Paea Internal Medicine Eor Pulmonology Exam Questions With 100% Verified Solutions

PAEA INTERNAL MEDICINE EOR PULMONOLOGY EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS Acute Bronchitis - ANSWER self-limited inflammation of LARGE airways cough WITHOUT pneumonia Caused by: MC viruses (Adenovirus also influenza, Parainfluenza, Coronavirus, Rhinovirus, RSV, Mycoplasma, chlamydia, pertussis) Often follows URI Acute Bronchitis Symptoms - ANSWER self-limiting (depends on degree of airway involvement) CHRONIC COUGH +/- (50%) sputum Actue Bronchitis Dx - ANSWER usually clinical* cough NO FEVER tachycardic/tachypnea(SOB) normal vitals NO RALES/CRACKLES/EGOPHONY IMAGING: CXR: will be nonspecific/nl done to R/O pneumonia Acute Bronchitis Tx - ANSWER MAINLY SUPPORTIVE CARE NO ANTIBIOTICS ARE RECOMMENDED IN MOST CASES (because most often viral cause) Influenza - ANSWER Acute respiratory illness caused by influenza A or B viruses with outbreaks mainly in fall/winter. Respiratory droplet nuclei transmission Influenza Sx - ANSWER ABRUPT fever 3-5 days, headache, myalgia, arthralgias, malaise (full body aches and pains) NON-productive dry cough (NO ronchi), sore throat, NO nasal cong., PE: generally respiratory exam unremarkable unless complications (pneumonia) Influenza complications - ANSWER MC complication is pneumonia Influenza prevention - ANSWER 1. Trivalent inactivated influenza virus vaccine 2 types: injection nasal--live virus, no longer offered, not effective Influenza Tx - ANSWER Analgesics (NO ASPIRIN, can take Advil, Alieve, Motrin, Tylenol) Neuraminidase Inhibitors: oseltamivir or zanamivir- must tx flu within 48 hrs ALWAYS tx high risk individuals otherwise don't tx after 48 hrs Bordetella Pertussis Infection (whooping cough) - ANSWER Gram - acute infection of respiratory tract by B pertussis Respiratory droplet transmission Incubation 1-3 wks 50% 2 yo (get it from adults (reservoir=waning immunization), children more susceptible to infection) Neither immunization or prior disease will provide lasting immunity can sometimes advance to lower resp. tract(down to alveoli) --pneumonia Pertussis Sx - ANSWER classic: sx last 6 wks