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WorksheetsPULMONOLOGY REVIEW QUESTIONS
Total questions: 16
Worksheet time: 6mins
Respiratory difficulty in bronchial asthma in acute exacerbation is due to the following except:
Bronchial muscle spasm
Bronchial mucosal edema
Mucus hypersecretion
All are causes of respiratory difficulty in BAIAE
Caution is needed with prolonged usage of _______ in asthma patients
Terbutaline
Salbutamol
Epinephrine
Prednisone
The most common cause of respiratory problems in children is
Congenital
Infectious
Allergic
Metabolic
Main agent causing the common colds
Adenovirus
Rhinovirus
Coronavirus
Parainfluenza virus
RSV
Telemedicine:
Y: Hello? This is Dr. GG from the SL Clinic Telemed hotline. How may I help you today? M: Hi. I would like to consult regarding my daughter Cassy who is 8 y/o and developed fever a few hours ago. She now has sore throat that looks disturbing since she looks like she is having difficulty in breathing. She is drooling! Y: Is she pale? Is her skin, lips and face darkening or changing into blue? Is she panting? Is her activity slowed? M: She was starting to change in color a while ago but she got better when she extended her neck. Her activity has slowed significantly. She is not panting at the moment. Y: Please bring your daughter to the ER immediately for further evaluation and management. M: What is the most likely diagnosis of my daughter?
You: Acute bronchiolitis
You: Acute laryngotracheobronchitis
You: Foreign body aspiration
You: Acute epiglottitis
Patient Cassy 8/F is brought to the nearest ER and was received by you, Dr HB. You see that the she is drooling with hyperextended neck. You request a CXR including the neck. What is/are the expected finding/s?
Steeple sign
Thumbprint/leaf sign
Pyramid mark
Infiltrates over the lung fields
Patient Cassy 8/F with fever and sore throat was brought to the ER and upon initial examination you see that she is drooling with neck hyperextended and seems to be in respiratory distress. What do you do next?
Patient might be having inflammation of the airway, give steroids
Patient might be having hypersensitivity reaction, give a dose of epinephrine IM
Patient might be having an asthma attack, nebulize with salbutamol and hook to oxygen
Patient might be having inflammation of the airway and might go in respiratory distress, secure airway and intubate
Due to the history and physical examination of Cassy 8/F, the most likely etiologic agent is
Parainfluenza virus
H. influenza virus type B
Respiratory syncytial virus
SARS COV2
Most common foreign body obtained from respiratory tracts of children?
Nuts
Toys
Coin
Small batteries
Joey a 7/M presents at your clinic with sore and itchy throat, nasal obstruction and rhinorrhea. He also complained of itchiness in the eyes, nose, and skin. What is your primary impression?
Allergic rhinitis
Skin Asthma
Common colds
Acute rhinopharyngitis
Mimi 8/F presented at the ER with mild epistaxis and itchiness of the nose. You inspect the nasal passages and find a foul-smelling discharge. You insert nasal speculum and notice a colored object in the inner part of the nose. Impression?
Foreign body
Common colds
Primary epistaxis
Blood dyscrasia
Chinky 7/F, has a known history of allergic rhinitis manifesting as clogged nose, itchiness and sneezing, and is compliant with her nasal decongestant, albeit, uses it more than recommended. During follow up, her mother complains of the medications not working well for her daughter as the clogging of her nasal passages is persistent. What do you do?
Explain to the mother that using nasal decongestants excessively can make her daughter’s symptoms worse. Wean her off the medications for now.
Explain to the mother that her daughter has developed tolerance to the medications. Wean her off the medications for now.
Explain to the mother that her daughter might be overdosed from the medications and needs to be admitted for detoxification.
Explain to the mother that the medications were not effective in the first place. Change her medications to stronger nasal decongestants.
Cooper 13/M came in for consult due to high grade fever, productive cough with green sputum, colds, headache and facial pain for 10 days. Upon physical examination he has Fever of 39C, peri-orbital edema and tenderness over the forehead, below the eyes and over the nose. What will you do next?
Secure airway and prepare to intubate
Decongest nose and start with Antibiotics for 2 weeks
Get a cranial CT scan as his illness can progress to meningitis or brain abscess
Reassure the patient give supportive treatment.
Timmy 3/M was brought to the ER due to 2 weeks of on and off episodes of continuous coughing leading to darkening of the skin, lips and nails followed by a deep loud inspiration. He has no fever, sore throat, difficulty in breathing and is eating well.
What do you do next?
Patient has Pertussis, start the patient on Clarithromycin as well as all household contacts
Patient has Croup, give the patient Racemic epinephrine
Patient is having an allergy attack, give the patient IM epinephrine
Patient is in distress, secure airway and intubate
Gina 4/F was brought to the ER due to stridor, low grade fever accompanied by barking cough, hoarseness for 1 week. You request for an xray of the neck and chest. What is the expected finding?
Steeple sign
Thumb print
Pyramid sign
Foreign body
Which of the following is not a reliever medication for BA?
Aminophylline
ICS
Albuterol
Ipratropium
