Pulmonology Study guides, Class notes & Summaries

A 19-year-old male college student presents with a 4-day history of fever, headache, sore throat, myalgia, malaise, and a nonproductive cough. On examination, you note an erythematous pharynx without exudate. The lung examination is unimpressive. A chest x-ray reveals a right-sided lower lobe patchy infiltrate. Which of the following is the most likely cause? (A) Klebsiella pneumoniae (B) Mycoplasma pneumoniae (C) Staphylococcus aureus (D) Streptococcus pneumoniae (E) Viral pneumonia c...

What is FEV1 CORRECT ANSWER Volume of air that has been exhaled at the end of the first second of forced expiration (forced expiratory volume) What is FVC CORRECT ANSWER Measurement of volume of air that can be expelled from a maximally inflated lung, with the patient breathing as hard and as fast as possible (forced vital capacity) What is wheezing and how is produced CORRECT ANSWER -Hight pitched, whistling, continuous, musical sound -Louder during expiration -Produced by narrowed and...

A 55-year-old male presents to your office for assessment of a chronic cough. He complains of "coughing for the last 10 years." The cough has become more bothersome lately. The cough is productive with usually mucoid sputum; occasionally it becomes purulent. He has a 35-year history of smoking two packs of cigarettes a day. He quit smoking approximately 2 years ago. On physical examination his blood pressure is 160/85 mm Hg. His pulse is 96 and regular. He has a BMI of 34. He weighs 280 lbs. H...

Physical exam of a 60-year-old male reveals perioral cyanosis with a normal respiratory rate and no use of accessory mus- cles. Chest percussion is resonant; auscultation demonstrates wheezes and coarse rhonchi that change in location and inten- sity after a cough. What is the most likely diagnosis? A. chronic asthma B. chronicbronchitis C. community-acquired pneumonia D. emphysema correct answers The answer is B [Pulmonology]. A. Asthmatics are not cyanotic unless the disease is very sev...

Fatigue, weight loss, fever, night sweats, productive cough, hemoptysis correct answers TB Apical pulmonary opacities? correct answers TB Caseating granuloma? correct answers TB Dullness to percussion and decreased breath sounds over a particular lung area? correct answers Pleural Effusion When you hear transudative pleural effusion, you think what? correct answers Congestive Heart Failure When you hear exudative pleural effusion, you think what? correct answers Pneumonia or cance...

Pulmonology MEDICATIONS for CESSATION (Day 3) Updated Questions with 100% Correct Answers..Pulmonology MEDICATIONS for CESSATION (Day 3) Updated Questions with 100% Correct Answers..

A 62 year-old female is admitted to a nursing home during an outbreak of influenza. In review of her records, you note that she did not receive the flu vaccine this year. Which of the following is the most appropriate drug of choice for influenza prophylaxis in this patient? A. Ciprofloxacin B. Zanamivir C. Clarithromycin D. Alpha-2b interferon correct answers B. Zanamivir Zanamivir or oseltamivir are indicated for ppx use against influenza A or B Which of the following is the most a...

Which tests are the best to confirm your suspicion that a patient suffers from COPD? correct answers Pulmonary function studies including FEV1/FVC ratios Describe the pathophysiology of COPD? correct answers A disease characterized by airflow limitation with little to no reversibility with the administration of bronchodilators What are results of the tests that diagnose COPD? correct answers A FEV1/FVC ratio less than 70% of predicted with a FEV1 less than 80% of predicted after using Prov...

A 70-year-old woman has been at an extended care facility for the past two years because of her increasing inability to attend to activities of daily living. She can no longer recognize family members. She has no movement disorder, but is lethargic and spends most of her days in a wheelchair or in bed. She develops an acute febrile illness and is noted to be coughing up increasing quantities of yellowish sputum. Her temperature is 38.2 C. A chest radiograph is done which shows infiltrates that n...

upper respiratory infection (URI) correct answers bacerial or viral infection of the nose and/or throat. Also known as a common cold, or head cold. Treatment: antibiotic drug for a bacterial infection asthma correct answers hyperreactivity of the bronchi and bronchioles. Inflammation and swelling of the mucosa, excessive mucus production. Bronchospasm(contraction of the smooth muscle) narrows the lumens of the bronchi and bronchioles, causing shortness of breath, coughing, wheezing form nar...