-threatening complication in air travel for patients with asthma or COPD
Pneumothorax
This type of shock is characterized by high cardiac output, normal PCWP, low SVR and may possibly have rash, angioedema, and/or wheezing.
Anaphylactic shock
After starting NIPPV, clinical improvement and improvement in blood gas should occur after how many hours? If no improvement after this amount of time (--------), then intubation should be considered.
2 hours
Lung cancer associated with SIADH
Small cell lung cancer
This syndrome is characterized by agitation, rigidity, myoclonus, increased reflexes and can be treated with benzodiazepines or cyproheptadine.
Serotonin syndrome
Number of pleural fluid cytology exams for maximum yield.
Two
Name two contraindications to NIPPV
a. Respiratory arrest
b. Medical instability
c. Inability to protect airway and/or excessive secretions or nausea and vomiting
d. Uncooperative or agitated patient
Aside from hereditary angioedema or ACE/ARBS, angioedema can be caused by an acquired C1 inhibitor deficiency due to these three clinical conditions. Name at least one.
Lymphoma, MGUS, or SLE
Patients with CTEPH are commonly on anticoagulation for life, however, there is only one definitive therapy for CTEPH. What is that definitive therapy for CTEPH?
Pulmonary thromboendarterectomy
Most common radiographic finding
Pleural plaques
Physical manifestation of central sleep apnea due to heart failure
Cheyne – Stokes breathing
Name at least 2 out of the 4 criteria for diagnosing ARDS.
a. Acute onset less than 1 week with known clinical insults
b. Bilateral lung opacities not explained by pulmonary effusions, lobar lung collapses or nodules
c. Respiratory failure or pulmonary edema not explained by heart failure
d. Arterial Po2/ FIO2 ratio less than 300
This monoclonal antibody can be used for moderate to severe persistent asthma with elevated IgE levels.
Omalizumab
Name 1 of the drug treatments for high altitude pulmonary edema
a. Nifedipine
b. PDE-5 inhibitor
Name 1 of the medications to treat acute mountain sickness characterized by headache, nausea, disturbed sleep at altitude
Acetazolamide or dexamethasone
This condition is commonly misdiagnosed as asthma but marked with eosinophilia and high serum IgE levels with intermittent pulmonary infiltrates
Allergic bronchopulmonary aspergillosis
What is the USPSTF criteria for lung cancer screening?
Age 50 – 80 years old who have 20 pack year smoking history and currently smoke or have quit within the past 15 years.
Treatment for high altitude cerebral edema, 3 things
Dexamethasone, oxygen, descent
Bedside tool to evaluate for ICU acquired weakness
Medical research council muscle scale
Apart from acute pancreatitis, name the other diagnosis suggested by elevated pleural fluid amylase
Esophageal rupture
A triglyceride level greater than what number may indicate chylothorax commonly found after surgery, trauma or with diagnosis of lymphoma or TB.
Triglycerides greater than 110
This level of carboxyhemoglobin or greater is diagnostic of severe acute carbon monoxide poisoning.
> 25% carboxyhemoglobin level