Science Quiz / Respiratory 14 - 26

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Can you name the Respiratory 14 -?

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QuestionAnswerAdditional information
Lupus and rheumatoid arthritis are both pulmonary causes of
BIlateral subtle lung infiltrate on CXR, rapid O2 desaturation, HIV. Treated with _________
MCC cause of transudative pleural effusion with high glucose?
Gastic acid damage to the lungs
Hyaline membranes and alveolar damage
___________ / ___________ LDH > __________ is an exudative pleural effusion
IN alphabetical order what are the two components of pneumoconiosis?
bilateal opacities consistant with pulmonary edema, no pulmonary hypertension, and PaO2:FiO2 less than ______
what drug can cause optic neuritis?
Where do you usually see the signs of usual interstital pneumonia
respiratory bronchiole, ALVEOLAR DUCT, alveoli
vessels that have one elastic lamina
MCC cause of transudative pleural effusion with low glucose
cirrhosis, nephrotic syndrome, Acitis, hypoalbuminema are all rarer causes of what
Arteries that accompany the airways and wrap around the alveolar network
induration must be greater than ________ in the case of Immunocompromised, TB contact, or abnormal Chest X ray
Excessive O2 supplimentation can ______ CO2 retention
Dephosphorylates MLC and opens potassium channels
Joint disease precedes pulmonary disease. more common in men. Interpulmonary nodules
What is another name for cryptogenic organizing pneumonia
lower respiratory traction infection less than _______ hours after admission is classified as
Esophagus, thoracic duct descending aorta, azygous vein are part of what compartment
Pneumonia that is common in young adults. Walking pneumonia with patchy infiltrates. occures in family clusters (CXR looks worse than patient)
What is another name for unknown cause of UIP
Second most common cause of Pneumonia among the immune compromised
Plug of granulation tissue within the small airways and alveoli
Hammans sign is an indication of what
What treatment for pulmonary hypertension causes vasodilation
thickening and fibrosis of the alveolar septa resulting in loss of lung volume, loss of compliance and diffusion capacity. Restrictive pattern of PFT
Respiratory failure, neurologic impairment, petechial rash 1 - 3 days after long bone fracture
change in HCO3 >> change in Anion Gap = AG met. acidosis and (spell it out)
What are the three consequtive phases of ARDS
What should you think if you see increased pressure on mechanical ventilation?
LDH > _____ / ______ of LDH __________ equal an exudative pleural effusion
With the most deadly coming last, what are the most common causes of ARDS
What is the classic finding for pulmonary emboli
dual eleastic lamina vessels
Endothelin does what to the pulmonary vessels
QuestionAnswerAdditional information
Infection and malignant disorders are the most common cause of this lung problem
acid fast - red snappers
Slowly progressive. muscular sclerosis. temporally heterogenous with fibroblastic foci. Honeycombing. Death sentance
in someone with Tb what is the miniumal treatmen lenght of time? 4 drugs for how much of the time (in months)
Unilateral tenderness/swelling and homans sign
In what interstitial lung disease do you see muscular sclerosis
Heart and percardium, trachea, bronchi, phrnic nerve are part of what compartment
Farmers lung, inhalation of organisc matter causeing episodic interstitial lung disease. What is the disease called and what is the most common fungus
encapsulated lesion with positve gram stain, low pH, low glucose, thick pus and a LDH of over 1000 is called what?
What is the window for the exudative phase
For a good sputum sample you need less than ______ cells and more than _________ cells
Does a pneumothorax pull or push the trachea
vessels that travel within the interlobar septa
Hydrostatic changes and Oncotic changes cause what kind of effusion
What is the acronym for TB medication
Induration must be above __________ in the setting of a normal healthy adult
Blunting of the costophrenic angel with a concave miniscus is called what?
Altered pleura, increased permiability, decreased lymphatic drainage cause what type of effusion
Lymphocyte predominant pleural effusion. Adenosine deaminase test positive and positive interferon gamma test
thymus, thyroid, parathyroid, aortic arches are part of what compartment
Hodgkins lymphoma and a developemntal cysts are often found in what thoracic compartment?
PaO2:FiO2 less then _______ qualifies for ALI
Elderly over the age of 65 and the immune compromised should receive this vaccination
Staph aureus and Pseudomonas (gram negative rods) are common causes of this type of pneumonia
Heparin reactive antibodies to factor _______ can cause DVT and PE is called what
Arteries that are part of the systemic circulation andsupply the pleura
Found in the young and in the anterior compartment. Teeth, hair. usually benign
increaseof type II pneumocytes. Increase in
Most common anterior mediastinal mass. Seen in pts of 40 to 60 years old.
Episodic interstitial lung disease is an indication of what?
happens in older women (50yo), hypertrophy and fibrosis of the pulmonary vascular bed causing insitu thrombosis
Phase of ARDS with Hyaline membranes and neutrophils
ARDS phase with interstitial infiltrates and early fibrosis
Injury to the type 1 pneumocyte, alveolar capilary membrane permiability. Increases cytokines and neutrophils
Enlarged pulmonary arteries on chest radiograph are an indication of what
How long do you give INH to a normal individual treated prophylaxically? HIV (in months)
Lung apex, Kidneys and ends of long bones is where __________ hematogenously spreads
What are thymomas often associated with
QuestionAnswerAdditional information
What is the antagonist to treat pulmonary hypertension
Children under the age of ________ and indiividuals who are _________ should not get a pneumococcus vaccine
How many mL of fluid entering into the pluera constitutes a pleural efflusion
Acute Hypoxemic respiratory failure that can affect preciously healthy individuals. Causes acute dyspnea and diffuse alveolar damage
In an effusion due to malignancy, what predicts survival
This score calculates the 30 day mortality risk of pneumonia
Sepsis, trauma, embolism are _________ causes of ARDS
What is the diagnostic test for interstial lung diease
Young black female. Hilar lymphadenopathy. on biopsy there are non caseating granulomas, and giant cell bodies (asteroid bodies) and shaumann bodies
Most common cause of Pneumonia (ONE WORD)
after 20 years of exposure. Fibrosis in the lower lobes. peural plaques
pneumonia seen in the elderly with extropulmonary manifistations. Detetion by Direct flourecent antibody and urinalysis
The terrible T's are found where? Thymoma, teretoma, thyroid, and tumor (lymphoma)
Pneumonia and aspiration are _______ causes of ARDS
trauma, esophageal perforation, infection or an alveolar rupture can causes this syndrome
Right ventricular hypertrophy due to pulmonary hypertension. Often caused by COPD. causes peripheral edema, hepatojugular reflux, acitis, Tricuspid regurgitation
How many mL can the lymphatics remove from the pleura?
What lypmhatic drainage goes with interlobar septa? what goes with the pluera? (remember they are connected and follow the pronchopulmonary structures
Sudden worsening of dyspnea in COPD, difficult to diagnose so often goes without treating
Persistant perductive cough with hemoptosis, fever, night sweats, weight loss. Apical posterior segment infiltrate
Systolic pulmonary Blood pressure, Diastolic, mean pressure
What is the window for the fibrotic phase
Does a low barometric pressure cause an increased or normal A-a difference
Neurogenic tumors in the thoracic compartment are often found in what compartment?
What is similar to ARDS in being clinically rapid and accute. Also haveing hyaline membranes. But it does not cause diffuse alveolar damage but is a deadly rapidly progressing fibr
How long does it take for gas exchange to occure?
In ARDS what prevents alveolar collapse and furthure trauma
Induration must be greater than ___________ in the setting of a recent PPD conversion (negative ot positive in the last 2 years), health care worker, foreign travel to endemic area
Pneumonia in young adults., self limited and not as severe as pnumococcus. Like mycoplasma
What is the window for the proliferative phase
20 - 30 yo male, tall, thin, smoker with unilateral chest pain and dyspnea. high chance of reoccurane
What does a pleural effusion do to the trachea, pushes it away or pulls it?
Primarily located in the mid to lower lung feilds and contained in regional lymph nodes called ________
Caused by lung cancer and results in swelling of the head and neck, plethora, epitaxis, headache, expanded collateral veins
Stone cutter, mining. Opacity in the UPPER lobe. shines in polarized light
If the change in HCO3 is less than the chang in anion gap then there is an Anion gap metabolic acidosis and a (spell it out)
___________ / ___________ protein > ____________ is an exudative pleural effusion

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