What Do You Know About Pulmonology? Trivia Quiz

2.

Your patient has dyspnea and significant lymphadenopathy. You take a lung biopsy and find noncaseating granulomas, and you have ruled out all other granulomatous disorders. It is:

Sarcoidosis
P. carinii infection
Bronciectasis
Tuberculosis

Correct Answer

A. Sarcoidosis

Explanation

The patient's symptoms of dyspnea and significant lymphadenopathy, along with the presence of noncaseating granulomas in the lung biopsy, suggest a diagnosis of sarcoidosis. Sarcoidosis is a systemic inflammatory disease that can affect multiple organs, commonly the lungs and lymph nodes. The characteristic noncaseating granulomas are a hallmark of sarcoidosis. Other granulomatous disorders have been ruled out, making sarcoidosis the most likely diagnosis in this case.

Rate this question:

3.

If your patient has contact with live birds, it's:

Histoplasmosis
Stannosis
Asbestosis
Psittacosis

Correct Answer

A. Psittacosis

Explanation

Histoplasmosis is from soil contaminated by bird or bat droppings.

Rate this question:

4.

These are obstructive lung disorders:

ALS
Anklyosing spondylitis
Chronic bronchitis
Emphysema

Correct Answer(s)

A. Chronic bronchitis
A. Emphysema

Explanation

ALS and ankylosing spondylitis are restrictive lung disorders, not obstructive.

Rate this question:

1

5.

Pulsus paradoxus is:

Two heartbeats close together followed by a pause
When the apical heart rate and radial pulse are not the same
An abnormally wide pulse pressure
An abnormally large decrease (20+ mmHg) in arterial pressure on inhalation

Correct Answer

A. An abnormally large decrease (20+ mmHg) in arterial pressure on inhalation

Explanation

Pulmonary causes of pulsus paradoxus include: COPD, asthma, tension pneumothorax, PE

Rate this question:

1

6.

Stridor is usually heard best on:

Expiration
Inspiration
Biphasic

Correct Answer

A. Inspiration

Explanation

Stridor is a high-pitched, harsh sound that occurs during breathing when there is a blockage or narrowing of the airway. It is usually heard best on inspiration because during this phase, the air is being drawn into the lungs through the narrowed or obstructed airway, causing the sound to be more audible. On the other hand, during expiration, the air is being expelled from the lungs, and the sound of stridor may be less prominent or even absent.

Rate this question:

7.

This unusual radiographic finding strongly suggests silicosis.

Bibasilar consolidation
Reticular opacities
"eggshell" calcification
Diffuse ground glass

Correct Answer

A. "eggshell" calcification

Explanation

The presence of "eggshell" calcification on a radiograph is a characteristic finding in silicosis. Silicosis is a lung disease caused by long-term exposure to silica dust, commonly found in industries such as mining, construction, and sandblasting. The term "eggshell" calcification refers to the thin, calcified nodules that form on the surface of the lungs in advanced stages of silicosis. This finding is distinct and highly suggestive of the disease, as it is not commonly seen in other lung conditions.

Rate this question:

8.

What is the recommended vaccination schedule for pneumonia?

All adults over 65 (PCV23), all children under 5 (PCV13)
All adults working in healthcare
All patients over the age of 6 months
All at-risk adults

Correct Answer

A. All adults over 65 (PCV23), all children under 5 (PCV13)

Explanation

Current, CDC

Rate this question:

9.

These are restrictive lung disorders:

ALS
Scoliosis
Guillain-Barre
Alpha-1 antitrypsin deficiency

Correct Answer(s)

A. ALS
A. Scoliosis
A. Guillain-Barre

Explanation

Alpha-1 antitrypsin deficiency is a genetic disorder that causes COPD/emphysema, i.e. obstructive lung disorders, not restrictive.

Rate this question:

10.

The following are indications for referral for specialty care in a COPD patient.

Severe or rapidly progressive COPD.
Smoker.
Need for long-term oxygen therapy.
COPD onset occurs before the age of 40.

Correct Answer(s)

A. Severe or rapidly progressive COPD.
A. Need for long-term oxygen therapy.
A. COPD onset occurs before the age of 40.

Explanation

Current 2014 p. 256

Rate this question:

11.

These are elements of the CURB-65 scoring system for community-acquired pneumonia.

BUN greater than or equal to 19
Age 65+
Respirations greater than or equal to 30
Heart rate above 110
SBP less than 90 or DBP less than 60
Confusion

Correct Answer(s)

A. BUN greater than or equal to 19
A. Age 65+
A. Respirations greater than or equal to 30
A. SBP less than 90 or DBP less than 60
A. Confusion

Explanation

This answer includes the elements of the CURB-65 scoring system for community-acquired pneumonia. BUN greater than or equal to 19 is included because an elevated blood urea nitrogen (BUN) level indicates impaired kidney function, which can be a sign of more severe illness. Age 65+ is included because older age is a risk factor for complications and mortality in pneumonia. Respirations greater than or equal to 30 is included because rapid breathing can indicate respiratory distress. SBP less than 90 or DBP less than 60 is included because low blood pressure can indicate poor perfusion and organ dysfunction. Confusion is included because it can be a sign of severe illness and altered mental status.

Rate this question:

1

12.

Which is the correct vaccination recommendation for influenza?

All adults working with immunocompromised populations; yearly
All patients over the age of 10; yearly
All patients over the age of 6 months; yearly
All adults over the age of 65; yearly

Correct Answer

A. All patients over the age of 6 months; yearly

Explanation

From Current and CDC

Rate this question:

13.

The following are indications for referral for specialty care in an asthma patient.

Patient is not meeting goals of asthma therapy after 3–6 months of treatment.
More than two courses of oral prednisone therapy in the past 12 months.
Any life-threatening asthma exacerbation/exacerbation requiring hospitalization in the past 12 months.
Complicating comorbid problems e.g. rhinosinusitis, tobacco use, multiple environmental allergies, suspected allergic bronchopulmonary mycosis.

Correct Answer(s)

A. Patient is not meeting goals of asthma therapy after 3–6 months of treatment.
A. More than two courses of oral prednisone therapy in the past 12 months.
A. Any life-threatening asthma exacerbation/exacerbation requiring hospitalization in the past 12 months.
A. Complicating comorbid problems e.g. rhinosinusitis, tobacco use, multiple environmental allergies, suspected allergic bronchopulmonary mycosis.

Explanation

Current 2014 p. 250

Rate this question:

14.

African-Americans are more likely to die than Caucasians of the following diseases:

Lung cancer
COPD
Sarcoidosis
Asthma

Correct Answer(s)

A. Lung cancer
A. Sarcoidosis
A. Asthma

Explanation

http://www.lung.org/assets/documents/publications/lung-disease-data/solddc_2010.pdf

Caucasians are more likely than any other ethnic group to develop and die from COPD.

Rate this question:

What Do You Know About Pulmonology? Trivia Quiz

Obstructive lung disorders have problems with _. Restrictive lung disorders have problems with _.

Quiz Preview

Your patient has dyspnea and significant lymphadenopathy. You take a lung biopsy and find noncaseating granulomas, and you have ruled out all other granulomatous disorders. It is:

If your patient has contact with live birds, it's:

These are obstructive lung disorders:

Pulsus paradoxus is:

Stridor is usually heard best on:

This unusual radiographic finding strongly suggests silicosis.

What is the recommended vaccination schedule for pneumonia?

These are restrictive lung disorders:

The following are indications for referral for specialty care in a COPD patient.

These are elements of the CURB-65 scoring system for community-acquired pneumonia.

Which is the correct vaccination recommendation for influenza?

The following are indications for referral for specialty care in an asthma patient.

African-Americans are more likely to die than Caucasians of the following diseases:

What Do You Know About Pulmonology? Trivia Quiz

Obstructive lung disorders have problems with _______. Restrictive lung disorders have problems with _______.

Quiz Preview

Your patient has dyspnea and significant lymphadenopathy. You take a lung biopsy and find noncaseating granulomas, and you have ruled out all other granulomatous disorders. It is:

If your patient has contact with live birds, it's:

These are obstructive lung disorders:

Pulsus paradoxus is:

Stridor is usually heard best on:

This unusual radiographic finding strongly suggests silicosis.

What is the recommended vaccination schedule for pneumonia?

These are restrictive lung disorders:

The following are indications for referral for specialty care in a COPD patient.

These are elements of the CURB-65 scoring system for community-acquired pneumonia.

Which is the correct vaccination recommendation for influenza?

The following are indications for referral for specialty care in an asthma patient.

African-Americans are more likely to die than Caucasians of the following diseases:

Obstructive lung disorders have problems with _. Restrictive lung disorders have problems with _.