Pulmonology Risk Factors

Flashcards based on Pulmonology lecture notes.

Most common cause of community acquired pneumonia?

Strep pneumo

Primary Risk Factor for obstructive sleep apnea?

Obesity

Prior asbestos exposure is most likely to cause?

Bronchiogenic carcinoma

Is mesothelioma related to smoking?

No

What increases the risk for TB?

Silicosis

Management goal for COPD?

Smoking cessation

#1 Risk Factor in development of lung disease related to asbestos?

Cumulative exposure to asbestos fibers

Most important factor in preventing lung injury when using a ventilator?

Mechanical ventilation with lung protective strategies (low TV -> 6cc/kg)

Most common complication of Influenza?

Primary influenza pneumonia or secondary bacterial superinfection

2 complications of O2 therapy in a neonate?

Bronchopulmonary dysplasia & retinopathy of prematurity

Most common cause of cyanide poisoning?

House fire

Lung mets, most likely primary malignancy?

Breast cancer

Most common infectious precipitant of an acute COPD exacerbation?

H. influenza

65F + 80-pack-year Hx of smoking + CXR shows hyperinflation + loud P2 on auscultation + JVD + ECG shows right-axis deviation + 2-year Hx of type II diabetes; which reduces MI risk?

Smoking cessation

50M + being treated for Hodgkin + develops progressive dry cough + CXR shows reticulonodular pattern; what is most likely risk factor?

Bleomycin causing pulmonary fibrosis

44M + worked in shipyard 20 years ago part-time + 6-month history of shortness of breath; CXR shows supra-diaphragmatic soft tissue densities; diagnosis?

Asbestosis

66M + worked in aerospace industry for 30 years + 1-year Hx of declining pulmonary function; biopsy of lung parenchyma shows non-caseating granulomas; diagnosis?

Berylliosis

42F + long-standing rheumatoid arthritis managed with multiple medications + 6-month Hx of dry cough + CXR shows reticular pattern; what’s the risk factor?

Methotrexate-induced pulmonary fibrosis

60F + high calcium + lung cancer; Dx + risk factor?

Squamous cell carcinoma secreting PTHrp