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Exam (elaborations)

LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND 100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST UPDATE!!!!

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LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND 100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST UPDATE!!!!

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LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND
100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST
UPDATE!!!!




Name most common causes of chronic cough in non-smokers - (ANSWER)1. GERD

2. Asthma

3. Post nasal drip

4. ACE-I



Causes of clubbing - (ANSWER)1. CF

2. Interstitial pulmonary fibrosis

3. Neoplasm

4. CHF

5. A-V fistula

6. IBD

7. Celiac

8. Graves



COPD does NOT cause clubbing



Causes of anion gap metabolic acidosis - (ANSWER)M: methanol

U: uremia

D: DKA

P: paraldehyde

I: isoniazid, iron, ibuprofen

L: lactate

E: ethanol

S: salicylates

,LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND
100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST
UPDATE!!!!




Name normal values in ABG - (ANSWER)pH: 7.35- 7.45

HCO3: 24 mEq

CO2: 40 mmHg



Ddx for obstructive airway disease - (ANSWER)1. Asthma

2. COPD

3. Bronchiectasis

4. Cystic fibrosis



Atopy - (ANSWER)1. Asthma

2. Allergic rhinitis

3. Eczema



Define pulsus paradoxus - (ANSWER)Decrease in SBP (and hence pulse wave) on inspiration. Clinically,
can ausculate heart sounds on inspiration but no radial pulse.



Ddx for pulsus paradoxus - (ANSWER)1. Cardiac tamponade

2. Asthma (exacerbation), COPD

3. Constrictive pericarditis

4. Tension pneumothorax

5. PE

6. Pregnancy



Trick: obstructive lung diseases (Class III pulmonary artery HTN) and RV obstruction



Criteria for controlled asthma - (ANSWER)- daytime sx <= 4/week

,LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND
100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST
UPDATE!!!!




- night time sx < 1/week

- ventolin use <= 4/week (includes for sports)

- no missed school/work days due to asthma

- no reduction in PA

- FEV1 > 90% of personal best



List the treatment options for asthma - (ANSWER)1. Avoid triggers, pt education

2. Short acting B-agonist (SABA) PRN

3. Inhaled corticosteroid (ICS), increase dose

4. Leukotriene receptor antagonist (ex: Singulair)

5. Long acting B-agonist (LABA)

6. Prednisone/ Anti IgE antibodies



Complications of COPD - (ANSWER)1. Polycythemia

2. Chronic hypoxemia

3. Cor pulmonale (Right heart failure)

4. Pulmonary HTN

5. Pneumothorax (from ruptured bullae)



List the treatment options for COPD - (ANSWER)1. pt education, decrease mortality measures

2. SABA or SAAC PRN (mild)

3. LABA or LAAC

4. LABA + ICS



What has been shown to decrease mortality in COPD? - (ANSWER)- smoking cessation

, LMCC NEW EXAM STUDY SET WITH ALL TEST QUESTIONS AND
100% CORRECT ANSWERS!!!! ALREADY GRADED A+ LATEST
UPDATE!!!!




- vaccines (pneumococcal, influenza)

- home O2 (if used > 15hr/day)



What is the most common pathogen seen in bronchiectasis? - (ANSWER)P. aeruginosa

(also have S. aureus, H. influenza)



What is Kartagener's syndrome? - (ANSWER)Ciliary dyskenisia

- bronchiectasis

- sinusitis

- situs inversus



Name the blood supply, inervation and lymphatic drainage of the vulva - (ANSWER)1. Pudendal artery

2. Pudendal nerve

3. Inguinal nodes



Name the blood supply of the vagina - (ANSWER)1. Vaginal artery, branch off the internal iliac



What is Sampson's artery? - (ANSWER)Branch of the uterine artery running through the round ligament



What is the infundibulopelvic ligament? - (ANSWER)ligament that connects the ovaries to the pelvic wall.
Contains the ovarian arteries, veins, plexus and lymphatic drainage. Also called the "suspensory
ligament".



List the stages of female puberty - (ANSWER)1. Boobs: telarche

2. Pubs: pubarche

3. Grow: growth spurt

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