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