FA Respi Patho Word Scramble
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| Question | Answer |
| Dx : Reid index more than 50% | Chronic bronchitis |
| Dx : Decreased FEV1/FVC ratio. Early onset hypoxemia, late onset dyspnea | Chronic bronchitis |
| Dx : Decreased FEV1/FVC ratio. Early onset dyspnea, late onset hypoxemia | Emphysema |
| Most common cause of centriacinar emphysema? | Smoking |
| Most common cause of panacinar emphysema? | Alpha 1 - antitrypsin deficiency |
| Dx : Decreased inspiratory : expiratory ratio. Pulsus paradoxus. | Asthma |
| Dx : Chronic necrotizing infection of bronchi. | Bronchiectasis |
| Name 3 drugs which can cause restrictive lung disease. | Bleomycin, Busulfan, Amiodarone |
| Which type of emphysema usually involves the upper lobes? | Centriacinar |
| Which type of emphysema usually involves the lower lobes? | Panacinar |
| Dx : Pneumoconiosis which has no risk of TB or lung cancer. | Coal Worker's Pneumoconiosis |
| Dx : Pneumoconiosis which has increased risk for both TB and lung cancer. | Silicosis |
| Dx : Pneumoconisos which has increased risk for lung cancer but not TB. | Asbestosis, Berylliosis |
| Dx : Opacities containing collagen and quartz | Silicosis |
| Dx : Pneumoconiosis associated with nuclear and aerospace industry | Berylliosis |
| Smoking has an additive effect with asbestosis in development of type of cancer? | Bronchogenic cancer |
| What type of cancer caused by asbestosis which is not additive with smoking? | Mesothelioma |
| Dx : Pneumoconiosis which affects lower lobes. | Asbestosis |
| Dx : Pneumoconiosis associated with shipbuilders, roofers, and plumbers. | Asbestosis |
| Dx : Ferruginous bodies in lung | Asbestosis |
| Dx : Ivory white pleural plaques | Asbestosis |
| Dx : Rheumatoid nodules + pneumoconiosis | Caplan syndrome |
| What is the cause of hypersensitivity in Farmer's lungs? | Thermophylic actinomyces (Saccharopolyspora rectivirgula) |
| What is the cause of Silo Filler's disease? | Inhalation of gases (oxides of nitrogen) from plant material |
| Dx : Hypersensitivity, textile workers | Byssinosis |
| How do you measure lung maturity in a neonate? | Lecithin-to-sphingomyelin ratio in amniotic fluid, would be less than 1.5 in RDS |
| What is the main complication in neonatal respiratory distress syndrome? | PDA (other complications include blindness, and bronchopulmonary dysplasia from superoxide free radical damage during oxygen therapy) |
| List 3 risk factors for Neonatal Respiratory Distress Syndrome. | Prematurity, Maternal Diabetes, Cesarean delivery |
| What is the difference between central and obstructive sleep apnea? | In obstructive sleep apnea, there is respiratory effort against airway obstruction. |
| Name 1 complication of sleep apnea. | Pulmonary hypertension leading to cor pulmonale |
| Dx : Bronchial breath sounds over lesion, dull percussion, increased fremitus | Lobar pneumonia |
| Dx : Decreased breath sounds at affected area, decreased resonance, decreased fremitus, tracheal deviation toward side of lesion. | Bronchial obstruction |
| Dx : Decreased breath sounds at affected area, dull percussion, decreased fremitus | Pleural effusion |
| Dx : Decreased breath sounds, hyperresonant, absent fremitus, trachea deviate away from side of lesion | Tension pneumothorax |
| List the complications of lung cancer. | SPHERE of complications. Superior vena cava syndrome, Pancoast's tumor, Horner's syndrome, Endocrine (paraneoplastic) Recurrent laryngeal nerve symptoms (hoarseness), Effusions (pleural or pericardial) |
| Which type of lung cancer has keratin pearls? | Squamous cell carcinoma |
| Which type of lung cancers are located centrally? | Squamous cell carcinoma and Small cell carcinoma |
| Which type of lung cancers are located peripherally? | Adenocarcinoma and Large cell carcinoma. |
| Smoking is mainly associated with which type of lung cancer? | Squamous cell carcinoma |
| Which type of lung cancer is a neoplasm of neuroendocrine Kulchitsky cells? | Small cell carcinoma |
| Which type of lung cancer has a histology of small dark blue cells? | Small cell carcinoma (Kulchitsky cells) |
| Which type of lung cancer is most aggressive and often associated with ectopic production of ACTH and ADH? | Small cell carcinoma |
| Which type of lung cancer is not responsive to chemotherapy and must be removed surgically? | Large cell carcinoma |
| Which type of lung cancer has a histology of pleomorphic giant cells with leukocyte fragments in cytoplasm? | Large cell carcinoma |
| Which type of lung cancer may lead to Lambert-Eaton syndrome? | Small cell carcinoma |
| Which type of lung cancer is associated with flushing, diarrhea, wheezing and salivation? | Carcinoid tumor (because it secretes serotonin) |
| What are the symptoms seen in Horner's syndrome? | Ptosis, Miosis, Ipsilateral anhidrosis |
| Dx : Carcinoma which occurs at apex of lung and may affect cervical sympathetic plexus. | Pancoast tumor |
| Name the most frequent organism which causes lobar pneumonia. | Streptococcus pneumoniae (pneumococcus) |
| List the organisms which cause bronchopneumonia. | Staph. aureus, H. influenza, Klebsiella, Strep. pyogenes |
| List the causes of interstitial pneumonia. | Viruses (RSV, adenovirus), Mycoplasma, Legionella, Chlamydia |
| List 2 causes of lung abscess. | Bronchial obstruction, Aspiration of oropharyngeal contents |
| Pleural effusion with high protein content and cloudy is transudate, exudate or lymphatic fluid? | Exudate |
| Dx : Newborn cyanotic during breast feeding. | Choanal atresia (cannot breathe through nose) |
| Child with nasal polyp most probably has what disease? | Cystic fibrosis |
| Women with aspirin polyp most probably is on what drug? | Aspirin |
| Dx : Symptoms of myasthenia gravis, mediastinal mass. | Thyoma |
| Dx : Fever 24-36 hours after surgery | Resorption Atelectasis |
| What is the gold standard confirmatory test for pulmonary infarction? | Pulmonary angiogram |
| Name the most common organism involved in nosocomial pneumonia. | Pseudomonas aeruginosa (live on respirators) |
| Name the most common organism involved in pneumonia in immunocompromised host. | Pneumocystis jiroveci |
Created by:
lemontea88
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