Term
| Most common lung cancer in non-smokers |
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Definition
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Term
| Name 2 Peripheral Lung Cancer |
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Definition
| Adenocarcinoma & Large cell carcinoma |
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Term
| Name two centrally located lung cancer |
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Definition
Small cell carcinoma
Squamous cell carcinoma |
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Term
what kind of asthma is this? Trt?
1) Albuterol use < 2 times a week
2) Nighttime awakening < 2 times a month |
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Definition
Mild Intermittent
short acting B2 agonist PRN |
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Term
what kind of asthma is this? Trt?
1) Albuterol use > 2 times a week, but not daily
2) Nighttime awakening > 2 times (3-4 times) a month |
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Definition
Mild Persistent;
short acting B2 agonist PRN + low dose inhaled corticosteroid OR Leukotriene modifier (Zafirlukast or Montelukast), cromolyn or theophylline |
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Term
what kind of asthma is this? trt?
1) Albuterol use daily but not throughout day
2) Nighttime awakening > 1x a week but not nightly |
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Definition
Moderate Persistent;
short acting B2 agonist PRN + low dose inhaled corticosteroid + Long acting b2 agonist OR LTRA, theophylline, Zileuton OR medium dose inhaled corticosteroid |
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Term
what kind of asthma is this? trt?
1) Albuterol use daily throughout the day
2) Nighttime awakening - often 7x a week |
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Definition
Severe Persistent;
short acting B2 agonist PRN + medium/High dose inhaled corticosteroid + Long acting b2 agonist + Oral Corticosteroid |
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Term
| Parkland Formula for Burns? |
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Definition
=4 ml x %TBSA x weight (kg) = ml of fluids (.9% saline) over 24 hrs ; half volume in first 8 hrs and the rest in 16 hrs
TBSA = 2nd (partial thickness) or 3rd degree burns |
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Term
| At what CD4 count do you use Pneumocystis jiroveci prophylaxis? |
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Definition
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Term
| Drug of choice for Pneumocystis jiroveci prophylaxis and/ trt ? |
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Definition
| Trimethoprim-Sulfamethaxole |
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Term
| Prophylaxis use for Pneumocystis jirovec if the pt is allergic to sulfa drugs? |
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Definition
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Term
| At what CD4 count do use MAC prophylaxis? |
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Definition
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Term
| DOC for prophylaxis against MAC |
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Definition
| Azithromycin/Clarithromycin |
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Term
| Some chest X ray findings of PE? |
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Definition
1) Hampton's hump: shallow wedge shaped opacity that represents the infarction of the periphery of the lung
2) westmark sign: area of decreased blood
3) Palla sign: enlarged pul. artery |
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Term
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Definition
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Term
|
Definition
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Term
| 20 Chest radiograph: can't miss |
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Definition
| http://reference.medscape.com/features/slideshow/chest-radiography#9 |
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Term
| Epiglotitis - thumbprint sign |
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Definition
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Term
| Laryngotraheobronhitis - Croup: Steeple's sign? |
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Definition
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Term
| How do you determine if you should hospitalize a pt?? |
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Definition
CURB 65
Confusion
Urea > 20 mg/dl
Resp rate > 30 bpm
Bp < 90/60
Pt age > 65
If the score 0-1 -> low risk pt
if the score 2 -> hospitalization
If the score 3-5 -> consider iCU care |
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Term
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Definition
PAO2 = 150 - (PaCO2/R)
=.21(Pbreath +Ph20) -PaCO2/R
Pbreath = 760, Ph20 = 47, R= .8 |
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Term
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Definition
| productive cough on most days during >/= 3 months >/=2 consecutive yrs |
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Term
| In what pt population is a PPD > 5 mm is considered (+) for TB |
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Definition
| HIV, immunocompromised, abnormal CXray finding, in-close contact w/ pts w/ active TB, pts taking immunosuppressive meds for greater than 1 month |
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Term
| In what pt population is a PPD > 10 mm is considered (+) for TB |
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Definition
| IV drug users, prisioners, homeless ppl, health care workers, patients from developing country, nursing home residents, pts w/ chronic debilitating condition |
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Term
| Trt for positive TB on CXray? |
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Definition
First 2 mos: ISN, Ethambutol, Pyrazinamide, Rifampin
Next 4 mos: ISN, Rifampin |
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Term
| When do you extent the 6 mos trt of TB to 9 mos? |
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Definition
In the setting of:
Osteomyelitis, Miliary TB, Meningitis, Pregnancy, any other time pyrazinamide is not used |
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Term
| What TB drug causes optic neuritis? |
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Definition
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Term
| What TB drug causes peripheral neuropathy? |
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Definition
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Term
| What TB drugs cause hepatotoxicity? |
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Definition
| Rifampin and Pyrazinamide |
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Term
| pleural effusion fluid pH < 7.2 |
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Definition
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Term
| If Pleural effusion fluid pH< 7.0, what condition are u suspecting? |
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Definition
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Term
| Causes of Transudate in pleural effusion? |
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Definition
| 1) CHF 2) Nephrotic syndrome 3) hepatic cirrhosis |
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Term
| Causes of Exudate in pleural effusion? |
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Definition
1) Malignancy
2) PE
3) Pneumonia (parapneumonic effusion)
4) Collagen vascular dz
5) infx |
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Term
| what RF titer levels in pleural effusion is indicative of Rheumatoid arthritis? |
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Definition
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Term
| Pleural effusion w/ glucose< 50 mg/dL may indicate a? |
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Definition
| infx, neoplasm, collagen vascular dz --> exudate |
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Term
| Pleural effusion w/ cholesterol < 50 mg/dl is transudate or exudate? |
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Definition
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Term
| What pleural effusion ANA titer is indicative of SLE? |
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Definition
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Term
| Increased amylase in pleural effusion may indicate what conditions? |
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Definition
| Pancreatitis, Esophageal rupture, or malignancy |
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Term
Ventilator setting type?
When pt initiates a breath, it delivers a preset tidal volume.
If the pt fails to take a breath, it delivers a breath at the preset tidal volume w/ a backup rate |
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Definition
| Assist Control Ventilation |
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Term
Ventilator setting type?
pt initiates a breath, but the machine does not support these breaths with a preset tidal volume
there is a backup rate setting |
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Definition
| Intermittent Mandatory Ventilation |
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Term
Ventilator setting type?
Allows pt to breathe spontaneously
Tries to coordinate a set amount of its own breaths with the spontaneous breaths |
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Definition
| Synchronized Intermittent Mandatory Ventilation |
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Term
Ventilator setting type?
A specific pressure is set, allowing airways to remain open, and allowing spontaneous breaths by the pt |
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Definition
| Continous Positive Airway Pressure (CPAP) |
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Term
Ventilator setting type?
Used when pt is making no resp. effort
The machine does not allow spontaneous breath nor does it support it |
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Definition
| Controlled mechanical ventilation |
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