Asthma
Cystic Fibrosis
Sleep
Pulmonary PotPourri
Physiology
100

The preferred initial anti-inflammatory for patients with persistent asthma is

What is inhaled corticosteroids?

100

What is the most common gene defect in patients with CF?

What is F508del?

100

The gold-standard test to diagnose pediatric obstructive sleep apnea.

What is a polysomnogram (AKA "sleep study")?

100

A patient complaining of episodic, acute-onset, difficulty with inspiration during athletic events most likely has this pathology. 

What is vocal cord dysfunction?

100

This describes the "stretchiness" of the respiratory system, calculated as change in volume for given change in pressure

What is compliance?

200

This is the characteristic finding on the flow-volume curve of a patient with asthma with an obstructive defect.

What is concavity or "scooping" (of the descending limb of the expiratory loop)?

200

The first inhaled medication to address the basic defect in cystic fibrosis is also one of the least expensive

What is hypertonic saline?

200

This diagnostic test is used to diagnose narcolepsy.

What is MSLT (multiple sleep latency test)?

200

Severe, untreated scoliosis is often associated with this type of lung disease.

What is restrictive lung disease?

200

This is the primary muscle of inspiration.

What is the diaphragm?

300

On spirometry, "bronchodilator responsiveness" is defined as

What is an increase in FVC or FEV1 of 12% predicted or 200 mL?

300

Neonates with cystic fibrosis may present with this type of bowel obstruction

What is meconium ileus?

300

The first-line treatment for most cases of mild pediatric obstructive sleep apnea is this.

What is T&A?

300

Patients with untreated pancreatic insufficiency are at increased risk of these vitamin deficiencies.

What are fat-soluble vitamins (A, D, E, and K)?

300

This is the acid-base abnormality typically seen in acute, severe status asthmaticus.

What is uncompensated respiratory acidosis?

400

This biologic medication is a monoclonal anti-IgE antibody used for severe allergic asthma.

What is omalizumab (AKA Xolair)?

400

CF was first described in 1938 by this NY pathologist

Who is Dorothy Anderson

400

Restless leg syndrome is associated with this deficiency?

What is iron deficiency?

400

In patients with severe BPD, it is important to get an echocardiogram to screen for this sometimes-associated abnormality.

What is pulmonary hypertension?

400

These are the 5 causes of hypoxemia.

What are diffusion impairment, V/Q mismatch, hypoventilation, shunt, and low inspired PO2?

500

This asthma medication can cause tachycardia, diastolic hypotension, and peripheral vasodilation.

What is albuterol (a beta-agonist)?

500

The highest normal sweat chloride value is this.

What is 29 (and then 30-59 = indeterminate; 60 or higher = consistent with Cystic Fibrosis)?

500

What non-pulmonary condition is associated with Congenital Central Hypoventilation Syndrome?

What is Hirschprungs Disease?

500

These are the two standard ways to confirm a clinical diagnosis of primary ciliary dyskinesia.

What are 1) genetic testing OR 2) ultrastructural analysis of cilia?

500

Name the 4 factors that cause oxygen to bind LESS avidly to Hb (e.g. that increase O2 delivery to tissue).

What are 1) increased temperature, 2) increased H+ concentration, 3) increased PCO2, and 4) increased DPG?