Answers
What indicates a positive TST reading at 48-72 hours for patients
with no risk factors? Correct Answer - >15mm
What is the recommended diagnostic test to order before starting
INH therapy for a patient with latent TB? Correct Answer -
Liver Function Tests (LFT)
What percentage of lung cancer cases are attributed to cigarette
smoking? Correct Answer - 90%.
What assessment finding is of greatest concern in a smoker with a
chronic cough that warrants a CT scan? Correct Answer -
Persistent cough or change in cough.
What is a recommendation against smoking cessation that should
not be given to patients? Correct Answer - Recommend against
E-cigs.
Which bacterial cause is NOT associated with acute bronchitis?
Correct Answer - C. Pneumonia.
All of the following are expected symptoms of pneumonia EXCEPT
Correct Answer - not AMS was something else
What diagnostic test is used to confirm a diagnosis of pneumonia?
Correct Answer - Chest X-ray (CXR).
At what age do guidelines recommend high-risk patients begin
screening for lung cancer? Correct Answer - 55 years old.
, How is asthma best described? Correct Answer - Chronic
airway inflammation with superimposed bronchospasms.
Which pharmacological agent is NOT included in the treatment for a
pulmonary embolus? Correct Answer - Plavix.
What classic EKG changes are seen in pulmonary embolism?
Correct Answer - S waves in lead I, Q waves in lead III, Inverted T
waves in lead III.
What immediate concern should be ruled out for a patient
presenting with significant shortness of breath and tachycardia after
recent travel? Correct Answer - Pulmonary embolism (PE).
Which statement about lung cancer is NOT true? Correct Answer -
Usually diagnosed early.
Which condition is NOT part of the differential diagnosis for a
patient who complains of cough? Correct Answer - Obesity.
What is the gold standard for assessment and diagnosis of COPD?
Correct Answer - Post-bronchodilator spirometry.
What is an example of a SAMA used in the treatment of COPD?
Correct Answer - Ipratropium (Atrovent).
How should a patient with acute bronchitis and persistent cough be
managed? Correct Answer - Order an antitussive, such as
Dextromethorphan.
Ryan is a 28 year old male who presents to your practice with
symptoms consistent with acute bronchitis. Risk factors associated
with acute bronchitis include the following EXCEPT? Correct
Answer - Male gender