Fermin 5

Pulmonology 1

100

Common symptoms of bronchiectasis

Chronic productive cough, frequent respiratory infections

200

Initial test for cystic fibrosis

Sweat chloride

300

Empiric antibiotic class for bronchiectasis exacerbation

Fluoroquinolone

400

Bronchiectasis CT findings

Bronchial wall thickening, cysts, dilated airways without distal tapering

500

Pulmonary infections suggestive of bronchiectasis

Pseudomonas aeruginosa, Aspergillus, non-TB mycobacteria

Pulmonology 2

100

Systemic sclerosis variant associated with PAH

Limited cutaneous systemic sclerosis

200

First-line therapy for PAH if tolerated

Endothelin-1 receptor antagonist plus PDE-5 inhibitor

300

Drug treatments for high-altitude pulmonary edema

Nifedipine, PDE-5 inhibitor

400

Treatment for high-altitude cerebral edema

Descent, dexamethasone, supplemental oxygen, hyperbaric oxygen therapy

500

Treatment for vasoreactive-positive PAH

CCB

Pulmonology 3

100

Most common anterior mediastinal tumor

Thymoma

200

Most common middle mediastinal mass

Lymphadenopathy

300

Most common posterior mediastinal mass

Neurogenic neoplasms

400

Anterior mediastinal mass entities

Thymoma, teratoma, lymphoma, thyroid

500

First step in evaluating solid pulmonary nodule >8 mm

Estimate probability of malignancy

Pulmonology 4

100

Diagnosis suggested by headache, nausea, disturbed sleep at altitude

Acute mountain sickness

200

Medications for acute mountain sickness

Acetazolamide or dexamethasone

300

Spo2 level requiring supplemental O2 during air travel

<92%

400

Test to determine supplemental O2 needs during air travel

Hypoxia altitude simulation testing or 6-minute walk test

500

Possible complication during air travel in asthma or COPD

Pneumothorax

Pulmonology 5

100

Diagnosis suggested by respiratory distress, unilateral absent breath sounds, tracheal deviation

Tension pneumothorax

200

Emergency treatment for tension pneumothorax

Needle thoracostomy

300

Diagnosis suggested by nocturnal absence of respiratory effort, airflow

CSA

400

Conditions causing an elevation in Dlco

Pulmonary alveolar hemorrhage, left-to-right shunt, asthma

500

Nonmalignant asbestosis–related pulmonary and pleural disease manifestations

Pulmonary fibrosis, pleural effusion, pleural plaques