Lopes -Block 3 Spring 2011

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Can you name the Lopes -Block 3 Spring 2011?

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Question AnswerExtra Info
#1 risk factor for Asthma
_______ Emphysema: Proximal and central respiratory bronchioles are dilated. Upper lobes of lungs. Smokers.
When is immunotherapy potentially contraindicated?
________ Hypothesis suggest that the pathogenesis of atopy and asthma is triggered by imbalance between Th1 and Th2 cytokines.Some cytokines are protective and some promote allergic response
Most common seasonal allergen during the Fall in the east of the rockies.
Inward movement of the lower rib cage during inspiration, implying a flat but functioning diaphragm
COPD can cause ______ retention.
Forced expiratory volume in one second. The volume of air exhaled in the first second under force after a maximal inhalation.
The volume of air in the lungs at maximal inflation.
Low pitched vibratory sounds produced by free liquid in the airway lumen.
Name a cause of Acute Respiratory Acidosis. Acute airway obstruction, neuromuscular disorder, ventilator dysfunction
Measurement of the gas transfer function of the lungs or the patient's ability to absorb alveolar gases.
pH 7.50, pCO2 29, HCO3- 22
Asthma Severity: Symptoms > 2days per week, Nightime awakenings >3-4 times per month, and SABA use >2 days per week.
Once a patient develops persistent symptoms, add a daily low-dose _____ to their SABA.
Less Common DDx of Chronic Cough or DyspneaRecurrent aspiration (e.g. post stroke, frequent vomiting(bulimia), alcoholism)
The largest volume measured on a complete exhalation after full inspiration. This can also be measured by spirometry and is labeled FVC.
Elevation of the neck veins (JVD) signify ____ ventricular failure
Most common indication for lung transplantation in the US
Tactile ________: Normal lung transmits a palpable vibratory sensation to the chest wall.
Normal, healthy lungs can empty over 80% of their volume in less than _____ seconds.
An uncommon disorder characterized by permanent abnormal dilation of bronchi, resulting in chronic cough and purulent sputum, and sometimes hemoptysis. A disease of the medium-sizeBest test is high resolution CT
What does Gravida1 Para0 mean?
Uncommon autoimmune disorder that attacks type IV collagen in the kidney and lung.
Name a cause of Chronic Respiratory Acidosis.
Increased ________ is the probably the most important mechanism that causes hyperventilation during pregnancy.
Measures the volume of air exhaled and inhaled as a function of time. Most of the values are obtained from having the patient forcefully expel air from a point of maximal inspiration to a point of maximal expiration.
Common allergic reaction that causes inflammation of the lining in the nose. Nasal lining appears pale, boggy blue, clear nasal discharge, and postnasal drip.
Question AnswerExtra Info
VC + RV = ______
_______ Emphysema: Distal acini are dilated. Lower lobes. Alpha1 antitrypsin deficiency.
FEV1/FVC ratio below 70 signifies the likelihood of __________ lung disease
Sampling of pleural liquid. Can be diagnostic or palliative. Analyzed for pathogens and malignancy.
Prescribe long-term oxygen if SaO2 is less than _____%
Abnormal stretching and enlarging of the respiratory passages caused by a chronic mucus blockage.
Cough up blood. Signals disease of the airways, pulmonary parenchyma or the vasculature.
Characterized by reduced lung volumes/reduced lung compliance.Examples include Interstitial fibrosis, Scoliosis, Obesity, Lung resection, Neuromuscular diseases, Cystic Fibrosis
COPD Stage ___: FEV1 less than 30% VERY SEVERE
More Common DDx of Chronic Cough or DyspneaGERD, asthma, transient airway hyperresponsiveness, medication related (ACE inhibitors, beta blockers), CHF
Sound: Tend to be more prominent during expiration. Associated with bronchospasm, airway edema or collapse or intraluminal obstruction.
Reversibility in Asthma is 12% or greater increase of FEV1 and at least ____ml increase in volume expired.
The addition of regular treatment with inhaled _______ to bronchodilator treatment is appropriate for COPD patients with FEV1 less than 50%
Nasal flaring, accessory muscle use and subcostal retractions, and tripod position leaning forward on hands are signs of respiratory _____.
Fluid that has accumulated in the lung insterstitium due to an imbalance between the hydrostatic and oncotic forces within the pulmonary capillaries and surrounding tissue.
#1 cause of inherited disorder of increased potential to clot
Causes of Increased Diffusing Capacity - DLCO
Defined clinically: Persistent cough with sputum production for at least 3 months and in 2 consecutive years.
Volume of air remaining in the lungs after a maximal exhalation
In the US, almost all cases of HIV transmitted by blood product transfusion occurred before ________.
Crucial for diagnosis of COPD. (Gold Standard)CXR is useful to rule out pathology, Pulse oximetry, CBC, electrolytes, renal and liver functions
Causes of Decreased Diffusing Capacity- DLCO
COPD Stage ___: FEV1 between 30-50% SEVERE
Most common cause of high V/Q ratio.
Characterized by a limitation of expiratory airflow so that airways cannot empty as rapidly compared to normal such as through narrowed airways from bronchospasm and inflammationExamples include asthma, COPD, Bronchiectasis, Cystic Fibrosis
Treatment for Venous Thromboembolism in Pregnancy does not cross the placenta
Most important and common cause of sudden asthma exacerbation.
Filling of lung alveoli by fluid or cells.
Question AnswerExtra Info
Most children who have asthma develop symptoms by age ____ years.
COPD Stage ___: FEV1 less than 80% MILD
Abnormal accumulation of fluid between the layers of the membrane that lines the lungs and chest cavity (pleural space)
4th leading cause of death in the US. 90% of patients have a smoking history.Up to 2% of cases are due to alpha 1 antitrypsin deficiency
Pulsus ________: While listening to heart sounds during inspiration, the pulse weakens or may not be palpated with certain heartbeats.
Dyspnea due to atelectasis is caused by ________.
Tests for the amount of specific IgE antibodies in blood which are present if there is a 'true' allergic reaction.
Reliably distinguishes obstructive from restrictive disorders.
Volume of air in the lungs at resting end - expiration.
If the FEV1/FVC is >70 but the FVC is low
VSD, RVH, Overriding aorta, and pulmonary stenosis make up this congenital heart defect.
Asthma Severity: Symptoms throughout the day, nighttime awakenings often 7 times a week, SABA use several times a day, Extreme interference with normal activity.
You should be concerned if the pulse oximeter is less than ______%
COPD Stage ___: FEV1 between 50-80% MODERATE
Asthma classic triad includes dyspnea, cough, and ______
Risk factor for COPD Nutrition, infections, socio-economic status, musculoskeletal limitations
A gritty sound produced by the inflamed pleural surfaces rubbing together during respiration.
Sound: Associated with interstitial lung disease or filling of alveoli with liquid.
Asthma Severity: Symptoms less than 2 days per week, nighttime awakenings less than 2 times per month, SABA use less than 2 days per week.
Diagnose: CXR with wall of bleb, vertical heart, low set diaphragms, and hyperlucent lung fields.
Normal bicarb indicates acute or chronic?
Multiple confluent acinar shadows is used to describe this condition when viewing a Chest X-Ray.
Name a cause of Respiratory Alkalosis. Drugs, pregnancy, sepsis, hepatic encephalopathy, mechanical ventilation
Harsh inspiration produced by a narrow upper airway.
Common lung disease exhibiting an obstructive pattern
Most potent drug therapy available for the treatment of allergic rhinitis

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Created Apr 3, 2011ReportNominate
Tags:2011, extra, lope, spring