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fmboard allergy/pulm
FM board exam 2010
| Question | Answer |
|---|---|
| anaphylaxis often requires what drug | epinephrine, antihistamines, steroids and inhaled beta agonist |
| course of tx after needle stick from an HIV patient | 2 antiretrovirals for 4 weeks asap |
| after positive ANA, what additional test are needed to confirm Lupus | anti-smith, anti-DNA, antiphospholipids |
| most common cause of death in lupus patient | kidney failure |
| 4 categories of asthma | mild intermittent, mild persistent, moderate persistent, severe persistent |
| mild intermittent | sx's less than 2 times per week |
| mild persistent | sx's more than 2 times per week |
| moderate persistent | sx's daily that occasional affect activity |
| severe persistent | sx's daily that affect daily activities |
| bronchiectasis | abnormal and irreversible dilation of the bronchi |
| most common cause of bronchiectasis | cystic fibrosis |
| what is found in 50-70% of cases of bronchietasis | hemoptysis |
| what on physical exam may be diagnostic chronic hypoxemia | clubbing |
| treatment of bronchiectasis | chest physiotherapy, mucolytics, antibiotics, bronchodilators and surgical resection |
| test for cystic fibrosis | sweat test-put electrodes on the skin and test for how much chloride is present(too much idicates a dx) |
| what genetic disorder is at risk for COPD | alpha 1 antitrypsin deficiency |
| pleural effusions: 2 types | transudate and exudate |
| transudate | systemic cause to disrupt in the balance of making and getting rid of fluid |
| exudate | local factors which disrupt the balance |
| example of transudate | heart failure, cirrhosis , PE, nephritic syndrome |
| example of exudate | cancer, pneumonia |
| if amount of protein and ldh for pleural fluid and serum are given, how do you calculate whether fluid is exudate or transudate | pl fluid/serum |
| if the pleural fluid/serum protein and LDH is over 0.5 | exudate otherwise considered a transudate |
| compare clinical presentation of pneumothorax vs tension pneumothorax, both have 2 but tension may have 2 additional findings | both have acute onset chest and SOB but tension may have tachycardia and hypotensive |
| pulmonary embolism findings on chest xray | westermack sign(lucent area) or hamptons hump(wedge shaped opacity that pints towards the hilus) |
| 2 complications of PE | pulmonary hypertension and cor pulmonale |
| what type of skin lesions associated with sarcodosis | erythema nodosum |
| erythema nodosum is defined as | inflammation of fat cells under the skin leading to tender, red nodules |
| 2 treatment for sarcodosis | steroids and methotrexate |
| types of lung cancer | small cell(20%) and non small cell(80%)better prognosis over all |
| types of non small cell | squamous cell, adenocarcinoma, and large cell |
| how are lung cancers staged non small cell vs small cell | non small cell stage I-IV and small cell limited vs extensive spread |
| how is lung cancer treated based on the type you have | non small cell-surgery then chemo and radiation, small cell-no surgery but chemo and radiation |
| prognosis of lung cancer depends on 2 factors | cell type and stage |
Created by:
ambstudystack
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