Pulm Kahoot

You are working ICU today and on hand off your colleague give you brief overview of pt in bed 3 states pt presented with sepsis and sob which over the past 2 says the patient has continued to decline to the point of lung stiffening and now organ failure, what disease does this patient likely have

ARDS

In regards to lung compliance your pt has pneumonia what would you expect to see regarding the lung?

Stiffness/decreased lung compliance

You go to a conference on viral illnesses; you are participating in peds path for some continuing education. The presenter leads the discussion by talking about their disease that causes host cells to lose their “normal function”

RSV

A 23 mo child presents to peds office with runny nose, cough, fever, and sleeping more than usual. In house testing reveals a positive RSV, in mild cases what are you going to prescribe for this patient?

Supportive measures

The pt presents to ER and in triage the pt tells the nurse that they have a medical history of lung fibrosis;What would you expect to see in regards to the FEV1/FVC value?

Normal or increase in most fibrotic diseases

You work in a busy peds pulm clinic where you performs pfts on peds pts; you direct pt to inhale as deep as possible and then blowing the candles out fast and hard; you are evaluating what lung volume component

Vital capacity

Surfactant production stops which causes the increases the alveolar surface tension promoting collapse in this disease progression

Pulmonary edema in ARDS

2 month old infant seen in office and dx with RSV pt using accessory muscles to breathe. What is most likely anatomical mechanism that explains this severe disease

Smaller diameter of airways and bronchioles

Activation of macrophages and neutrophils increases causing vasodilation, damage to alveolar cells

Central pathologic events in ARDS (aka inflammatory cascade of ARDs)

Your pt today has a regional ventilation perfusion mismatch in alveoli; the pt does not have pulmonary edema, this finding indicated that the patient is suffering from this other most common cause

Pneumonia

You are on a helicopter ride in hawaii when the pilot has to make an emergency landing; the landing did not go as planned and a tree limb seemed to have punctured to the pilots left lung what side would this patient have increased in the pleural pressure

Left side

You are working the UC tonight and you notice that you have seen multiple pt that just flew in from japan on a non-stop flight; bob is complaining of left calf pain and he also states he is having more trouble breathing than normal with decrease in his O2 sat. What will the CT angiography show about Bob?

Pulmonary embolism

Pt has a disease that one would see a weakening of the RV and an increase in RA pressure

Heart failure → cor pulmonale

You have a 41 yo patient that has COPD however you are worried bc pt his having worsening SOB, fatigue, and cough after traveling for about 21 hours in a car across country. What diagnostic would you order if you suspect a pulmonary embolism?

V/Q scan

I am the most common pathogen found in the pediatric population with viral pneumonia

RSV

This disease is still being heavily researched; however, you have seen a pt today who is positive for coronavirus. This pt has HTN and obesity for dx; what medical therapy may you use for this pt what is specifically geared towards COVID-19

Remdesivir due to his comorbidities

23 yo f presents to clinic for acute visit you not pt has gene mutation for a protein that moves Cl and HCO3 across the epithelial membrane you write an order for the chest physiotherapy vest to aid in preventing this pathological finding present in the patient who has this disease

Cystic fibrosis

Based on your general exam when you walk inot hte pt room; you see a middle aged man with a 30 year pack/day hx. You note in the PE portion that you have a 50 year old mlale with central obesity, based on this information alone what is the most likely culprit in this patient

Chronic bronchitis → central obesity

Your 0800 appt returns for FU on the lab results you ordered a couple weeks ago; you explain to the pt that their ability to break down elastase is inhibited; which is the most likely lab value that was abnormal?

Alpha 1 antitrypsin

You are an infectious disease PA and you are worried bc mr mouse who is you rpt has a cd4 count that is low; what pneumonia is this patient more susceptible to as opposed to a patient with a “normal” CD4 count?

Pneumocystitis pneumonia

You have a pt who is c/o pain with deep breathing. Pt also reports some allergies last week with cough, nasal drainage, and some dull earache, all of which resolved except the cough. What is the most likely cause for the pain?

Pleuritic chest pain

Smoke, cold temp, ASA, and exercise

Triggers of Asthma

You are working in the pulm clinic today; you see a pt who has frequent exacerbations of their asthma; what component of this test will most appropriately measure the severity of this acute exacerbation?

FEV1 in the PFT

48 yo male presents to ER with c/o fever, chills, SOB, and cough for 2 days. Testing shows that the patient has a viral pneumonia what is the disease/pathogen most likely to in this case?

Influenza A

Disease process that has increased compliance and decreased elastic recoil which can be caused by long term smoking, working hazards

Emphysema