45 y/o AAF present to office w/ persistent nonproductive cough she has had for the past 5 months.
On exam you notice violaceous plaques on her nose and
... [Show More] cheeks. Bilateral hilar lymphadenopathy is visualized on chest xray.
The 1st line medication for the likely dx in this pt is...
oral corticosteroids (sarcoidosis)
Which TB med can cause reddish-orange secretions like in the tears and urine?
Rifampin
Which antibiotics will you use for CAP in an outpatient setting?
Fing-MAD that you got CAP
-Fluoroquinolones (only in pts w comorbidities or risk factors)
-Macrolides
-Amoxicillin
-Doxycycline
A homeless pt present to ER w productive cough, foul smelling sputum, and admits to blacking out a couple nights ago due to excessive alcohol use.
On PE you note decreased breath sounds and dullness to percussion in RLL field.
Which abx should be considered in this pt for the likely dx?
Amoxicillin/Clavulanic acid (Augmentin) - given oral
ampicillin/sulbactam - given IV
What medications are used in pts with idiopathic pulmonary fibrosis to slow progression of the disease?
Pirfenidone
Nintedanib
TB of the vertebrae is known as...
Pots disease
Which type of lung cancer is considered the most aggressive and has the lowest 5-year survival rate?
Small Cell Lung Cancer
32 y/o F in her 3rd trimester of pregnancy presents to the office c/o SOB, CP worse with deep inspiration.
On exam her respirations are rapid and shallow, her vitals reveal a pulse of 122.
She admits for the past 4 days she has mostly been on bed rest due to difficulty ambulating in her late stage of pregnancy and due to pain she has had in her LLE.
What is the most appropriate test to do for this pt to confirm the most likely dx?
V/Q Scan, suspect PE
preferred to CT in pregnant pts to decrease radiation exposure
A pt who is currently living with his brother who has active TB would have a positive PPD at what size of induration?
5mm or greater - pt is high risk
A pt w a hx TB has a CXR that shows diffuse small nodular lesion spread throughout the lungs, which type of TB does this pt likely have?
Miliary TB
What is the most common bacterial cause of CAP?
Strep pneumoniae
Define chronic bronchitis
productive cough for at least 3 months of the year for 2 consecutive years
A 6 y/o boy presents to the ER c/o a sore throat that has gotten worse over the past few days. In addition he has had trouble swallowing and a fever.
On exam he is drooling and leaning forward while sitting on his father's lap and refuses to lay down on the exam table. While speaking to you his voice sounds muffles and he is in visible distress
What is the first and most important step in management of this pt?
Maintain the airways - no tongue depressor!
(acute epiglottitis)
A 17 y/o M presents to the office today with pharyngitis, nonproductive cough, and an earache. On CXR a patchy infiltrate is visualized. He has no PMH and is not taking any medications
What is the likely organism causing this pts symptoms?
Mycoplasma pneumoniae
Pt with sarcoidosis presents with erythema nodosum, bilateral hilar lymphadenopathy, and polyarthralgia w fever. This syndrome is known as...
Lofgren syndrome
What tx option is most effective in pts with small cell lung carcinoma?
chemo
A combination of asthma, nasal polyps with chronic rhinosinusitis, and sensitivity to ASA is known as...
Sampter's triad
A soft tissue lateral cervical radiograph would show what classic finding in a pt with acute epiglottitis?
thumb sign
Which type of lung ca is most commonly seen in non-smokers?
adenocarcinoma
Pt presents with a cavitary lesion in a proximal bronchus visualized on imaging. Labs show an elevation ion serum Ca level. What type of lung malignancy does this pt have?
squamous cell carcinoma
A 6-month-old boy presents with a harsh barking cough. On PE you notice inspiratory stridor at rest, marked IC retractions, and cyanosis. He is diagnosed with laryngotracheitis (AKA croup). He is started on neb epinephrine to relieve his symptoms.
What other therapy should be considered in addition for this pt for relief of his respiratory symptoms?
Dexamethasone
A pt w coal worker pneumoconiosis would likely have nodules in what part of the lungs?
Upper lobes
A 42 y/o M presents to the office c/o fever, cough and diarrhea for the past week. He has no PMH and works as a plumber. His labs show elevated hepatic transaminases as well as hyponatremia.
What dx should be suspected in this pt?
Legionella [Show Less]