Pulmonary Infections
Pulmonary Vascular Dz
Obstructive Lung Disease
MISC Lung Disease
Restrictive Lung Disease
100

This fungal respiratory infection is usually asymptomatic that can cause pneumonia and/or bone/skin granulomas, can cause meningitis in immunocompromised and is found in soil with bird droppings.

What is cryptococcosis?

100

This lab is performed to rule out a pulmonary embolism in a patient with a low-moderate likelihood for PE.

What is a D-dimer?

100

The most important intervention in smokers with COPD.

What is smoking cessation?

100
One of the top 3 clinical setting account for 75% of ARDS cases.
What is sepsis, severe multi trauma, aspiration of gastric contents?
100

Patients with this disease often present with Eggshell calcification of the hilar and mediastinal nodes.

(BONUS: what jobs do they usually have?)

What is Silicosis?

(BONUS: sandblaster, coal mines, quartz workers)

200
The Steeple Sign seen on X-ray is associated with this disease.
What is croup?
200

This is the first line treatment for a hemodynamically stable patient suspected of or found to have a pulmonary embolism.

What is anticoagulation?

200

This obstructive lung disease eventually causes Right Sided heart failure, specifically showing signs of peripheral edema, hepatomegaly, and increased jugular venous pressure.

What is COPD -> Cor Pulmonale

200

A sepsis patient is at a higher risk for developing this syndrome and presents with dyspnea, tachypnea, tachycardia and refractory hypoxemia. (Bonus: How would we treat this patient?)

What is ARDS? (BONUS: Treat the underlying cause, Intubate & Mechanically Ventilate with PEEP)

200

Electronics, aerospace, ceramics, dental tool & dye manufacturing are all exposures that can cause this disease.

What is Beryliosis?

300
The next step to determine if a patient has an active TB case once the patient has a positive PPD skin test.
What is a chest x-ray?
300

What are the HISTORICAL & NEW gold standards for diagnosis of pulmonary embolism?

What are pulmonary angiography (Historical) & CTA (New, best test)?

300

A 27-year-old woman presents to your office with a chronic cough, productive of foul smelling purulent sputum for the last year. She denies having fevers, but admits to occasional episodes of hemoptysis. She has been diagnosed and treated multiple times for pneumonia, without significant improvement. On chest x-ray you note dilated, thickened airways. Name the most likely diagnosis.

What is Bronchiectasis?

300

Two possible risk factors for aspiration pneumonia. (BONUS: Where do aspiration pneumonia's usually occur?)

What is AMS, ALCOHOLISM, Impared cough/swallow reflux, dementia?

(BONUS: On the chest x-ray, the right lower lobe is most frequently involved. Patients who have aspirated while upright may have bilateral lower lobe involvement. Patients lying in the left lateral decubitus position tend to have left-sided infiltrates. The involvement of the right upper lobe is more common in patients who aspirate in the prone position and those with alcohol abuse.)

300

Cotton exposure in textile industry is an occupational hazard that can cause this disease.

What is Byssinosis?

400
Name two vaccinations can be given to prevent pneumonia and who should receive them.
What is Influenza vaccine & pneumococcal vaccine? Influenza= everyone; pneumococcal = >65 yo, heart disease, sickle cell disease, pulmonary disease, Diabetes, alcoholic cirrhosis, asplenic individuals.
400

If a patient has an ABRUPT onset of dyspnea, chest pain, tachycardia/ tachypnea, hemoptysis, or syncope. This disease is considered until proven otherwise.

What is Pulmonary embolism?

400

Cystic Fibrosis is a(n) ____________ ______________ disorder which affects the ____________ transmembrane channel.

What is Autosomal recessive; Cl-

400

ABG criteria used to define acute respiratory failure

What are...

•Hypoxia (PaO2 <60 mm Hg)

•Hypercapnia (partial pressure of CO2 (PCO2) >50 mm Hg)?

400

Patient with dyspnea, unproductive cough, fatigue & rash presents to the clinic. The X-ray shows bilateral hilar adenopathy and the histopathology shows noncaseating granulomas. What is the diagnosis?

What is Sarcoidosis?

500
A patient has symptoms of fever, sputum, and cough accompanied by fatigue, malaise, weight loss as well as night sweats. The chest x-ray shows apical cavitation and infiltrates at apex. What is this indicative of?
What is Active Tuberculosis?
500

Pulmonary hypertension is defined as mean pulmonary arterial pressure of ______ Mm Hg at rest.

What is 20mm Hg at rest?

500
What FEV1/FVC ratio is indicative of asthma?
What is <0.70 or <70%
500
The most common cause of post operative fever.
What is atelectasis?
500

This lung disease can present with small upper lobe nodules and cause Caplan's syndrome when associated with rheumatoid arthritis.

What is Coal worker's pneumoconiosis (black lung disease)?