Clinical Medicine II Exam 1: Pulmonary

Which of the following is the most common cause of ACUTE Stridor in children?

Pt with malignant mesothelioma secondary to Asbestos exposure. Expected findings on imaging?

Diffuse nodular opacities will be present on CXR in coal workers pneumoconiosis in the ___________ lung

Tidal volume goal for ARDS based off of ideal body weight

For pediatric CT, radiation is ________ times higher for the same examination

Pt with confirmed lung malignancy localized to periphery of the lung. Trousseau sign of malignancy noted on exam. dx?

PT w/ productive cough, black sputum. PT admits to 30 years as coal miner. CXR = 2cm nodules confined to upper lung. DX?

The most common cause of community acquired pneumonia:

Child presents to ER after mother reports child waking up in the night with a barky cough and Stridor.dx?

Treatment of choice for granulomatosis with polyangitis

Which of the following imaging modalities accounts for 80% of all imaging studies

Restles sleg syndrome is often a result of _______ deficiency

Pt w/ non caseating granulomas/astroid bodies on workup. Physical exam reveals abnormal parotid glad enlargement. Dx?

Pts who have a POSITIVE PPD but a NEGATIVE CXR should be treated how?

Pt with SVT that measures 4 cm. Tx?

Where does a consolidation typically occur on chest X-ray

7 y/o pt with SOB three times per week and an FEV1/FVC of 83 would be considered ____________ and _________ asthma

Pt w/ cough, SOB, fatigue and a violaceous, raised, lupus like "butterfly" rash on face. What findings would u expect?

A FEV1/FVC ratio is diagnostic of COPD if less than:

Most common cause of hospitalization in infants

Viral croup typically causes Stridor in adults

Pt w/ persistent productive cough with thick mucopurulent foul smelling sputum.PE shows crackles and wheezing. tests ?

Prenatal ______ is given to all pregnant mothers at risk for preterm delivery to decrease the risk of RDS

Treatment of choice for in complication primary spontaneous pneumothorax

Treatment of choice for pertussis

PT presents to the ER with CC of hemoptysis and night sweats. PE shows tender red lumps on shins. Most SPECIFIC test ?

Pt presents with Left lower leg pain, swelling and redness. HR 110 BPM. Pt with one previous DVT. Wells score?

Most common type of lung cancer

Wheeze results from obstruction in the ____________ airway (s)

Most common cause of ATYPICAL pneumonia?

Most common life limiting genetic disease in whites

Most common cause of acute cough

Pt w/ high chance of dozing reading,watching tv, post lunch. Moderate chance of dozing in car for 1 hour. Epworth score?

If cough resolves with treatment with a PPI, likely cause of cough?

The berlin definition of ARDS requires that the disease must include :

A pt with persistent moderate asthma should be treated with

RDS is caused by insufficient ___________

Pt presents with cough and dark sputum. PE reveals bouchards nodes. Pt reports 30 years as coal worker. likely DX?

The first REM sleep episode typically occurs in the ______ hour of sleep

PT chest X-ray shows blunting at the costophrenic angle. DX?

Which of the following cause WHEEZE

In order to diagnose asthma, FEV1/FVC must increase by AT LEAST _________ post bronchodilator

Rem sleep constitutes the majority of total sleep

Newborn w/ floppy airway/Stridor. Mom reports baby has been “noisy from birth” and typically sounds better when sick. Dx

A westley croup score of 5 is _____________ croup

To qualify for oxygen through Medicare, O2 must be less than _________ for ________ minutes

Dense materials attenuate beam _________ than less dense materials

Good standard diagnostic test for cystic fibrosis

If newborn is in hospital and you notice a meconium ileus, what do you suspect?

Which of the following medications can result in RESTRICTIVE type lung disease

PT with a wells score of 3. Ultrasound is negative. NExt steps?

Primary spontaneous pneumothorax occurs most often in which population

Most common cause of hemoptysis in the WORLD

Which stage of pertussis is characterized by the “whooping cough”

Decrease of which excitatory neurotransmitter rsults in narcolepsy

Isoniazid is a treatment for TB. it is important this medication is given in conjugation with:

Idiopathic pulmonary fibrosis will show a _________ FEV1/FVC ratio

Gold standard imaging for chest X-ray

The most common diagnoses in pts with interstitial lung disease

What microbial cause of pneumonia should be suspected with foul smelling sputum

Croup would show which sign on X-RAY

Gold standard diagnostic test for DVT

Pt w/ cystic fibrosis presents with increased mucopurulent sputum. PFTS show low FEV1/FVC. Exoectations on CT?

Outpatient treatment of choice for Community squired pneumonia when MRSA is suspected

With prolonged sleep LOSS, _________ levels are decreased, resulting in increased obesity

Pt with cough and dyspnea . Workup shows "eggshell" calcification of hilar lymph nodes. Which dx test should be ordered

Pt presents with tachypnea and dyspnea. Chest XRAY shows hampton's hump. What test is needed for definitive dx

Which of the following are classic comorbidities seen with asthma (atopic triad)?

Pt w/ biopsy confirmed lung malignancy. Pt with prominent cough +/- hemoptysis. Which lung cancers are most likely

Where do foreign bodies typically get stuck in the airway?

Bronchiectasis is REVERSIBLE

55 year old male with a BMI of 38 presents with tiredness during the day. Wife reports loud snoring. Stop bang score?

Pt with 40 yr hx of smoking. Presents with cough + ipsilateral ptosis, anhidrosis, and miosis. First thoughts?

TB will stain what color on gram stain

Pt with a history as a shipyard worker presents w/ cough/dyspnea. What would you expect to see on chest CT and WHERE?

Pt with Westley score of 6. Treatment?

Routine pneumo vaccine given to kids under 2 years old :

Which of the following imaging modalities do NOT use any radiation

Stridor is typically heard on :

Gold standard for diagnosis of lung cancer

To detect a smaller pleural effusion, the patient should be placed in what position for chest X-RAY ?

What radiological findings are suspected with a diagnosis of idiopathic pulmonary fibrosis

Pt w/ right lower leg pain. reports recent 15 hour plane flight. PE=erythematous, edematous leg. 1 previous DVT. TX?

Which of the following are mainstays of treatment for ARDS

The MOST COMMON occupational lung disease in the world