Chronic Lung Diseases
Acute Lung Diseases
Pulmonary Hypertension and RV
Visual Dx
Critical Care
100
Has the greatest prognostic value for severity and mortality in COPD
What is post-bronchodilator FEV1
100
ABG criteria used to define acute respiratory failure
What are...
- PaO2 < 60
- PCO2 > 50
100
Important risk factor for pulmonary artery hypertension in Reno, NV
What is Methamphetamine use
100
What is right pneumothorax (after a central line placement)
100
The best treatment for high altitude pulmonary edema.
What is rapid descent?
200
A 60-year-old man is evaluated for a 7-month history of progressive dyspnea and dry cough. He is a former cigarette smoker. Has "velcro" crackles on lung auscultation. Clubbing is present. CXR shows bibasilar septal line thickening with reticular changes and lung volume loss. PFTs are pending. What is the most likely diagnosis?
What is idiopathic pulmonary fibrosis
200
The most common cause of post op fever.
What is atelectasis?
200
EKG criteria of RBBB
- QRS duration > 120ms
- RSR’ pattern in V1-3 (“M-shaped” QRS complex)
- Wide, slurred S wave in lateral leads (I, aVL, V5-6)
200
Name of this radiological pattern and what condition/s is it correlated with. 
What is advanced ILD or idiopathic pulmonary fibrosis.
200
A TBI patient has systolic hypertension, bradycardia, and slow respirations
What is Cushing's Triad? - late sign of advanced increased intracranial pressure
300
53-year-old woman presents for follow-up evaluation of an incidentally found 4-mm solid lung nodule in the right lower lobe on abdominal CT scan. She is a lifelong nonsmoker, and has no significant exposure history, and no family history. What is the recommendation for follow-up?
No follow-up is indicated
300
Definition of ARDS
- PaO2/FiO2 ratio < 200
- Acute onset
- Multifocal infiltrates compatible with non-cardiogenic pulmonary edema
300
Portal hypertension belongs to this WHO category (group) of Pulmonary Hypertension
What is Group 1
300
A 42-year-old woman with systemic sclerosis is evaluated for 2 months of dyspnea and exertional chest pain. What is the most likely diagnosis? 
What is pulmonary hypertension
300
Mechanism of tissue hypoxia during sepsis/septic shock (beyond hypoperfusion)
What is Cytopathic hypoxia // Impairment of mitochondrial respiration // poor oxygen utilization
400
Therapy for mild-intermittent asthma
What is as needed low-dose ICS + LABA
400
Name one of the key features of the Lung Protective Ventilation/ventilator settings for ARDS
Plateau pressure <30 cmH20
Low tidal volume (TV) ventilation (4-8 mL/kg)
Permissive hypercapnia
400
Most likely cause of pulmonary hypertension in this patient: 56-year-old woman with hx of developmental delay and congenital heart disease. She is on low-dose aspirin and thyroid replacement therapy. She has grade 1/6 holosystolic murmur at the left lower sternal border. The toes demonstrate cyanosis and digital clubbing.
What is Patent Ductus Arteriosus
400
A 65-year-old man is admitted to the hospital with a COPD exacerbation, rapidly goes into respiratory failure and requires intubation. What do you think is going on based on this CXR? 
Right mainstem bronchus mucous plug/obstruction
400
Cause of postoperative severe headache in a 64-year-old male with pre-existing hypertension who just underwent unilateral surgery to relieve carotid stenosis.
What is Neurogenic Edema
500
Eosinophil count threshold for considering ICS therapy in a patient with COPD with 1 or less than 1 complicated exacerbation
What is 300/mL (Can be 100-300/mL if 1 exacerbation)
500
Test performed has good sensitivity to determine diaphragmatic injury as the cause of hypercapnic respiratory failure after a prolonged ICU stay/postop
What is Sniff Test (or Diaphragmatic Fluoroscopy)
500
Name the test and one of the medications that can be used for determining the use of calcium channel blockers in the treatment of pulmonary hypertension
Vasoreactivity test during RHC
-Nitric oxide
-Epoprostenol (IV)
-Adenosine (IV)
500
Treatment for this patient with acute shortness of breath: 
What is Lasix
500
This drug is indicated in an SVT where you see delta waves.
What is Procainamide?