Guess that Dx
A 22-year-old presents with dyspnea, wheezing, and a decreased FEV₁/FVC ratio. What is the most likely diagnosis?
Asthma
What are the measurements for neck circumference to determine OSA?
> 17 in in men and > 16 in women
Which medication is first-line for persistent asthma control?
Inhaled corticosteroids
A 54-year-old woman develops unilateral leg swelling and pain 5 days post-op. What is the most appropriate next step in diagnosis?
Doppler ultrasound
What is the main pathogen for Silicosis?
Silica dust
A 68-year-old man with a 40-pack-year smoking history presents with chronic cough and sputum production for over 3 months in each of the past 2 years. Which of the following is the most likely diagnosis?
Chronic bronchitis
What side does a foreign body aspiration MC go towards?
Right side
What is a common side effect of inhaled corticosteroids?
Oral candidiasis (thrush)
A patient with dyspnea on exertion, fatigue, and loud P2 on exam is suspected to have pulmonary hypertension. Which diagnostic test confirms the diagnosis?
Right heart catheterization
What disease is associated with "Monday Fever" which sx are worse at the beginning of the work week?
Byssinosis "Brown Lung"
A thirty-two-year-old African American woman presents with fatigue, dry cough, and mild shortness of breath. A routine chest X-ray reveals bilateral hilar lymphadenopathy. What diagnoses do you suspect?
Sarcoidosis
What is the EKG for pulmonary symbolism?
Sinus tachy, S1Q3T3 (most specific PE)
Which combination is most appropriate for COPD GOLD Stage C?
LABA + LAMA
What is the emergency treatment for a tension pneumothorax?
Needle decompression
What disease is seen in the Lower Lobes of the CXR and a "shaggy heart"?
Abestosis
A tall, thin 20-year-old male presents with sudden chest pain and dyspnea. CXR shows absent lung markings on the right. What is the diagnosis?
Pneumothorax
What is the first step for an Asthma exacerbation?
SABA - albuterol, MDL or nebulizer
What 2 treatments can you prescribe for Idiopathic Pulmonary Fibrosis?
Nintedanib or pirfenidone
Which test is used to differentiate between transudate and exudate in pleural effusion?
Light's criteria
What disease is seen with renal involvement and purpura?
Granulomatosis with Polyangitis
A 45-year-old woman with a history of recurrent respiratory infections presents with chronic cough and daily production of large amounts of thick, purulent sputum. What is the most likely dx, and what is the MC bacteria that causes recurrent URIs?
Bronchiectasis and H. Infuenza
What treatment do you give if a Pt with COPD has > 2 moderate exacerbations or > 1 leading to hospitalization? What if blood eos > 300?
LABA + LAMA
LABA + LAMA + ICS
What is the treatment for granulomatosis with polyangitis?
Methotrexate
A 68-year-old man presents with progressive dyspnea and a chronic nonproductive cough. On physical exam, you note crackles and digital clubbing. What would be seen if you order a CXR?
Ground glass appearance, reticular-net like appearance, Honeycombing, traction bronchectasis
What two diseases are seen in the Upper lobes of CXR? Bonus: Which one is associated with egg shell calcifications?
Silicosis and Coal Worker's "Black Lung"
Silicosis + egg shell