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DIT Resp Path

QuestionAnswer
pt with stroke after incurring long bone fractures. why? fat embolus
Pt w/ recent tibia fracture, no history of COPD or asthma with hypoxia. CXR is NL. PE mimicking MI
differential for eosinophilia DNAAACP (drugs, neoplasm, allergy/asthma, addisons, AIN, collagen vascular disease, parasites)
What immunological reaction is taking place that causes anaphylaxis in a pt during an asthma attack? Type I HS. Mast cell mediated. Ag is cross linking IgE on presensitized mast cells
inhaled treatment of choice for chronic asthma corticosteroids
inhaled tx of choice for acute exacerbations albuterol
narrow TI, drug of last resort theophylline
blocks conversion of arachadonic acid to leukotriene zileutin
inhibits mast cell release of mediators, used for prophylaxis only cromylin
inhaled treatment that blocks muscarinic receptors ipratropium
inhaled long-acting beta 2 agonist salmeterol
blocks leukotriene receptors zafirleukast, monteleukast
a pt has an extended expiratory phase. What is the disease process? obstructive lung disease
apetite stimulant cyproheptadine
n/v promethazine
OTC allergy/cold chlorpheniramine
sedation, itching hydroxyzine
vertigo meclizine
lung biopsy from plumber shows elongated structures with clubbed ends in tissue asbestos = increased risk of mesothelioma and bronchogenic carcinoma
diffuse alveolar damage and hyaline membrane disease ARDS
ground glass appearance with air bronchogram NRDS - prevent with corticosteroids
a pt develops ARDS from an occupational inhalation of nitrogen dioxide. what histologic change is seen in a pt recovering from ARDS proliferation of type II pneumocytes to replace type I
CXR shows pleural effusions. what are the clinical findings? decreased brochial sounds, decreased resonance, decreased fremitus, deviation twd side of lesion
thin male teenager has abrupt onset dyspnea and left sided chest pain. Percussion reveal hyperresonance and breath sounds are diminished. spontaneous pneumothorax
CXR shows collapse of middle lobe of R lung and mass in R bronchus. pt has a h/o recurrent pneumonias adenomcarcinoma (bronchigenic)
pt develops bronchogenic lung ca but has never smoked. He's a coal miner. Radon poisoning
common cause of pneumonia in immunocompromised pneumocystis jirovecii
most common cause of atypical pneumonia mycoplasma
common cause of pneumonia in alcoholics klebsiella
causes interstitial pneumonia in bird handlers chlamydia psittaci
pneumonia in a pt with exposure to bats and bat droppings histoplasma
pneumonia in pt who visited SoCal NM, W.Tex coccidio
pneumonia a/w currant jelly sputum klebsiella
Q fever coxiella burnetii
pneumonia acquired from air conditioners legionella
most common cause of pneumonia in kids 1 yr or younger RSV
most common cause of pneumonia in the neonate GBS, E Coli
Most common cuase of pneumonia in kids and young adults strep pn
common cause of pneumonia in pts with other health problems klebsiella
most common cause of viral pneumonia RSV
wool sorter's disease Bacillus Anthracis
endogenous flora in 20% of adults strep pn
common bacterial cause of COPD exacerbation H flu
Pneumonia in ventilator pts and CF pseudomonas
pontial fever legionell
peripheral lesion with caseous necrosis TB
pus filled cavity in right lung of a man on ventilatory support pseudomonas
silver stain shows gram neg rods, gram stain shows nothing. smoker and heavy drinker with new cough and flue like sx legionella
transudate CHF, cirrhosis, nephrotic syn, PE, fluid overload
exudate pneumonia, infx, TB, cancer, uremia, CT disease
Created by: kayjames
 

 



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