PULMONARY ROSH EXAM WITH QUESTIONS AND ANSWERS
Rosh Pulmonary
(VERIFIED AND DETAILED ANSWERS) LATEST 2024/2025
Study online at https://quizlet.com/_hekpe8
1. Incidental pulmonary nodule size well defined lesion <30mm/<3cm
2. Incidental pulmonary nodule find- pt looks completely fine, PE completely normal, only
ings? thing found is a well defined solid lesion in upper R
lung lobe on chest x-ray
Best next step?
CT of chest
3. Tx of UNSTABLE spontaneous pneu- Chest tube thoracotomy
mothorax
stable? pts who are stable w 1st episode of a small pneu-
large pneumothorax? mothorax (2-3cm) tx is observation for 4-6hrs w or
w/out oxygen
large pneumo= drainage w aspiration via needle
catheter
4. Pneumothorax breath sounds, fremi- DECREASED breath sounds
tus & percusision DECREASED fremitus
HYPERRESONANCE to percussion
5. small cell lung cancer CENTRAL, smokers, rapid and early spread
6. NON-small cell NON-smokers, PERIPHERAL upper lobe, ADENO-
CARCINOMA MC
7. is squamous cell considered small non-small cell
cell or non small cell? squamous is also CENTRAL
8. when do adults get screened for lung age 50-80 who have smoked for 20 pack years &
CA? currently smoke or have quit within the past 15yrs
=screen via annual low doseCT
9.
, Rosh Pulmonary
Study online at https://quizlet.com/_hekpe8
hemothorax caused by? blunt force trauma like a car accident
PE? PE= TACHYcardia, TACHYPnea, HYPOtension
what is seen on C-xray? chest x-ray shows blood in lung space & blunting of
TX? the costophrenic angle
Tx=chest tube thoracotomy
10. PJP lab shows ***ELEVATED SERUM LACTATE DEHYDROGE-
NASE***
11. PJP S&S insidious non productive cough, dyspnea, unex-
C-Xray findings? plained fever >2weeks
Dx/confirm with?
Tx C-Xray= BILATERAL GROUND-GLASS OPACI-
TIES(BATWING PATTERN)
Dx=confirm w staining or PCR of resp specimens
Tx= BACTRIM, ADD CORTICOSTEROIDS for moderate
to severe disease
12. what is most closely associated with Pulmonary Embolism & ARDS
the development (ACUTE CAUSE) of
cor pulmonale?
13. What is most closely associated with COPD
the development (CHRONIC CAUSE)
of cor pulmonale?
14. Pt w acute pancreatitis & PE would elevated amylase concentrations on pleural fluid
have what labs analysis
15. Bronchiectasis chest x-ray findings dilated thickened bronchi "tram tracking"
show
PE? PE= foul smelling sputum, heavy & purulent, chronic
, Rosh Pulmonary
Study online at https://quizlet.com/_hekpe8
MCC? cough, SOB, wheezing
Tx?
MCC= CF
Tx= abx guided by sputum cultures, bronchodila-
tors, mucolytic agents etc
16. Egophany is used to differentiate be- crackles & rales on lung exam
tween
17. Percussion is used for lung size & diaphragmatic excursion.
Distinguish b/w pleural effusion & pneumothorax
18. Foreign body aspiration PE DECREASED breath sounds, wheezing, stridor
Tx= Tx= rigid or flexible BRONCHOSCOPY
19. Exacerbations are diagnosed clinical- 1. sputum production is increased & PURULENT
ly when 2. COUGHING IS INCREASED
3.DYSPNEA IS INCREASED
20. COPD exacerbation Tx INCREASE inhaled COPD meds & add a short course
of oral corticosteroids
Abx for bacterial infections (ie INCREASED sputum
purulence)
21. prevention of COPD exacerbations -smoking cessation
-flu & pneumonia vaccines
-proper daily use of inhaled -corticosteroids & beta
agonists
22.
Rosh Pulmonary
(VERIFIED AND DETAILED ANSWERS) LATEST 2024/2025
Study online at https://quizlet.com/_hekpe8
1. Incidental pulmonary nodule size well defined lesion <30mm/<3cm
2. Incidental pulmonary nodule find- pt looks completely fine, PE completely normal, only
ings? thing found is a well defined solid lesion in upper R
lung lobe on chest x-ray
Best next step?
CT of chest
3. Tx of UNSTABLE spontaneous pneu- Chest tube thoracotomy
mothorax
stable? pts who are stable w 1st episode of a small pneu-
large pneumothorax? mothorax (2-3cm) tx is observation for 4-6hrs w or
w/out oxygen
large pneumo= drainage w aspiration via needle
catheter
4. Pneumothorax breath sounds, fremi- DECREASED breath sounds
tus & percusision DECREASED fremitus
HYPERRESONANCE to percussion
5. small cell lung cancer CENTRAL, smokers, rapid and early spread
6. NON-small cell NON-smokers, PERIPHERAL upper lobe, ADENO-
CARCINOMA MC
7. is squamous cell considered small non-small cell
cell or non small cell? squamous is also CENTRAL
8. when do adults get screened for lung age 50-80 who have smoked for 20 pack years &
CA? currently smoke or have quit within the past 15yrs
=screen via annual low doseCT
9.
, Rosh Pulmonary
Study online at https://quizlet.com/_hekpe8
hemothorax caused by? blunt force trauma like a car accident
PE? PE= TACHYcardia, TACHYPnea, HYPOtension
what is seen on C-xray? chest x-ray shows blood in lung space & blunting of
TX? the costophrenic angle
Tx=chest tube thoracotomy
10. PJP lab shows ***ELEVATED SERUM LACTATE DEHYDROGE-
NASE***
11. PJP S&S insidious non productive cough, dyspnea, unex-
C-Xray findings? plained fever >2weeks
Dx/confirm with?
Tx C-Xray= BILATERAL GROUND-GLASS OPACI-
TIES(BATWING PATTERN)
Dx=confirm w staining or PCR of resp specimens
Tx= BACTRIM, ADD CORTICOSTEROIDS for moderate
to severe disease
12. what is most closely associated with Pulmonary Embolism & ARDS
the development (ACUTE CAUSE) of
cor pulmonale?
13. What is most closely associated with COPD
the development (CHRONIC CAUSE)
of cor pulmonale?
14. Pt w acute pancreatitis & PE would elevated amylase concentrations on pleural fluid
have what labs analysis
15. Bronchiectasis chest x-ray findings dilated thickened bronchi "tram tracking"
show
PE? PE= foul smelling sputum, heavy & purulent, chronic
, Rosh Pulmonary
Study online at https://quizlet.com/_hekpe8
MCC? cough, SOB, wheezing
Tx?
MCC= CF
Tx= abx guided by sputum cultures, bronchodila-
tors, mucolytic agents etc
16. Egophany is used to differentiate be- crackles & rales on lung exam
tween
17. Percussion is used for lung size & diaphragmatic excursion.
Distinguish b/w pleural effusion & pneumothorax
18. Foreign body aspiration PE DECREASED breath sounds, wheezing, stridor
Tx= Tx= rigid or flexible BRONCHOSCOPY
19. Exacerbations are diagnosed clinical- 1. sputum production is increased & PURULENT
ly when 2. COUGHING IS INCREASED
3.DYSPNEA IS INCREASED
20. COPD exacerbation Tx INCREASE inhaled COPD meds & add a short course
of oral corticosteroids
Abx for bacterial infections (ie INCREASED sputum
purulence)
21. prevention of COPD exacerbations -smoking cessation
-flu & pneumonia vaccines
-proper daily use of inhaled -corticosteroids & beta
agonists
22.
