Pulmology Review Exam Questions and Answers All
Correct Graded A+
Most common bacterial pneumonia organisms - Answer-Strep pneumo (MC)
M. cat
H. flu
/.Characteristics of klebsiellsa pneumonia - Answer-Alcolohics
currant jelly sputum
gram negative
/.Mycoplasma pneumoniae bacteria - Answer-Atypical bacterium
walking pneumonia
/.What is mc viral pneumonia - Answer-influenza a/b
/.Fungal pneuomnia organisms - Answer-Histoplasma capsulatum
coccidioides immitis
/.Fungal treatment and at risk pneumonia - Answer-Self limiting
IC pts
/.HIV related pneumonia organism - Answer-Pneumocystis jiroveci
/.Opportunistic infections HIV - Answer-aspergillus
toxoplasma gondii
herpes visus like CMV
EBV
zoster
/.Community acquired pneumonia organisms - Answer-Streptococcus pneumonia
/.Hospital acquired pneumonia organism - Answer-Pseudomonas aeruginosa
and staph aureus (including MRSA)
/.Bacterial pneumonia treatment - Answer-healthy before: macrolide
comorbidites, abx w/in 3 months, inpatient- fluoroquinolone or beta lactam
/.Viral pneumonia treatment - Answer-Flu with oseltamivir or zanamivir within 48 hrs sx
onset
acyclovic for voster
symptomatic
,/.Fungal pneumo tx - Answer-anti-fungals
/.Pertussis organism - Answer-Bordetella pertusis
/.Three stages of pertussis - Answer-catarrhal, cold/runny nose
paroxysmal, coughing spells leaving person breathless, whoop sound, vomiting
convalescent- chronic cough gradually fades
/.Abx given for pertussis? - Answer-yes due to it reducing the spread of the disease,
treat with azithromycin or erythromycin
/.TB organism - Answer-mycobacterium thberculosis
/.how is tb spread and what two forms are there - Answer-respiratory droplets
latent or active
/.Treatment TB - Answer-Isoniazid
Rifampin
Pyrazinamide
Ethambutol
/.Asthma FEV1 and FEV1/FVC - Answer-forced vital capacity (FEV1/FVC <75%); <12%
increase FEV1 after bronchodilatory therapy is supportive of diagnosis
/.Step one asthma tx - Answer-SABA PRN
/.Step 2 asthma tx - Answer-Low dose ICS
/.Step 3 asthma tx - Answer-Los dose ICS + LABA
OR
medium dose ICS
/.Step 4 asthma tx - Answer-Medium dose ICS plus LABA
/.Step 5 asthma tx - Answer-High dose ICS + LABA AND consider omalizumab for pts
with allergies
/.Step 6 asthma tx - Answer-High dose ICS + LABA + oral steroids AND consider
omalizumab
/.Bronchitis main sx - Answer-chough with or without sputum for 1-3 weeks
/.What should be avoided in kids less than 2 - Answer-OTC cough and cold products
/.acute exacerbation of chronic bronchitis tx - Answer-empirit first line tx second gen
cephaloaporin
, Secone line- macrolide or bactrum
/.What is bronchitis most commonly cuased by - Answer-viruses (adenovirus)
/.COPD characteristics - Answer-loss of elastic recoil and increasing airway resistance
/.Two components of COPD - Answer-Emphysema and chronic bronchitis
/.Emphysema is damage past what - Answer-Terminal bronchiole
/.What does emphysema cause - Answer-hyperinflation of the lungs, hyperresonance to
percussion
/.What does the ph do in emphysema - Answer-respiratory alkalosis
/.What does pink puffers mean in emphysema - Answer-cachectic with pursed lip
breathing
/.What is COPD pts deficient in and can be genetic as well - Answer-alpha 1 antitrypsin
deficiency
/.hallmark sign of COPD - Answer-dyspnea on exertion
/.What kind of respiratory impacts on ph - Answer-respiratory acidosis (bronchitis
aspect)
/.characteristics of chronic bronchitis in COPD - Answer-severe V/Q mismatch, severe
hypoxemia, hypercapnia
/.What does blue bloaters mean in chornic bronchitis - Answer-obese and cyanotic
/.Gold standard testing for COPDq - Answer-PFTs/ spirometry
/.Most important factor of prognosis and mortality in COPD - Answer-FEV1
/.What levels are decreased in COPD - Answer-fev1, FEV, FEV1/fev
/.Mainstay tx in COPD - Answer-bronchodilators
/.What are three classes of bronchodilators - Answer-anticholinergics
B2 agnoist
Thenophylline
/.What is most perferred in COPD for bronchodilators - Answer-Antichlinergics
Correct Graded A+
Most common bacterial pneumonia organisms - Answer-Strep pneumo (MC)
M. cat
H. flu
/.Characteristics of klebsiellsa pneumonia - Answer-Alcolohics
currant jelly sputum
gram negative
/.Mycoplasma pneumoniae bacteria - Answer-Atypical bacterium
walking pneumonia
/.What is mc viral pneumonia - Answer-influenza a/b
/.Fungal pneuomnia organisms - Answer-Histoplasma capsulatum
coccidioides immitis
/.Fungal treatment and at risk pneumonia - Answer-Self limiting
IC pts
/.HIV related pneumonia organism - Answer-Pneumocystis jiroveci
/.Opportunistic infections HIV - Answer-aspergillus
toxoplasma gondii
herpes visus like CMV
EBV
zoster
/.Community acquired pneumonia organisms - Answer-Streptococcus pneumonia
/.Hospital acquired pneumonia organism - Answer-Pseudomonas aeruginosa
and staph aureus (including MRSA)
/.Bacterial pneumonia treatment - Answer-healthy before: macrolide
comorbidites, abx w/in 3 months, inpatient- fluoroquinolone or beta lactam
/.Viral pneumonia treatment - Answer-Flu with oseltamivir or zanamivir within 48 hrs sx
onset
acyclovic for voster
symptomatic
,/.Fungal pneumo tx - Answer-anti-fungals
/.Pertussis organism - Answer-Bordetella pertusis
/.Three stages of pertussis - Answer-catarrhal, cold/runny nose
paroxysmal, coughing spells leaving person breathless, whoop sound, vomiting
convalescent- chronic cough gradually fades
/.Abx given for pertussis? - Answer-yes due to it reducing the spread of the disease,
treat with azithromycin or erythromycin
/.TB organism - Answer-mycobacterium thberculosis
/.how is tb spread and what two forms are there - Answer-respiratory droplets
latent or active
/.Treatment TB - Answer-Isoniazid
Rifampin
Pyrazinamide
Ethambutol
/.Asthma FEV1 and FEV1/FVC - Answer-forced vital capacity (FEV1/FVC <75%); <12%
increase FEV1 after bronchodilatory therapy is supportive of diagnosis
/.Step one asthma tx - Answer-SABA PRN
/.Step 2 asthma tx - Answer-Low dose ICS
/.Step 3 asthma tx - Answer-Los dose ICS + LABA
OR
medium dose ICS
/.Step 4 asthma tx - Answer-Medium dose ICS plus LABA
/.Step 5 asthma tx - Answer-High dose ICS + LABA AND consider omalizumab for pts
with allergies
/.Step 6 asthma tx - Answer-High dose ICS + LABA + oral steroids AND consider
omalizumab
/.Bronchitis main sx - Answer-chough with or without sputum for 1-3 weeks
/.What should be avoided in kids less than 2 - Answer-OTC cough and cold products
/.acute exacerbation of chronic bronchitis tx - Answer-empirit first line tx second gen
cephaloaporin
, Secone line- macrolide or bactrum
/.What is bronchitis most commonly cuased by - Answer-viruses (adenovirus)
/.COPD characteristics - Answer-loss of elastic recoil and increasing airway resistance
/.Two components of COPD - Answer-Emphysema and chronic bronchitis
/.Emphysema is damage past what - Answer-Terminal bronchiole
/.What does emphysema cause - Answer-hyperinflation of the lungs, hyperresonance to
percussion
/.What does the ph do in emphysema - Answer-respiratory alkalosis
/.What does pink puffers mean in emphysema - Answer-cachectic with pursed lip
breathing
/.What is COPD pts deficient in and can be genetic as well - Answer-alpha 1 antitrypsin
deficiency
/.hallmark sign of COPD - Answer-dyspnea on exertion
/.What kind of respiratory impacts on ph - Answer-respiratory acidosis (bronchitis
aspect)
/.characteristics of chronic bronchitis in COPD - Answer-severe V/Q mismatch, severe
hypoxemia, hypercapnia
/.What does blue bloaters mean in chornic bronchitis - Answer-obese and cyanotic
/.Gold standard testing for COPDq - Answer-PFTs/ spirometry
/.Most important factor of prognosis and mortality in COPD - Answer-FEV1
/.What levels are decreased in COPD - Answer-fev1, FEV, FEV1/fev
/.Mainstay tx in COPD - Answer-bronchodilators
/.What are three classes of bronchodilators - Answer-anticholinergics
B2 agnoist
Thenophylline
/.What is most perferred in COPD for bronchodilators - Answer-Antichlinergics
