Rosh Review- Pulmonology |161 Questions| With Correct Answers.

What is the CURB-65 score? {Ans: It attempts to predict the severity of pneumonia to help determine inpatient vs. outpatient treatment.}What presents with mucopurulent cough x5days, chest X-ray findings of thickening of bronchial walls in lower lobes, and wheezing and rhonchi on auscultation? {Ans: Bronchitis! Typically caused by viruses}What presents with barking, seal-like cough and inspiratory stridor? Dx and Tx? Causative organism? {Ans: Croup! (Laryngotracheobronchitis!!) Dx: X ray: STEEPLE SIGN! "Subglottic narrowing" Tx: Humidified oxygen, steroids, racemic epinephrine Causative organism: Parainfluenza virus!}What is acanthosis nigricans associated with? {Ans: Malignant form: Associated with internal malignancy Benign form: Associated with endocrine disorders and obesity}What pathogen causes pneumonia that is associated with bullous myringitis? {Ans: Streptococcus pneumoniae! Bullous myringitis was previously linked to Mycoplasma pneumoniae but it appears, based on middle ear aspirate culture results, that typical acute otitis media pathogens are the true cause}What presents with shortness of breath, increased sputum production tachycardia with cystic fibrosis, nursing home resident and cyanosis? Tx? {Ans: Pseudomonas Pneumonia! Tx:}