QUESTIONS AND ANSWERS 100%
CORRECT ALREADY GRADED A+
Single Pulmonary Nodule - ANSWERS-"Coin lesion"
A single parenchymal lung lesion smaller than 3cm W/O PNA , atelectasis, or
lymphadenopathy
Pure subsolid SPN < 5mm require no follow-up
if SPN < 8mm follow Fleischner Society guidelines on intervals for repeat CT
If SPN >8mm refer specialist
Sleep apnea - ANSWERS-a sleep disorder characterized by temporary
cessations of breathing during sleep and repeated momentary awakenings
Central apneas—absent airflow and respiratory efforts-Neurological diseases
Obstructive apneas [OSA]-Tongue and soft palate fall backward
What is the definitive test for sleep apnea - ANSWERS-Overnight
Polysomnogram
Age Related Pulmonary Changes - ANSWERS-• Reduced airway size
•Shallow alveolar sacs
•Decline in chest wall compliance
• Intercostal muscle atrophy
• Reduction in diaphragmatic strength by 25%
, Who or when should you consider silent aspiration - ANSWERS-Consider
possibility of silent aspiration, especially in those with frequent pneumonias,
neurologic deficits, or residence in extended-care facilities
Cough Treatment - ANSWERS-Treat primary cause
Get rid of the source, the cough goes away
Soothe cough
Dextromethorophan
Inhaled meds- Ipratropium
Benzonatate
Codeine-last resort
Hemoptysis most common causes - ANSWERS-inflammatory—bronchitis,
bronchiectasis, pneumonia, TB
A cough can last how long sometimes after a URI? - ANSWERS-up to 8
weeks
Acute bronchitis - ANSWERS-a temporary inflammation of the mucous
membranes that line the trachea and bronchial passageways; causes a
cough that may produce mucus
5th most common cause of to see a HCP
Pneumonia symptoms - ANSWERS--coughing
-fatigue
-pleuritic pain
-fever
-increased WBC
-rust colored sputum
-crackles