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Pulmonary Subunit Week 3 Review!! Flashcards | StudBud
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Pulmonary Subunit Week 3 Review!!
Pulmonary Subunit Week 3 Review!!
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1
Exposure to which causes elevated IgE, eosinophillic, hexagonal, double-pointed crystals and a + methacholine challenge>
dust mites
cold air
bird droppings
aspirin
2
A 60-year-old male nonsmoker dies. Histo shows well-differentiated, lepidic, TTF1+ columnar cells. What did he have?
mesothelioma
large undifferentiated carcinoma
small cell carcinoma
adenocarcinoma in situ (bronchioalveolar carcinoma)
3
A diagnosis of ABPA in a person w/ asthma, recurrent pulm inflitrates, & eosinophilia would be supported by all EXCEPT
delayed, tuberculin-type skin-test reaction to Aspergillus fumigatus
Radiographic evidence of bronchiectasis
Marked elevation of serum IgE level
Presence of serum precipitins to Aspergillus fumigatus
4
A PT has SOB w/o exertion, nonproductive cough & crackles. RR=28, P
O2
=55mmHg, P
CO2
=26 mmHg. The next step in eval is:
transbronchial biopsy
bronchioalveolar lavage
angiotensin-converting enzyme level
salivary gland biopsy
5
Answer the question in the following vignette:
Adenocarcinoma within lymphatic spaces
hypertrophic bronchial submucosal glands & basement membrane thickening
interstitial infiltrate composed of mononuclear cells
Numerous granulomas adjacent to the bronchioalveolar bundles
6
A 50-year-old man presents as shown in the below image. What is the most likely cause of the patient's infection?
Mycoplasma pneumoniae
Pseudomonas aeruginosa
Streptococcus pneumoniae
Legionella pneumophilia
7
A 67-year-old-man has an MI and develops a frothy cough. Which best describes the pathophysiology behind his dyspnea?
increased permeability of pulmonary vascular endothelial cells
acute obstruction of a pulmonary artery segment
localized constriction of the pulmonary vasculature
transudation of plasma into his alveoli
8
Which of the following describe the pathologic features of a lung from a 4-year-old girl with severe status asthmaticus?
numerous eosinophils
basement membrane thickening
endobronchial smooth muscle hyperplasia
mucous gland hyperplasia
9
A 48-year-old man with esophageal cancer has FVC = 78%, FEV
1
/FVC = 95% on spirometry. What does he have?
Pulmonary arterial hypertension
Chronic Bronchitis
Pulmonary fibrosis
Bronchiectasis
10
These 5-7 micron structures were found on a bronchoalveolar lavage. What are they?
Histoplasma capsulatum
Pneumocystis jirovecii
Red cells
White cells
11
What is the most likely diagnosis for a 35-year-old man with HIV whos BAL shows cup shaped organisms on silver stain?
Klebsiella pneumonia
Pneumocystis pneumonia
Cryptococcal pneumonia
Streptococcal pneumonia
12
What is the most likely diagnosis for a 72-year-old male shipyard worker with fever, night sweats, & weight loss?
mesothelioma
large cell undifferentiated carcinoma
metastatic adenocarcinoma
squamous cell carcinoma
13
A patient who recovered from ARDS 2 weeks ago most likely to develop which of the following long-term complications?
Interstitial Lung Disease
Pulmonary Embolism
Panacinar/panlobular emphysema
Spontaneous Pneumothorax
14
Which treatment should this 21-year-old lab tech in the shown vignette do to manage her new symptoms?
Inhaled beclomethasone
Discontinuation of visits to the animal facility
Inhaled cromolyn sodium
Prednisone
15
A 47-year-old woman has a 3-week history of cough & fine crackles in both lungs. Which is likely to be increased?
Angiotensin-converting enzyme activity
Neutrophil elastase activity
Mast cell tryptase activity
Monoclonal IgG titers
16
The changes in this lung are best descried as...
Status Asthmaticus
Lobar pneumonia
Distal Acinar Emphysema
Centrilobular emphysema
